reglab/housing_qa huggingface dataset:
LA Rev Stat § 40:1248.12 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1248.12. Governmental institutional providers; enhanced reimbursement

RS 1248.12 - Governmental institutional providers; enhanced reimbursement  A. Upon request from a parish in which a governmental institutional provider is located, the department shall attempt in good faith to execute a cooperative endeavor agreement acceptable to the department. Notwithstanding any law to the contrary, by September 1, 2020, or as soon thereafter as such a cooperative endeavor agreement is effective, the department shall file a Medicaid state plan amendment with the Centers for Medicare and Medicaid Services, referred to hereafter in this Section as "CMS", amending the Medicaid state plan provisions governing hospital reimbursement to provide that a governmental institutional provider, as defined in R.S. 40:1248.1, shall be reimbursed at a rate which equals or approximates one hundred ten percent, or, if a reduction is required by CMS, the maximum amount acceptable to CMS, but in no case less than one hundred percent, of the appropriate reasonable cost of providing hospital inpatient and outpatient services, including but not limited to services provided in a rural health clinic licensed as part of a governmental institutional provider. The new governmental institutional provider payment methodology shall utilize prospective rates approximating costs at the time of service for inpatient acute care and psychiatric services. To ensure that governmental institutional provider outpatient services, including those reimbursed on a cost basis and those reimbursed on a fee schedule, are reimbursed in the aggregate at one hundred ten percent of the reasonable costs or such lesser amounts as approved by CMS, but in no case less than one hundred percent of their reasonable costs, the department shall pay an interim rate for cost-based outpatient services at one hundred ten percent of reasonable cost during the year and for fee-based services paid on a claim-by-claim basis, and the department shall make quarterly estimates of Medicaid base rate payments required to bring reimbursement to the governmental institutional provider for such services up to one hundred percent of reasonable costs and immediately remit such payments to the governmental institutional provider, and at final settlement pay such amounts as are necessary to ensure that all outpatient services in the aggregate, both cost-based and fee schedule, are paid at one hundred ten percent of reasonable costs.  B. The governmental institutional provider payment methodology provided for in this Subpart shall be implemented on January 1, 2021, or as soon thereafter as is practicable after the methodology is authorized by federal law.  Acts 2020, No. 330, §1.
LA Rev Stat § 40:1249.1 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1249.1. Legislative findings; purpose

RS 1249.1 - Legislative findings; purpose  A. The Legislature of Louisiana hereby finds that Medicaid currently spends in excess of seven hundred eighteen million dollars annually on a variety of home- and community-based programs to address the long-term care needs of our citizens who are elderly or have severely disabling conditions. These expenditures constitute in excess of sixteen percent of all Medicaid costs for health care services delivered by private providers.  B. Expenditures for Medicaid home- and community-based long-term care supports and services accounts for fifteen percent of the total growth of Medicaid spending in the past five years.  C. Despite the substantial financial commitment that the legislature has made to provide home- and community-based long-term care services, many Louisiana residents are still required to wait for years to receive the services they need.  Acts 2010, No. 305, §1; Redesignated from R.S. 40:1300.321 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1249.2 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1249.2. Definitions

RS 1249.2 - Definitions  As used in this Part:  (1) "Adult with disability" means an individual who is twenty-one to sixty-four years of age and disabled according to Medicaid standards or the Social Security Administration's disability criteria.  (2) "Department" means the Louisiana Department of Health or its successor in the role of designated state agency under Title XIX of the Social Security Act or any successor Act providing funding for medical care for the poor.  (3) "Elderly" means an individual who is sixty-five years of age or older.  (4) "Long-term care services" means the following services provided pursuant to Louisiana's approved Medicaid state plan for medical assistance:  (a) Long-term personal care services.  (b) Adult day health care waiver services.  (c) Children's Choice Waiver services.  (d) Elderly and Disabled Adults Waiver services.  (e) New Opportunities Waiver services.  (f) Supports waiver services.  (5) "Person with developmental disability" means an individual of any age who has a developmental disability as defined in R.S. 28:451.2(12).  (6) "State plan for medical assistance" means the plan promulgated by the department in accordance with its role as designated state agency under Title XIX of the Social Security Act or any successor Act providing funding for medical care for the poor.  Acts 2010, No. 305, §1; Redesignated from R.S. 40:1300.322 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1249.4 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1249.4. Electronic visit verification system; implementation; conditions

RS 1249.4 - Electronic visit verification system; implementation; conditions  A. For purposes of this Section, "electronic visit verification system" means an automated point-of-service verification system which electronically verifies that service visits occur and documents the points in time when service provision begins and ends.  B. The legislature hereby finds that due to the significant potential of electronic visit verification systems for improving care quality and containing medical assistance program costs, notably through prevention of fraud, abuse, and billing errors, the implementation of such systems in home- and community-based long-term care and other in-home service care programs is in the best interest of this state.  C. To the maximum extent practicable, and subject to the conditions provided in Subsection D of this Section, the department shall implement an electronic visit verification system for all in-home care services that it funds through medical assistance programs.  D.(1) If the conditions of Paragraph (3) of this Subsection are satisfied, then the department shall promulgate such rules in accordance with the Administrative Procedure Act as are necessary to ensure optimal functioning of the electronic visit verification system.  (2) The department may provide rate enhancements and other financial incentives to providers of long-term care services to facilitate timely and effective implementation of the electronic visit verification system.  (3) The department may implement an electronic visit verification system only if the fiscal impact thereof is reasonably expected to be cost-neutral or result in cost savings.  Acts 2014, No. 523, §1; Redesignated from R.S. 40:1300.324 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1250.1 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1250.1. Short title

RS 1250.1 - Short title  This Part shall be known and may be cited as the "Disability Services Sustainability Act".  Acts 2019, No. 381, §1.
LA Rev Stat § 40:1250.2 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1250.2. Legislative findings; declaration

RS 1250.2 - Legislative findings; declaration  A. The legislature hereby finds all of the following:  (1) Access to quality services for persons with developmental, intellectual, adult-onset, or physical disabilities furnished by private providers is essential for the health, safety, and well being of those persons.  (2) Reliable and sufficient Medicaid reimbursement rates for private providers are necessary to create and maintain a sustainable statewide system of services for eligible individuals with disabilities.  (3) A statewide system of services is sustainable only if reimbursement rates are sufficient to enlist providers in numbers great enough to allow eligible individuals a choice among different providers who are capable of delivering quality services that will meet the assessed needs of those individuals in a timely manner.  B. The legislature hereby declares that this state must take steps to foster and maintain a robust network that attracts and retains quality providers which are capable of maintaining a stable workforce and are sufficient in number to allow for meaningful choices among providers by individuals eligible to receive disability services.  Acts 2019, No. 381, §1.
LA Rev Stat § 40:1250.3 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1250.3. Definitions

RS 1250.3 - Definitions  As used in this Part, the following terms have the meaning ascribed to them in this Section:  (1) "Department" means the Louisiana Department of Health.  (2) "Methodology" means the aggregate of methods, principles, assumptions, variables, factors, and procedures used to determine a reimbursement rate.  (3) "Provider" means a person, public agency, nonprofit corporation, or a for-profit business entity that provides services under a contract or other agreement with the department.  (4) "Rate" means the amount of money per unit of time for a Medicaid service performed or the amount of money for a Medicaid service performed for a flat fee, such as a per diem.  (5) "Rebasing" means using cost report information to adjust Medicaid reimbursement rates to the level dictated by the Medicaid reimbursement methodology for each covered service.  (6) "Reimbursement" means payment for a Medicaid service in accordance with a specified rate.  (7) "Service" means a home- or community-based service, intermediate care facility service, or support coordination service provided to a recipient by a provider under a contract or other agreement with the department.  Acts 2019, No. 381, §1.
LA Rev Stat § 40:1250.11 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1250.11. Monitoring for adequacy and quality of services

RS 1250.11 - Monitoring for adequacy and quality of services  A. The department shall maintain reliable data in a form that permits ongoing monitoring of trending factors that may affect the sufficiency of rates. Such factors may include, without limitation, trends in cost of living and other economic indexes, wage rates, and changes in regulatory and policy requirements affecting provider costs.  B. The department may require reasonable, periodic financial reports from providers as needed to ensure the availability of reliable cost data. The department shall consult and collaborate with providers to develop reasonable financial reporting requirements.  Acts 2019, No. 381, §1.
LA Rev Stat § 40:1250.12 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1250.12. Annual review of rates

RS 1250.12 - Annual review of rates  A. The department may conduct annual reviews of all rates by service category and shall make a determination of the level of sufficiency of each rate based on a review of all pertinent data.  B. Any reduction in disability rates to providers must be approved by the Joint Legislative Committee on the Budget.  Acts 2019, No. 381, §1.
LA Rev Stat § 40:1250.21 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1250.21. Annual report

RS 1250.21 - Annual report  A. The department shall submit an annual report concerning disability service provider rates to the House Committee on Appropriations, the Senate Committee on Finance, and the legislative committees on health and welfare no later than forty-five days prior to the convening of each regular session of the Legislature of Louisiana. The report shall include, without limitation, all of the following information:  (1) Any changes within the previous twelve months to the Medicaid rate methodology for disability services and the current Medicaid rates for those services.  (2) The date of the last rebasing of Medicaid rates for intermediate care facilities for people with developmental disabilities and any future dates on which those rates are due to be rebased.  (3) The amount of funding that would be required for an annual adjustment, based on the inflation index, to Medicaid rates for disability services.  (4) The health market basket inflation index used in calculating the amount of funding that would be needed for an annual adjustment of Medicaid rates for disability services.  (5) Any proposed changes to the methodology for determining Medicaid rates for disability services.  B. Upon request of any legislative committee identified in this Section, the secretary of the department or his designee shall appear in person before the committee to present the report required by this Section.  Acts 2019, No. 381, §1.
LA Rev Stat § 40:1250.31 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1250.31. Dental care for certain adults with developmental or intellectual disabilities; Medicaid coverage required

RS 1250.31 - Dental care for certain adults with developmental or intellectual disabilities; Medicaid coverage required  A.(1) The Louisiana Department of Health shall ensure that comprehensive Medicaid coverage for dental care is provided to each person of age twenty-one or older who is enrolled in any Medicaid waiver program for persons with developmental or intellectual disabilities.  (2) For purposes of this Section, "comprehensive Medicaid coverage for dental care" means Medicaid coverage which reimburses for dental and oral health services including all of the following:  (a) Diagnostic services.  (b) Preventive services.  (c) Restorative services.  (d) Endodontics.  (e) Periodontics.  (f) Prosthodontics.  (g) Oral and maxillofacial surgery.  (h) Orthodontics.  (i) Emergency care.  B. The Louisiana Department of Health shall not furnish any coverage required by Subsection A of this Section until all of the following have occurred:  (1) The Centers for Medicare and Medicaid Services has approved the provision of such coverage.  (2) The legislature has appropriated the funding necessary for the provision of such coverage.  Acts 2021, No. 450, §1.  NOTE: The La. Dept. of Health shall take all such actions as are necessary to make the coverage required by the provisions of Section 1 of Acts 2021, No. 450, available to all persons eligible for such coverage on or before July 1, 2022.
LA Rev Stat § 40:1250.32 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1250.32. Administrative rulemaking

RS 1250.32 - Administrative rulemaking  The Louisiana Department of Health shall promulgate all such rules in accordance with the Administrative Procedure Act as are necessary to implement the provisions of this Part.  Acts 2021, No. 450, §1.  NOTE: The La. Dept. of Health shall take all such actions as are necessary to make the coverage required by the provisions of Section 1 of Acts 2021, No. 450, available to all persons eligible for such coverage on or before July 1, 2022.
LA Rev Stat § 40:1251 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1251. Redesignated to R.S. 40:1287.1 by HCR 84 of 2015 R.S.

RS 1251 - Redesignated to R.S. 40:1287.1 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1251.1 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1251.1. Title

RS 1251.1 - Title  This Part may be referred to as the Louisiana Medicaid Buy-In Program for Persons with Disabilities Act.  Acts 2003, No. 207, §1; Redesignated from R.S. 40:1299.78 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1251.2 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1251.2. Purpose

RS 1251.2 - Purpose  A. The purpose of this Part is to provide for a Medicaid Buy-In Program for persons with disabilities in Louisiana. This program is intended to help working people with disabilities live above the poverty level by providing needed health care coverage. This program is also intended to enable some recipients of Supplemental Security Disability Insurance benefits to return to work and to receive Medicaid as a supplement to private or Medicare insurance.  B. This program is intended to help persons with severe mental illnesses who can work if they are on medication and those with severe physical disabilities who need medical supports in order to work.  Acts 2003, No. 207, §1; Redesignated from R.S. 40:1299.78.1 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1251.3 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1251.3. Ticket to Work and Work Incentives Improvement Act Opportunities

RS 1251.3 - Ticket to Work and Work Incentives Improvement Act Opportunities  In accordance with the authority granted the Louisiana Department of Health pursuant to R.S. 36:254(A)(6) and (D)(1)(a)(i) and pursuant to the restrictions contained in this Part, the department shall avail itself of the provisions of the Ticket to Work and Work Incentives Improvement Act provisions to implement a buy-in program for the working persons with disabilities.  Acts 2003, No. 207, §1; Redesignated from R.S. 40:1299.78.2 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1251.4 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1251.4. Definitions

RS 1251.4 - Definitions  As used in this Part, the following terms shall have the following meanings:  (1) "Persons with disabilities" means those citizens of Louisiana who meet the Social Security Disability criteria.  (2) "Medicaid Buy-In Program" means the Louisiana Medicaid Optional program to provide the opportunity for working persons with disabilities to buy access to needed health care and support services.  Acts 2003, No. 207, §1; Redesignated from R.S. 40:1299.78.3 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1251.5 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1251.5. Buy-In Program Appropriations

RS 1251.5 - Buy-In Program Appropriations  The provisions of this Part shall not be implemented by the department unless funding and performance standards, including a specified target for enrollment, are included in the General Appropriation Act;1 enacted during the 2003 Regular Session of the Legislature. If included in that Act, the Medicaid Buy-In Program for Persons with Disabilities shall be implemented by the department no later than January, 2004.  Acts 2003, No. 207, §1; Redesignated from R.S. 40:1299.78.4 by HCR 84 of 2015 R.S.  1Acts 2003, No.14
LA Rev Stat § 40:1251.6 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1251.6. Provisions

RS 1251.6 - Provisions  A. The Louisiana Department of Health shall promulgate regulations governing the following:  (1) Procedures for application, application forms, and eligibility criteria for persons with disabilities to obtain coverage.  (2) A sliding scale for the buy-in amounts to be paid by working persons with disabilities to maintain Medicaid coverage, while working.  (3) A plan to publicize the eligibility criteria and where applications may be obtained.  (4) Any standards or procedures necessary to properly implement a buy-in program for persons with disabilities.  B. The provisions of this Part shall not prohibit the department from exercising any and all authorities and responsibilities granted to the department under the Medical Assistance Program (Title XIX of the Social Security Act) in the event such authorities and responsibilities are concurrent with the provisions of this Part.  C. Any rules or regulations adopted under the provisions of this Part shall be promulgated under the Administrative Procedure Act. Any rules or regulations shall be subject to review by the House Committee on Health and Welfare and the Senate Committee on Health and Welfare.  D. Beginning January 1, 2004, and semiannually thereafter and not later than sixty days prior to the beginning of the regular session of the legislature, the department shall submit the following information to the Joint Legislative Committee on the Budget and to the Senate Committee on Health and Welfare and the House Committee on Health and Welfare:  (1) Status of the buy-in program, including the number of enrollees, the estimated cost of the program, and any other information the department deems pertinent to this buy-in program.  (2) A report relative to the estimated value of the state, federal and FICA taxes paid by the participants in the buy-in program.  (3) Any recommendations for expanding coverage in the buy-in program or any other recommendations relative to the requirements of this Part.  Acts 2003, No. 207, §1; Acts 2014, No. 811, §22, eff. June 23, 2014; Redesignated from R.S. 40:1299.78.5 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1253.4 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1253.4. Louisiana Department of Health information

RS 1253.4 - Louisiana Department of Health information  A. The Louisiana Department of Health shall make available to the public all informational bulletins, health plan advisories, and guidance published by the department concerning the Louisiana Medicaid managed care program. The department shall publish and make such information available to the public on its website.  B. Prior to August 1, 2015, every managed care organization contracted with the state to provide Medicaid-covered healthcare services to Medicaid enrollees shall report to the department the uniform resource locator of a webpage which contains a publicly accessible copy of all practice guidelines utilized by each managed care organization which are required to be made available to healthcare providers pursuant to 42 CFR 438.236(c). The department shall place and maintain publicly accessible web links to each of these respective webpages upon its website.  Acts 2013, No. 212, §1; Redesignated from R.S. 40:1300.364 by HCR 84 of 2015 R.S.; Acts 2015, No. 158, §1, eff. June 23, 2015; Acts 2017, No. 349, §1.
LA Rev Stat § 40:1253.5 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1253.5. Medicaid state plan amendments

RS 1253.5 - Medicaid state plan amendments  The Louisiana Department of Health shall make available to the public on the department's website all Medicaid state plan amendments and any related correspondence within twenty-four hours of submission to the Centers for Medicare and Medicaid Services. All formal responses by the Centers for Medicare and Medicaid Services regarding any state plan amendment shall be made available to the public on the department's website within twenty-four hours of receipt of the correspondence by the department.  Acts 2013, No. 212, §1; Redesignated from R.S. 40:1300.365 by HCR 84 of 2015 R.S.
LA Rev Stat § 40:1255.1 (2021)
2021 Louisiana Laws|Revised Statutes|Title 40 - Public Health and Safety|§1255.1. Definitions

RS 1255.1 - Definitions  As used in this Part, the following terms have the meaning ascribed to them in this Section:  (1) "Department" means the Louisiana Department of Health.  (2) "Medicaid" means the medical assistance program provided for in Title XIX of the Social Security Act.  (3) "Medicare" means the federal health insurance program provided for in Title XVIII of the Social Security Act.  (4) "Telehealth" has the meaning ascribed in R.S. 40:1223.3.  Acts 2020, No. 88, §1.