reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 175 - Continuing Education Requirements › Section V-17502 - Request for Continuing Education Program Approval

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any registrant or interested person may
				  request that the board approve a continuing education program or activity. Such
				  requestor must provide to the board all relevant information and documentation
				  demonstrating that the program or activity meets the criteria for approval set
				  forth in this Chapter. The board may approve a continuing education program or
				  activity that has already occurred, but only if it strictly meets the criteria
				  for approval set forth in this Chapter.
B. If the board denies approval of a
				  continuing education program or activity for which approval has been sought,
				  the denial shall state with particularity the basis for the denial, including
				  the specific reason(s) for the denial, and shall include notice of right to an
				  administrative hearing before the Division of Administrative Law concerning
				  same, provided that the requestor submits an appeal request thereto within 30
				  calendar days of receipt of the denial.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 175 - Continuing Education Requirements › Section V-17503 - Documentation Procedure

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Documentation and/or certification of satisfaction of the continuing
				  professional education requirements set forth in this Chapter shall be made in
				  a manner prescribed by the board's renewal application.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 175 - Continuing Education Requirements › Section V-17504 - Waiver of Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  board may, in its discretion, waive all or part of the continuing education
				  required by these rules in favor of a registered doula who makes written
				  request for such waiver to the board and evidences to the satisfaction of the
				  board a permanent physical disability, illness, financial hardship, or other
				  similar extenuating circumstances precluding satisfaction of the continuing
				  education requirements.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 177 - Board Approved Doula Training Organizations › Section V-17701 - Qualifications for Approval by the Board

Current through Register Vol. 50, No. 6, June 20, 2024
A. An entity seeking approval from the board
				  as a board approved doula training organization shall demonstrate all of the
				  following:
1. that the entity has employees,
				  board members, or consultants with a subject matter expertise in doula, birth,
				  and/or prenatal care;
2. that the
				  entity issues certificates of completion of training as a doulas only to
				  individuals who have received the training or instruction required by
				  Subsection B of this Section, which training or instruction must be prepared
				  and provided by individuals having subject matter expertise in doula, birth,
				  and/or prenatal care; and
a. An entity
				  seeking approval that allows third parties to provide training to individuals
				  seeking certificates of completion of training as a doula by the entity shall
				  affirm or attest that the entity verifies the syllabus or curriculum of such
				  third party trainings and the subject matter expertise of the individuals
				  preparing and providing the trainings.
3. that it agrees to verify to the board upon
				  request whether it has issued a certificate of completion of training as a
				  doula to a particular individual.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 177 - Board Approved Doula Training Organizations › Section V-17702 - Application Procedure

Current through Register Vol. 50, No. 6, June 20, 2024
A. An
				  entity seeking approval as a board approved doula training organization shall
				  submit an application in a format or utilizing a form prescribed by the board.
				  The application, instructions, and address or method of submitting an
				  application are available on the board's webpage, located or linked to on the
				  website of the Department of Health. The board shall have the discretion to
				  require use of an online application submission system.
B. An application for registration shall
				  include proof, documented in a manner and form satisfactory to the board, that
				  the applying entity meets the qualifications for approval set forth in this
				  Chapter.
C. The board may refuse to
				  consider any application which is not complete in every detail, including
				  submission of every document or type of documentation required by this Chapter.
				  The board may, in its sole discretion, require a more detailed or complete
				  response to any request for information set forth in the application form or
				  this Chapter as a condition of consideration of an application.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 177 - Board Approved Doula Training Organizations › Section V-17703 - Approvals; Expiration

Current through Register Vol. 50, No. 6, June 20, 2024
A. Approval
				  of an entity as a board approved doula training organization shall expire five
				  years from the date of issuance. An approved entity may apply to the board no
				  earlier than six months prior to such expiration for re-approval for an
				  additional five years. The procedures, requirements, and qualifications for
				  re-approval shall be the same as those set forth in this Chapter for initial
				  approval, but the board may in its discretion allow an applicant for
				  re-approval to attest/certify, in whole or part, that the applicant's
				  curriculum, oversight, staff qualifications, and procedures for certifying
				  doulas have not materially changed since the last approval by the
				  board.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 177 - Board Approved Doula Training Organizations › Section V-17704 - Denial of Approval; Appeals

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  The board shall send notification to an applicant of the board's final
				  determination that the applicant shall be denied requested approval as a board
				  approved doula training organization.
B. Any such denial shall state with
				  particularity the basis for the denial, including the specific reason(s) for
				  the denial, and shall include notice of right to an administrative hearing
				  before the Louisiana Division of Administrative Law concerning same, provided
				  that the applicant submits an appeal request thereto within 30 calendar days of
				  receipt of the denial.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 177 - Board Approved Doula Training Organizations › Section V-17705 - Revocation of Approval; Appeals

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  The board may revoke approval as a board approved doula training organization
				  if the organization:
1. violates or fails to
				  continue to comply with any applicable provision or requirement of this
				  Chapter; or
2. provides to the
				  board any false, misleading, forged, or materially erroneous documents,
				  documentation, or information.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-101 - Statutory Authority

Current through Register Vol. 50, No. 6, June 20, 2024
A. State
				Statutes. The Office of Prevention and Recovery from Alcohol and Drug Abuse
				(OPRADA) was created by Act 899 of the 1984 Regular Legislative
				Session.
B. Federal Statutes OPRADA
				is the designated single state agency and single state authority for management
				of National Institute on Drug Abuse and National Institute on Alcohol Abuse and
				Alcoholism grants and contracts for alcohol and drug abuse prevention treatment
				and rehabilitation services within the State of Louisiana. These funding
				sources comprise the Alcohol and Drug Abuse and Alcoholism grants and contracts
				for alcohol and drug abuse prevention, treatment and rehabilitation services
				within the State of Louisiana. These funding sources comprise the Alcohol and
				Drug Abuse Mental Health Services (ADAMHS) block grant. An annual application
				shall be promulgated which describes how the ADAMHS block grant shall be
				expended.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-103 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Commission means
				the Louisiana Commission on Alcohol and Drug Abuse.
B. Methadone means a synthetic narcotic
				analgesic used in treatment of narcotic addiction, including detoxification and
				maintenance programs.
C. OPRADA
				means the Office of Prevention and Recovery from Alcohol and Drug
				Abuse.
D. Substance Abuse means the
				maladaptive or inappropriate use of mood altering chemicals in a manner that
				results in a state of psychological and/or physical dependence.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-105 - Purpose

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Office of
				Prevention and Recovery from Alcohol and Drug Abuse is the designated operating
				agency for planning, administering, coordinating and providing a comprehensive
				statewide program for alcohol and drug abuse prevention and treatment services.
				Excluded under this scope of responsibility are the substance abuse prevention
				programs of the Department of Education and the Highway Safety Act of 1966
				administered by the Highway Safety Commission of the Department of Public
				Safety and Corrections.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-107 - Admission Criteria

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any person
				with an assessed alcohol or other drug dependency problem as well as a family
				member or significant other who is the victim of an alcohol or other drug
				dependency related problem is eligible for services.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-109 - Service Components

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				range of treatment modalities for the chemically dependent person includes
				detoxification, inpatient treatment, long-term residential treatment, halfway
				house services and outpatient treatment. Prevention and early intervention
				programming are also major components of service provision.
B. Services are provided directly by OPRADA
				operated facilities and through contractual agreements with other public or
				private not for profit organizations.
AUTHORITY NOTE:
				  Promulgated in accordance with R. S. 36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-111 - Appeal Procedure for Providers

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any service provider who is adversely
				affected by the action of OPRADA in denying or revoking Alcohol and Drug Abuse
				and Mental Health Service Block Grant funds may file an appeal of the action to
				the Secretary of DHHR through the DHHR Appeals Section within 30 calendar days
				of receipt of the notice. The appeal or request for a hearing shall be in
				writing and specify in detail the reasons for submission of the appeal and how
				the service provider has been adversely affected by the action of the
				office.
B. In the event of an
				appeal, the hearing shall be conducted in accordance with the Louisiana
				Administrative Procedure Act
				R.S.49:950
				et seq.
C. The decision will be
				provided in writing to the appealing party. The written decision shall
				constitute final administrative action on the appeal. If the contract was
				originally solicited in accordance with
				R.S.39:1503(A)(2),
				the Division of Administration, Office of Contractual Review regulations
				apply.
AUTHORITY NOTE:
				  Promulgated in accordance with R. S.36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-113 - Licensure Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. OPRADA
				operated and contracted programs shall be duly licensed in accordance with the
				licensure standards promulgated by Department of Health and Human Resources,
				Division of Licensing and Regulation for alcohol and drug abuse programs, as
				contained in Title 48, Part 1, Chapter 73. Licensure as a substance abuse
				facility or a hospital is a prerequisite for public or private substance abuse
				programs to receive state or federal funding through the Department of Health
				and Human Resources.
AUTHORITY NOTE:
				  Promulgated in accordance with R. S. 36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-115 - Fee Policy for Outpatient Programs

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Fee Policy
1. All persons seen for services
				at an OPRADA center or clinic shall be assessed a fee for each chargeable
				service. Chargeable services are those defined as chargeable under the Medicaid
				Program, Title XIX of the Social Security Act, regardless of the source of
				payment. These services are listed in Table 1. The unadjusted fee for each
				service shall be equivalent to the cost of service computed for reimbursement
				under Medicaid.
Table 1
Chargeable Services as Defined for Medicaid
							 Reimbursement Procedure
Code
Service
00140
Individual Counseling/Therapy
00141
Group Counseling/Therapy
00142
Family Counseling/Therapy
00143
Collateral Counseling
00144
Medical Treatment
00145
Medical Injection
00146
Occupational Therapy
00147
Recreational Therapy
00148
Music Therapy
00149
Art Therapy
00150
Screening and Intake
00151
Psychosocial Evaluation
00152
Psychiatric Evaluation
00153
Medical Evaluation
00154
Other Evaluation
2.
				All patients whose gross family income is above the minimum indicated on the
				fee adjustment schedule shall pay a fee for each service provided. Fees and
				adjustments to fees are to be established at the time the patient is first
				admitted to the facility. It is the responsibility of the patient and/or
				legally responsible family to justify any adjustment to the full fee. The
				patient or family will be asked to present reasonable proof of income before
				any adjustment to the full fee will be made. Appropriate center or clinic staff
				will assist the patient and family in verifying eligibility for a fee
				adjustment. There shall be adequate documentation of the information used in
				adjusting any fee. Fees may be adjusted during the patient's course of
				treatment based on changes in the economic status of the patient. The full fee,
				and/or the adjusted fee, shall be posted on the patient's ledger card and noted
				in the patient's permanent record.
3. Patients shall be charged a fee for each
				service, regardless of which service is provided, in the same manner in which
				Medicaid is charged. No fee shall be charged for failed or cancelled
				appointments.
4. All patients shall
				be asked to pay their fees at the time of service delivery. However, when
				patients do not pay at the time of the visit, they shall be billed on a regular
				basis, preferably monthly, but no less frequently than quarterly.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-117 - Copayment Fee for Driving While-Intoxicated Program

Current through Register Vol. 50, No. 6, June 20, 2024
A. A standard copayment fee of $10 per
				session shall be assessed every patient in a driving while intoxicated program
				to whom OPRADA provides treatment services. A patient whose treatment is
				provided by OPRADA through a private contractor shall not be assessed a
				copayment fee. Private providers can assess fees otherwise allowable under
				applicable federal and state laws.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-119 - Solicitation of Proposal and Distribution of Non-allocated Funds for the Provision of Alcohol and Drug Abuse Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Solicitation of Proposals
1. Propositions for Services Costing Less
				Than $150,000
a. When the proposal is in
				response to a federal categorical grant announcement which is published in the
				Federal Register, the announcement which is published shall be distributed to
				the 10 alcohol and drug abuse regional managers and to the members of the
				Louisiana Commission on Alcohol and Drug Abuse for further distribution to
				persons and organizations known to have interest in providing substance abuse
				services.
b. Proposal requests
				initiated by the Division of Alcohol and Drug Abuse shall be consistent with
				the division's state plan and shall be advertised through public announcements
				known as requests for Community Services (RCS) in accordance with the Division
				of Alcohol and Drug Abuse Contracts Procedure Manual available at each of the
				division's 10 regional offices.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 1 - Program Authorization › Section VII-121 - Drug Treatment Fund

Current through Register Vol. 50, No. 6, June 20, 2024
A. Upon
				notification by the Department of the State Treasury that monies have become
				available in the Drug Treatment Fund for appropriation, the Division of Alcohol
				and Drug Abuse shall follow the rules for solicitation of proposals and for the
				distribution of non-allocated funds ads outlined in Chapter 1,
				Section
				119 which is published as a
				separate rule in this Louisiana Register. The solicitation of proposals will be
				for the provision of treatment, care and rehabilitation services for persons
				abusing controlled dangerous substances. The monies in the Drug Treatment Fund
				shall be appropriated annually by the legislature to be used solely to fund
				drug treatment and rehabilitation programs as follows:
1. ninety-five percent to the Department of
				Health and Hospitals, Office of Human Services, to be distributed annually to
				state funded programs;
2. five
				percent to the Department of Revenue and Taxation for the cost of
				administration.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 3 - Louisiana Commission on Alcohol and Drug Abuse › Section VII-301 - Composition of Commission

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				commission shall be composed of 13 members who are appointed by the governor
				and confirmed by the senate. Members serve at the pleasure of the governor
				until their respective successor has been appointed and commissioned. One
				member shall be elected chairman and other officers elected as deemed
				necessary. The assistant secretary of the Office of Prevention and Recovery
				from Alcohol and Drug Abuse serves as executive director of the commission. The
				executive director shall be an ex-officio member of the commission, but shall
				not have voting privileges.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 3 - Louisiana Commission on Alcohol and Drug Abuse › Section VII-303 - Duties and Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				commission shall advise the Office of Prevention and Recovery from Alcohol and
				Drug Abuse and officers of any other state department concerning the policy of
				the state with respect to alcohol and drug abuse. This does not, however, apply
				to the substance abuse prevention education program of the Department of
				Education and the Highway Safety Act of 1966 ( Public Law 89-564) administered
				by the Highway Safety Commission of the Department of Public Safety and
				Corrections.
B. The commission
				shall recommend an annual state plan to the Office of Prevention and Recovery
				from Alcohol and Drug Abuse. The state plan shall set forth proposed policy,
				program initiatives and goals for each fiscal year relative to the prevention
				and treatment of alcohol and drug abuse in Louisiana.
C. The commission shall serve as liaison
				among state and local governmental entities concerned with the prevention and
				treatment of alcohol and drug abuse.
D. The commission may solicit and accept
				private and public funds in the form of donations and grants.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  36:258(J).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 3 - Louisiana Commission on Alcohol and Drug Abuse › Section VII-305 - Annual Report to the Governor

Current through Register Vol. 50, No. 6, June 20, 2024
A. An
				annual report shall be prepared by the commission for submission on March 1 to
				the governor, the house and senate committees on health and welfare and the
				secretary of the Department of Health and Human Resources. This report shall
				advise of its activities for the previous year and recommendations as to future
				programs.
AUTHORITY NOTE:
				  Promulgated in accordance with R.S.
				  46:2500-2504.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 5 - Methadone Maintenance Program › Section VII-501 - State Methadone Authority

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				OPRADA is the designated State Methadone Authority (SMA). Approval to operate
				by the SMA is required of all methadone maintenance programs in
				Louisiana.
B. SMA requirements
				include, but are not limited to:
1. State
				licensure as a substance abuse facility.
2. Evidence of need/community support for
				methadone maintenance program, including letters of support from medical
				community (medical society), law enforcement agencies, and other substance
				abuse treatment facilities.
3. Once
				in operation, SMA approval is required for medication exceptions whereby
				frequency of clinic visits is reduced and a take home supply of medication is
				dispensed. The request for medication exception shall be submitted in writing
				to the SMA and shall be co-signed by the patient's primary counselor, the
				physician, the clinic administrator and include the following information:
a. The specific reduction in frequency of
				clinic visits requested for this patient.
b. Reason given by clinic for requesting a
				decrease in frequency of patient's clinic visits.
c. The patient's chemical
				dependency/narcotics addiction history.
d. Date of most recent admission to clinic
				and cumulative treatment history.
e. Addiction indicators exhibited at time of
				most recent admission for treatment.
f. Past detoxification or withdrawal attempts
				and clinic's assessment of reason(s) for failure of these attempts.
g. Reason detoxification and drug free
				treatment is not recommended at this time.
h. Current medication dosage level.
i. The physician's eight point clinical
				evaluation of the patient's responsibility for handling methadone.
j. Date of the most recent treatment plan
				revision.
k. The current short and
				long term treatment plan goals for the patient.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-701 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Anti-Drug
				Abuse Act of 1988, ( Public Law 100-690) established a program entitled Group
				Homes for Recovering Substance Abusers. This program requires the state to
				create a revolving fund of at least $100,000 to make loans of up to $4,000 to
				non-profit private entities to provide housing for six or more individuals
				recovering from alcoholism or other drug abuse. This self-help group housing
				service is intended to enable recovering persons to sustain a chemical free
				lifestyle by accepting responsibility for operating a democratically run and
				self-supported alcohol and drug free recovery house.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:771 and
				  R.S.
				  36:258(E)(3).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-703 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
Bridge Loan
-a short-term, rapid-access loan
				  to private, non-profit corporations for the purpose of binding a lease for a
				  planned recovery home.
Group Recovery Home
-a private residence,
				  apartment complex or other type housing, with sleeping facilities for not less
				  than six individuals in semi-private quarters, with bathing and kitchen
				  facilities.
Lender
-the Department of Health and
				  Hospitals, Bureau of Fiscal Services, Financial Management Bureau, Box 3797,
				  Baton Rouge, LA 70821.
Organization Loan
-a loan to a chartered or
				  unchartered non-profit entity (as described in §709. A.1 hereinafter) for the purpose of enabling a group of not less than six
				  individuals to establish a group recovery home.
Private Entity
-non-profit agencies or
				  organizations or groups of six or more individuals. It may include a single
				  individual, provided such individual provides evidence of recovering status
				  from a treatment organization, and meets other requirements of these
				  guidelines. This definition does not include public (governmental)
				  agencies.
Self-Governing
-the required method of
				  management of a group recovery home. Residents are responsible for the
				  democratic operation of the home, the maintenance of rules and regulations
				  including admission guidelines and management of finances. The group may
				  require sponsorship or affiliate with treatment, rehabilitation, or other
				  groups.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:771 and
				  R.S.
				  36:258(F)(3).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-707 - Purpose of the Fund

Current through Register Vol. 50, No. 6, June 20, 2024
A. The group homes
				for recovering substance abusers' program will make available start-up loans of
				up to $4,000 per applicant group for the following type of expenses:
1. security deposits for rent/lease and
				utilities;
2. up to two months rent
				for each individual in the group;
3. purchase or rental of household furniture
				and equipment such as beds, dressers, dining tables, chairs, lounge furniture,
				washer, dryer, range, refrigerator;
4. household amenities (television,
				appliances, linens, utensils);
5.
				raw food supplies (stables, canned goods, groceries, condiments,
				etc.);
6. facility modifications of
				non-extensive nature including materials (paint, lumber);
7. local transportation expenses/employment
				related but as part of a loan only;
8. employment related clothing (uniform
				rental, purchase);
9. bridge loans
				for applicants.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-709 - Eligibility Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Eligible
				entities include:
1. private non-profit
				corporations;
2. non-chartered
				groups of six or more recovering persons;
3. established recovery homes.
4. individuals accepted into established
				recovery homes.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-711 - Application Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Applications and guidelines for group recovery home loans may be obtained from
				any regional alcohol and drug abuse treatment program operated by the
				Department of Health and Hospitals.
B. Completed applications consist of:
1. application form;
2. assurances form;
3. statement of sobriety;
4. budget;
5. acceptance statement
				(individual);
6. evidence of
				available rental property including address and ownership.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-712 - Organizational Loan

Current through Register Vol. 50, No. 6, June 20, 2024
A. Organizational
				loans are those made to non-profit entities or groups of six or more
				individuals for the purpose of enabling recovering persons to establish a group
				recovery home.
B. Restrictions on
				Organizational Loans
1. must provide for
				housing for six or more residents in recovery;
2. limited to not less than $500 nor more
				than $4,000 per group;
3. must be
				repaid within 24 months of issuance;
4. each loan subject to five percent simple
				interest rate;
5. may not be used
				for purchases of property of a personal nature, nor for personal expenses other
				than as approved by the department and/or the applicant group; uniforms and
				travel expense to attend work, excepted;
6. any personal property purchased (such as
				home furnishings) becomes the property of the group recovery home;
7. must be used to defray rental costs,
				security utility and other required deposits, and basic furnishings required
				for occupancy;
8. a portion of the
				proceeds from an organizational loan may be used to liquidate a prior "bridge
				loan" made to a sponsoring organization on behalf of the resident
				group;
9. applicant group must meet
				eligibility requirements established in §709;
10. chartered organizations applying on
				behalf of a group of six or more individuals must provide assurance of
				compliance with §703. C and
				§705 above, and
				may impose no other regulation on the group recovery home or its
				residents.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-713 - Bridge Loans

Current through Register Vol. 50, No. 6, June 20, 2024
A. Bridge loans are
				restricted, short-term loans to private, non-profit chartered organizations in
				an amount equal to anticipated or quoted security deposits and first month
				rent. Bridge loans are for the purpose of having funds available at the time of
				consummating a lease arrangement for a recovery home under sponsorship of that
				organization.
B. Restrictions on
				Bridge Loans
1. Private, chartered,
				non-profit corporations which have been in existence three months or more prior
				of the date of application for the loan.
2. Ninety-day payback
3. Maximum amount limited to $2,000 for each
				loan applied for, to cover security, rental and other deposits, lease costs,
				and for basis furnishings required for occupancy
4. Non-interest bearing
5. Application for loan must state "Bridge
				Loan"
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-714 - Individual Loans

Current through Register Vol. 50, No. 6, June 20, 2024
A. Individual loans
				are restricted loans to individuals in recovery who are accepted into an
				already existing, functional group recovery home which requires, as an
				admission criterion, an advance deposit for his/her share of the first month(s)
				operational costs.
B. Individual
				loans are provided only to individuals who:
1.
				are recovering from a substance abuse disorder;
2. can provide proof that they have been
				accepted into an existing viable group recovery home;
3. can provide proof that the group recovery
				home into which they have been accepted required the applicant to pay his/her
				share of the first month's operational costs as an admission
				criterion;
4. do not have the funds
				to meet this criterion of admission;
5. provides evidence of employment,
				employability, registration for employment, or recipient of other monetary
				benefits.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 7 - Group Homes for Recovering Substance Abusers › Section VII-715 - Quality Assurance Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Quality assurance/monitoring requirements
				are approached from the perspective that group recovery homes are intended to
				provide residences for recovering individuals, and are not designed as
				treatment or rehabilitation programs. Therefore, oversight on the part of DHH
				shall be limited to the following determinants, as reflected in periodic, but
				not less than annual, site visits by an agent of DHH.
1. Group recovery homes are required to
				maintain registration with the Department of Health and Hospitals, Office of
				Human Services, Division of Alcohol and Drug Abuse on a current
				basis.
2. Registration shall
				consist of the following in written form:
a.
				name of home or group;
b. location,
				including address and zip code;
c.
				name of principal officer/manager/organizer;
d. expected capacity;
e. telephone number of available;
f. name of landlord/owner.
3. For the duration of any
				outstanding group or individual recovery home loan, site visits shall monitor
				the following areas to assure:
a. the
				facility is maintained in a clean, safe and sanitary condition;
b. cash receipts and disbursement journal are
				maintained and current;
c. a policy
				on admissions and rules of conduct has been established;
d. a record of admissions and expulsions is
				maintained;
e. residents continue
				to be involved in either an agency recognized treatment program or a self-help
				support group;
f. employable
				residents are employed or actively seeking employment.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 9 - Co-payment for Urine Drug Screening › Section VII-901 - Statement of Purpose, Scope and Eligibility

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Department of Health and Hospitals
				(DHH), Office of Alcohol and Drug Abuse (OADA), will determine a patient's
				ability to pay a co-payment for Urine Drug Screening (UDS) according to the
				co-payment sliding fee scale.
B.
				Any active patient of OADA shall pay a co-payment for a urine drug screen of
				not more that $12 per screen to be determined based on the UDS co-payment
				sliding fee schedule.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:771 and
				  R.S.
				  28:771 and
				  R.S.
				  36:258(E).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 9 - Co-payment for Urine Drug Screening › Section VII-903 - Exemptions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any patient
				eligible to receive Medicaid shall be exempt from the provisions of the UDS
				co-payment requirements.
B. The UDS
				co-payment fees shall be exempt from the provisions of
				R.S.
				49:971(A)(3) which provide
				that no state agency shall increase any existing fee or impose any new fee
				unless the fee increase or fee adoption is expressly authorized pursuant to a
				fee schedule established by statute or specifically authorized by federal law,
				Rule or regulation.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:771 and R.S. 36:
				  258(E).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 9 - Co-payment for Urine Drug Screening › Section VII-905 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The following
				definitions shall apply to the OADA urine drug screening co-payment for patient
				billing:
Dependent
-all persons dependent on the
				  household income as accepted by the Internal Revenue Service (IRS) for federal
				  income tax purposes. In case of a minor not claimed as a dependent for income
				  tax purposes, the parents are still responsible for payment.
Family
-the basic family unit consisting of
				  one or more adults and children, if any, related by blood, marriage, adoption
				  or residing in the same household.
Gross Income
-income as determined under
				  Title XIX, Medicaid, guidelines. Gross income shall be rounded down to the
				  nearest $1,000.
Responsible Person
-the patient's parent(s)
				  or guardian if the patient is under the age of 18, unless someone else claims
				  the patient as a dependent, in which case it is that person. If the patient is
				  18 years of age or older, the patient is responsible for his/her co-payment
				  based on his/her gross family income and allowable deductions, unless claimed
				  as a dependent in which case the claimant becomes responsible for the fee based
				  on the claimant's family income.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:771 and
				  R.S.
				  36:258(E).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part VII - Alcohol and Drug Abuse Services › Chapter 9 - Co-payment for Urine Drug Screening › Section VII-907 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Billing
				for the UDS co-payment shall be made to the patient or responsible
				party.
B. A person responsible for
				the payment of charges for services rendered who refuses or fails to supply the
				information necessary for accurate determination of the urine drug screen
				co-payment shall be billed accordingly. Any person who is potentially eligible
				for Medicaid who refuses to provide evidence of application for said benefits
				shall be presumed to be able to pay the full charge for services rendered, and
				shall be billed accordingly.
C.
				Eligibility will be good for one year. Periodic checks may be made with the
				responsible person to make charge adjustments as necessary. The responsible
				person shall be advised of his responsibility to report any change in the
				family unit composition, income, and employment.
D. Wherever applicable, billing for services
				rendered shall be sent monthly to the client or responsible person in
				accordance with the co-payment bill. When a patient's account becomes
				delinquent, it shall be handled in accordance with DHH Policy Number 4300-76,
				regarding collection procedures for patient bills.
E. OADA has developed internal management
				procedures for billing. A copy of these procedures are housed in the Assistant
				Secretary's Office of OADA.
F. Any
				individual or family unit who is indigent, as defined herewith shall be
				eligible for reduced co-payment fees based on the urine drug screen co-payment
				sliding fee scale. When documented medical bills incurred within the 12 months
				prior to treatment/service equal or exceed 20 percent of the annual gross
				family unit income, urine drug screens shall be provided at reduced cost to the
				family unit. The period of eligibility begins at the date at which liability
				reaches the 20 percent figure through the end of the calendar year. Such
				patients with third-party payors shall be provided reduced cost medical
				services or only that portion of their bill for which no third-party payor is
				or may be liable.
G. Exceptions may
				be granted at the discretion of the Assistant Secretary or his designee.
Co-payment Sliding Fee Scale for Urine Drug
							 Screen
Income
Dependents
1
2
3
4
5+
0 - 2000
$ 2
$ 2
$ 2
$2
$2
2001 - 3000
4
2
2
2
2
3001 - 4000
8
4
2
2
2
4001 - 5000
10
8
4
2
2
5001 - 6000
12
10
8
4
2
6000+
12
12
10
8
4
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:771 and
				  R.S.
				  36:258(E).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 1 - Adult Day Services › Section IX-103 - Guiding Principles

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Introduction
1. The OCDD holds that the
				provision of services should be based on the principles of sharing ordinary
				places, developing meaningful relationships, learning things that are useful,
				making choices, as well as increasing the status and enhancing the reputation
				of people served.
2. It is critical
				that these guiding principles be incorporated into the provision of work and
				work-related services.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 1 - Adult Day Services › Section IX-105 - Administrative Standards

Current through Register Vol. 50, No. 6, June 20, 2024
A. Governing
				Body
1. (MS) The agency shall adopt and
				implement a policy stating that no member of the immediate family of the
				governing body of the agency shall be an employee of, consultant to,
				independent contractor with or perform paid work for the agency. "Immediate
				family" means children, the spouses of his/her children, brothers, sister,
				parents, spouse and the parents of the spouse.
2. (MS) Members of the governing body are
				responsible for accessing orientation training regarding the guiding principles
				enumerated in
				§103 of this
				Chapter, services to persons with developmental disabilities, information about
				the programs being offered, and available funding sources.
3. (QI) The membership of the governing body
				should reflect the community in which the agency operates ethnically and
				geographically.
4. (QI) The
				membership of the governing body should be representative of the community and
				include persons with disabilities and/or families of persons with
				disabilities.
5. (QI) The governing
				body should include consumers of services.
6. (QI) Supports shall be offered and
				provided to consumers and family members on the governing body to insure their
				active participation during the meeting.
7. (MS) The governing body or its executive
				committee shall meet at least quarterly, and more often as needed.
8. (QI) The governing body is comprised of
				people who have been elected by the general membership and/or nominated by
				families of consumers or a nominating committee composed of consumers, other
				board members, and families of consumers.
9. (MS) The governing body shall ensure that
				the program has developed and implemented long-range goals consonant with the
				Guiding Principles enumerated in
				§103 of this
				Chapter.
10. (MS) The long-range
				goals and the plans for implementation shall be reviewed at least annually by
				the governing body.
11. (MS) The
				governing body shall review the outcome of the annual self-evaluation required
				by Department of Social Services, Bureau of Licensing and Certification, any
				resulting recommendations, and note such in its minutes.
12. (MS) The governing body shall consist of
				at least five members.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 1 - Adult Day Services › Section IX-107 - Programmatic Standards

Current through Register Vol. 50, No. 6, June 20, 2024
A. Programming
				Guidelines
1. (MS) In its planning processes,
				service provision and daily routines, the agency shall:
a. provide on-going opportunities for each
				consumer to exercise self-determination and freedom of choice to the fullest of
				his/her ability in his/her work environment along with the training and
				supports needed to do so.
b.
				provide the opportunity for each consumer to work in the least restrictive and
				most normal setting possible.
c.
				address the opportunity to engage in activities which encourage and maintain
				the inclusion of the consumer in the community through:
i. promoting social interactions which
				maximize contact with other citizens in culturally typical settings;
ii. presenting a physical appearance which is
				appropriate to the chronological ages of the people served and the practices of
				the surrounding community;
iii.
				engaging in activities and routines which are appropriate to the consumer's
				chronological age, occur at appropriate times of the day and follow the
				practices of the surrounding community;
iv. being addressed in a manner appropriate
				to the chronological age of the consumer and the practices of the surrounding
				community;
v. freedom from program
				practices which produce negative impressions of the individual, i.e., use of
				techniques or materials which draw undue attention to the consumer.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-301 - Statement of Purposes

Current through Register Vol. 50, No. 6, June 20, 2024
A. The purpose
				of the Standards for Infant Intervention Programs is to:
1. implement the law and comprehensive plan
				for mental retardation and developmental disabilities services in Louisiana;
				and
2. establish a minimum level of
				standards for Office of Mental Retardation/Developmental Disabilities (OMR/DD)
				Infant Intervention Program.