reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 15 - Substance Use Disorders Services › Chapter 143 - Services › Section XXXIII-14303 - Covered Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  following SUD services shall be reimbursed under the Medicaid Program:
1. assessment;
2. outpatient treatment;
3. residential treatment; and
4. inpatient treatment.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 15 - Substance Use Disorders Services › Chapter 145 - Provider Participation › Section XXXIII-14501 - Provider Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each
				  provider of SUD services shall enter into a contract with one or more of the
				  managed care organizations (MCOs) and with the Coordinated System of Care
				  (CSoC) contractor for youth enrolled in the Coordinated System of Care program
				  in order to receive reimbursement for Medicaid covered services.
B. Providers shall deliver all services in
				  accordance with their license, scope of practice, federal and state laws and
				  regulations, the provisions of this Rule, the provider manual, and other
				  notices or directives issued by the department. The provider shall create and
				  maintain documentation to substantiate that all requirements are met.
C. Providers of SUD services shall ensure
				  that all services are authorized and any services that exceed established
				  limitations beyond the initial authorization are approved for re-authorization
				  prior to service delivery.
D.
				  Anyone providing SUD services must be licensed in accordance with state laws
				  and regulations, in addition to operating within their scope of practice
				  license. Providers shall meet the provisions of this Rule, the provider manual
				  and the appropriate statutes.
E.
				  Providers shall maintain case records that include, at a minimum:
1. the name of the individual;
2. the dates and time of service;
3. assessments;
4. a copy of the treatment plans, which
				  include at a minimum:
a. goals and
				  objectives, which are specific, measureable, action oriented, realistic and
				  time-limited;
b. specific
				  interventions;
c. the service
				  locations for each intervention;
d.
				  the staff providing the intervention; and
e. the dates of service;
5. progress notes that include the content of
				  each delivered service, including the reason for the contact describing the
				  goals/objectives addressed during the service, specific intervention(s),
				  progress made toward functional and clinical improvement;
6. units of services provided;
7. crisis plan;
8. discharge plan; and
9. advanced directive.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 15 - Substance Use Disorders Services › Chapter 147 - Reimbursement › Section XXXIII-14701 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. For
				  recipients enrolled with the CSoC contractor, the department or its fiscal
				  intermediary shall make monthly capitation payments to the CSoC contractor,
				  exclusive of coverage for residential substance use treatment services.
1. The capitation rates paid to the CSoC
				  contractor shall be actuarially sound rates.
2. The CSoC contractor will determine the
				  rates paid to its contracted providers.
a. No
				  payments shall be less than the minimum Medicaid
				  rate.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 15 - Substance Use Disorders Services › Chapter 147 - Reimbursement › Section XXXIII-14703 - Reimbursement Methodology

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Effective for dates of service on or after July 1, 2012, the reimbursement
				  rates for outpatient SUD services provided to children/adolescents shall be
				  reduced by 1.44 percent of the rates in effect on June 30, 2012.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 36:254 and Title XIX of the Social Security
					 Act.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 16 - Coverage for Treatment for Opioid Use Disorder in Opioid Treatment Programs › Chapter 151 - General Provisions › Section XXXIII-15101 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Medicaid
				  Program hereby adopts provisions to provide coverage for medication-assisted
				  treatment provided in Opioid Treatment Programs, including but not limited to,
				  methadone treatment, to all Medicaid-eligible adults and children with opioid
				  use disorder (OUD).
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S,
					 36:254 and Title XIX of the Social Security
					 Act.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 16 - Coverage for Treatment for Opioid Use Disorder in Opioid Treatment Programs › Chapter 151 - General Provisions › Section XXXIII-15103 - Recipient Qualifications

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Adults and children who meet Medicaid eligibility and clinical criteria shall
				  qualify to receive medically necessary OUD services in Opioid Treatment
				  Programs.
B. Qualifying recipients
				  must meet the following criteria:
1. are at
				  least 18 years old, unless the recipient has consent from a parent or legal
				  guardian, if applicable; and
2.
				  meet the federal requirements regarding admission to the Opioid Treatment
				  Program.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 16 - Coverage for Treatment for Opioid Use Disorder in Opioid Treatment Programs › Chapter 153 - Services › Section XXXIII-15301 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
				  treatment services must be medically necessary.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S,
					 36:254 and Title XIX of the Social Security
					 Act.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 16 - Coverage for Treatment for Opioid Use Disorder in Opioid Treatment Programs › Chapter 153 - Services › Section XXXIII-15303 - Covered Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  following services provided by Opioid Treatment Programs shall be reimbursed
				  under the Medicaid Program:
1. the
				  administration and dispensing of medications; and
2. treatment phases outlined in LAC
				  48:I.5725.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 16 - Coverage for Treatment for Opioid Use Disorder in Opioid Treatment Programs › Chapter 155 - Provider Participation › Section XXXIII-15501 - Provider Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each
				  Opioid Treatment Program shall enter into a contract with the managed care
				  organizations (MCOs) and the coordinated system of care (CSoC) contractor in
				  order to receive reimbursement for Medicaid covered services.
B. Opioid treatment programs shall deliver
				  all services in accordance with federal and state laws and regulations, and the
				  provisions of this Rule.
C. Opioid
				  Treatment Programs must be licensed in accordance with state laws and
				  regulations, in addition to operating within their scope of practice
				  license.
D. Opioid Treatment
				  Programs shall retain all records necessary to fully disclose the extent of
				  services provided to recipients for five years from the date of service and
				  furnish such records, and any payments claimed for services, to the Medicaid
				  program upon request.
E. Opioid
				  Treatment Programs shall maintain compliance with state and federal regulatory
				  authorities for operation, including but not limited to the Substance Abuse and
				  Mental Health Services Administration (SAMHSA), the Drug Enforcement
				  Administration (DEA), and the State Opioid Treatment Authority.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S,
					 36:254 and Title XIX of the Social Security
					 Act.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 16 - Coverage for Treatment for Opioid Use Disorder in Opioid Treatment Programs › Chapter 157 - Reimbursement › Section XXXIII-15701 - Reimbursement Methodology

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Reimbursement rates for Opioid Treatment Programs shall be a bundled rate
				  included in the Specialized Behavioral Health Fee Schedule as determined by the
				  department.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S,
					 36:254 and Title XIX of the Social Security
					 Act.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 17 - Supplemental Payments › Chapter 161 - General Provisions › Section XXXIII-16101 - Qualifying Criteria

Current through Register Vol. 50, No. 6, June 20, 2024
A. Effective
				  for dates of service on or after January 20, 2013, providers of behavioral
				  health services may qualify for supplemental payments for services rendered to
				  Medicaid recipients. To qualify for the supplemental payment, the behavioral
				  health provider must be:
1. licensed as
				  necessary by the state of Louisiana;
2. enrolled as a Medicaid provider;
				  and
3. a government-owned and
				  operated entity or a quasi-governmental entity.
Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXXIII - Behavioral Health Services › Subpart 17 - Supplemental Payments › Chapter 161 - General Provisions › Section XXXIII-16103 - Payment Methodology

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  supplemental payment shall be calculated in a manner that will bring payments
				  for these services up to the community rate level.
1. For purposes of these provisions, the
				  community rate shall be defined as the rates paid by commercial payers for the
				  same service.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-103 - Severability [formerly paragraph 1:006]

Current through Register Vol. 50, No. 6, June 20, 2024
A. If any provision of this code, or the
				application of such provision to any person or circumstance, shall be held
				invalid, the remainder of this code, or the application of such provision to
				persons or circumstances other than those as to which it is held invalid, shall
				not be affected thereby.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-105 - Administrative Enforcement Procedures [formerly paragraph 1:007-1]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The proper
				documentation of violations is an essential part of the enforcement process.
				When an establishment is inspected and violations of the code are found, they
				shall be noted either on a notice of violation(s) form or letter. The
				sanitarian, engineer or other representative of the state health officer shall
				describe with particularity the nature of the violation(s), including a
				reference to the provision(s) of the code which have been violated. A specific
				date shall be set for correction and the violator shall be warned of the
				penalties that could ensue in the event of noncompliance.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4 and
				  R.S.
				  40:5(3)(7)(17)(19)(20)(21).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-107 - Delivery of the Notice of Violation [formerly paragraph 1:007-2]

Current through Register Vol. 50, No. 6, June 20, 2024
A. In those cases
				in which the state health officer or his/her representative determines that a
				violation has occurred and a decision is made to issue a notice of violation,
				the notice of violation form or letter which list the violation(s) shall:
1. be left with the operator, owner, manager,
				lessee or their agent, or person in charge of the establishment, facility, or
				property at the time of such inspection or monitoring;
2. be hand-delivered or mailed to the person
				in charge of the establishment, facility, or property as soon as a
				determination is made that there is/are violation(s); or
3. be left with, hand-delivered, or mailed to
				any other person deemed to have violated the state sanitary code.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-109 - Service of Orders, Notices, and Other Documents

Current through Register Vol. 50, No. 6, June 20, 2024
A. Whenever any provision of law or of this
				Code requires or authorizes service of a letter, notice, order, or other
				document to be made upon a person, then, in addition to any other method
				authorized by this code for such service, the following shall constitute good
				and valid service for all purposes related to this Code:
1. service made in any manner authorized by
				the
Louisiana Code of Civil Procedure
or the
Louisiana
				Revised Statutes
of 1950;
2. service made by U.S. Postal Service
				certified mail, return receipt requested, addressed to the registered agent of
				the person as indicated in the records of the Secretary of State;
3. service made by U.S. Postal Service
				certified mail, return receipt requested, addressed to the person at his/her
				dwelling house or usual place of abode;
4. service made by U.S. Postal Service
				certified mail, return receipt requested, addressed to the last mailing address
				provided in writing to the department by the person; or
5. for a person holding a permit,
				certificate, or license issued by the department:
a. service made by U.S. Postal Service
				certified mail, return receipt requested, addressed to the mailing address
				provided to the department in accordance with §120 of this Part; or
b. service by e-mail sent to the e-mail
				address provided to the department in accordance with §120 of this Part, even
				if returned as undeliverable. A document served by e-mail must be in printable
				document format (PDF) and may be either attached, in which case the entire
				e-mail with the attachment cannot exceed 20 megabytes (MB), or linked within
				the body of the e-mail to a file sharing site from which it can be viewed or
				downloaded.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-111 - Reinspection and Compliance Order [formerly paragraph 1:007-5]

Current through Register Vol. 50, No. 6, June 20, 2024
A. If reinspection discloses that the
				violation(s) specified in the notice of violation has not been remedied, the
				state health officer or his/her representative may issue a compliance order
				requiring correction of the violation(s) after said compliance order is served,
				or take whatever action is authorized by law to remedy the violation(s).
				Compliance orders may be issued by the state health officer to any such persons
				as he deems necessary to aid in the enforcement of the provisions of the code,
				including orders modifying, suspending, rescinding or revoking permits,
				variances, or exemptions, and orders requiring persons to comply with a rule,
				regulation, schedule, or other requirement of the state health officer. An
				order may also require remedial actions to be taken to prevent harm to public
				safety, health, or welfare.
B.
				Compliance orders shall be served by United States Postal Service, via
				certified mail-return receipt requested, registered mail-return receipt
				requested, or express mail-return receipt requested, or hand-delivered. Any
				compliance order which is hand-delivered shall have the date of delivery
				recorded on the compliance order or shall have the date of delivery of the
				compliance order recorded on a service of process form.
C. Any compliance order issued under this
				Section shall:
1. be signed by the state
				health officer and the secretary and shall be effective upon issuance unless a
				later date is specified therein;
2.
				state with reasonable specificity the nature of the violation;
3. state a time limit for
				compliance;
4. state that in the
				event of non-compliance, a civil fine may be assessed and/or an existing
				license or permit issued by the department may be suspended or
				revoked;
5. state that the order
				shall become final and not subject to further review 20 days after the order
				has been served to the respondent, unless the respondent files a written
				request for an administrative hearing with the state health officer within that
				20 day period; and
6. be subject to
				appeal procedures set forth by state law.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-115 - Emergency Situations [formerly paragraph 1:007-21]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The state health officer may issue
				emergency orders pursuant to the authority granted in
				R.S.
				40:4.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-117 - Employee Health

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				[formerly paragraph 1:008-1] No person known to be a case or carrier of a
				communicable disease, as defined in Part II, §101, in an infectious stage which
				can be transmitted through water, milk or other food materials, shall be
				employed as a food handler or permitted to work in any capacity in a
				manufacturing, processing or packing plant; in a food, drug or cosmetic plant;
				in any bakery or manufacturing confectionery; in a food salvaging or
				repackaging area; in syrup rooms, mixing areas, filling rooms, in an artificial
				ice or cold storage plant, or in the delivery or distribution of ice; in a
				dairy farm, transfer station, receiving station or milk plant; in a marine or
				fresh water animal food product establishment; in a game and or small animal
				slaughterhouse or meat packing plant; in a water treatment plant; in a hotel,
				lodging house, or boarding house, in a school, day care center, residential
				facility (as defined in Part XXI) in any capacity which might bring him into
				contact with other employees or pupils; in a retail food store/market; or in a
				food establishment; except where there is no reasonable possibility of disease
				transmission by such person.
B.
				[formerly paragraph 1:008-2] Any individual suspected of being a case or
				carrier of a communicable disease, as defined in Part II, §101, or who is a
				contact of or has been exposed to a communicable disease which can be
				transmitted through water, milk or other food or beverage materials shall
				submit to an examination by a licensed physician and/or to the collection of
				appropriate specimens as may be necessary or desirable in ascertaining the
				infectious status of the individual. Any such person who refuses to submit to
				such an examination or specimen collection shall not be permitted to work in
				the types of establishments listed in §117. A until he submits to such
				examination.
C. [formerly paragraph
				1:008-3] Routine examinations and collections of specimens shall not be
				required.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-119 - Plans and Permits

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				[formerly paragraph 1:009-1] Certain activities require submission of plans to
				the state health officer, who must approve the plans and issue a permit prior
				to the initiation of the activity. This includes but is not limited to the
				operation, construction or renovation of facilities. For details, see the
				appropriate Parts of this Code.
B.
				[formerly paragraph 1:009-2] In those instances in which such activities, for
				which submission of plans prior to initiation of the activity is required, are
				found to exist, and no such submittal of plans has been made, the state health
				officer shall, upon submittal of the required plans and determination of
				compliance of such activity with this code, offer no objection to the existence
				of such activity. This shall not be construed to limit in any way the state
				health officer's authority to suspend, rescind, revoke, or reissue such
				position of no objection, just as with any other approval or permit, as per
				§119. C of this Part. The burden of proof of compliance shall be on the
				applicant.
C. [formerly paragraph
				1:010] The state health officer can suspend, rescind, revoke, and reissue
				permits or approvals, or issue new permits or approvals as provided in this
				code. The addresses to which requests shall be submitted are set forth in the
				appropriate Parts of this code.
1. [formerly
				1:010-1] If any permit requiring a fee is paid for by a check that is returned
				for insufficient funds, closed account, stop payment, or for any other reason,
				the permit holder must reimburse the appropriate agency within 30 days of
				notification that their check has been returned. Failure to comply with this
				Paragraph shall be sufficient grounds for the suspension, rescission, or
				revocation of said permit.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-120 - Duty of Permit, Certificate, or License Applicant or Holder to provide the State Health Officer with both a Valid, Current Mailing and E-Mail Address

Current through Register Vol. 50, No. 6, June 20, 2024
A. No permit,
				certificate, or license required by this code shall be issued by the state
				health officer or the Louisiana Department of Health, Office of Public Health
				(LDH-OPH) unless the applicant provides both a valid, current mailing and
				e-mail address at which the applicant can receive correspondence and official
				notices from LDH-OPH.
B. A holder
				of a permit, certificate, or license issued pursuant to this code by the state
				health officer or the LDH-OPH, regardless of whether such holder was the
				original applicant thereof, must notify LDH-OPH of any change in the mailing or
				e-mail address by one of the following means:
1. written notice via U.S. mail addressed to:
ATTN: Change of Address Notification
LDH-OPH State Health Officer
Louisiana Department of Health
P.O. Box 4489
Baton Rouge, LA 70821-4489; or
2. e-mail with a subject line that reads
				"Change of Address Notification" sent to any e-mail address expressly
				designated for change of address purposes on the OPH portion of the LDHs
				website.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-121 - Effective Date of Code [formerly paragraph 1:011]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provisions of this code shall have
				effect from the date of publication hereof as a rule in the
Louisiana
				Register
, except as hereinafter otherwise specifically
				provided.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-123 - Exemptions from Code [formerly paragraph 1:011]

Current through Register Vol. 50, No. 6, June 20, 2024
A. When the construction of buildings and
				facilities was approved by the state health officer pursuant to sanitary code
				requirements then in effect, upgrading of such buildings and facilities shall
				not be required except where:
1. substantial
				renovation of such buildings or facilities is undertaken; or
2. where the ownership thereof or the
				business located therein changes subsequent to the effective date of the
				Sanitary Code; or
a. The text, or a portion
				thereof, contained in Paragraph A.2 does not apply when any particular
				provision of this code allows an exception to such requirement (e.g., see LAC
				51:XIV.411.A.1.a and LAC 51:XXIII.301.A.3 - relative to a real property
				ownership change only). The non-applicable text, or a portion thereof, of
				Paragraph A.2 is limited to what is allowed under the specific exception
				thereto. The wording of this Subparagraph shall not be deemed to supercede the
				need to upgrade when:
i. Paragraph A.1 is
				applicable (i.e., substantial renovation is undertaken);
ii. the business located therein changes
				(i.e., the occupancy classification changes) under Paragraph A.2; or
iii. Paragraph A.3 is applicable (i.e., a
				serious health threat exists).
3. where a serious health threat exists,
				unless otherwise specifically provided hereinafter.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-124 - Variances from Code

Current through Register Vol. 50, No. 6, June 20, 2024
A. The state
				health officer has the authority and discretion to issue a written variance
				concerning the application of any provision of the code in any particular case
				when, in his/her opinion based upon the extenuating circumstances presented, it
				is determined that the health and safety of the public will not be
				jeopardized.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4 and
				  R.S.
				  40:5(3)(17).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part I - General Provisions › Chapter 1 - General › Section I-125 - Alternate Administrative Enforcement Procedures [formerly 1:007-24]

Current through Register Vol. 50, No. 6, June 20, 2024
A. When the state
				health officer chooses to utilize the administrative order/civil penalty
				authority granted within
				R.S.
				40:5.9 relative to violations applicable to
				public water systems, the regulations which implement the enforcement
				provisions of this law are embodied within Chapters 5 and 7 of Part XII of the
				code.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4,
				  R.S.
				  40:5.9, and
				  R.S.
				  40:5(3)(7)(17)(19)(20)(21).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 1 - Disease Reporting Requirements › Section II-103 - Public Notice of Reportable Diseases [formerly paragraph 2:002]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Those diseases
				to be reportable will be publicly declared by the state health officer and when
				any disease is so declared to be a reportable disease, the regulation herein
				provided shall apply thereto. The state health officer may, at his discretion,
				from time to time, by public notice, add to or delete from the list of
				reportable diseases. When a disease is added to the list, the regulations
				herein pertaining to the reporting of disease shall apply to said
				disease.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(2) and
				  R.S.
				  40:5(10).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 1 - Disease Reporting Requirements › Section II-109 - Reports by Emergency Departments (Formerly Section105.A.5)

Current through Register Vol. 50, No. 6, June 20, 2024
A. Syndromic
				Surveillance: Reportable Conditions seen at Emergency Departments of Acute Care
				Hospitals which Shall Require Reporting Electronically within One Business Day
				of the Visit
1. Emergency department
				reporting shall include all conditions seen at emergency departments of acute
				care hospitals. The text content of the chief complaint for the visit or an
				international classification of disease code shall be reported to the Office of
				Public Health within one business day of the visit by electronic means as
				specified by the Office of Public Health.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 1 - Disease Reporting Requirements › Section II-111 - Reports by Hospitals

Current through Register Vol. 50, No. 6, June 20, 2024
A. It
				shall be the duty of all hospitals producing antibiograms detailing the
				antibiotic sensitivities and resistances of microorgansms in their facility to
				provide a report annually of antibiogram results to the state health
				officer.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(2) and
				  R.S.
				  40:5(2)(10)(11).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 1 - Disease Reporting Requirements › Section II-113 - Reports Required of Parents, Schools and Day Care Centers (Formerly Section111)

Current through Register Vol. 50, No. 6, June 20, 2024
A. It
				shall be the duty of every parent, guardian, householder, attendant or other
				person in charge, principal of a public or private school, operator of a day
				care center or residential facility (public or private) to report a case of
				reportable disease in his household or school to the state health officer [as
				required by Subsection 105. C of this Chapter utilizing the appropriate
				method(s) of reporting required under Subsection 105. E of this Chapter], when
				he or she knows or reasonably believes that the disease is one which legally
				must be reported, except when he or she knows or reasonably believes that a
				physician, presumed to have already reported the case, is in
				attendance.
B. A reference culture
				is required to be sent to the Office of Public Health laboratory for the
				following microorganisms within five working days of the final identification
				of the microorganism:
i.
Bacillus
				anthracis
(confirmed or suspected);
ii.
Bordetella
				pertussis
;
iii.
Burkholderia mallei
;
iv.
Campylobacter
				spp
.;
v.
Corynebacterium diphtheria
;
vi.
E.Coli
O157H7 or
E.coli
shiga toxin producing;
vii.
Francisella
species;
viii
Listeria
				spp
.;
ix. mycobacterium
				tuberculosis, bovis or
africanum
;
x.
Plesiomonas
				spp
.;
xi.
				salmonella;
xii.
				shigella;
xiii.
Vibrio
spp
.;
xiv.
Yersinia enterolytica
;
				and
xv.
Yersinia
				pestis
.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 1 - Disease Reporting Requirements › Section II-119 - Duty of Custodians of Medical Records [formerly paragraph 2:012]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Custodians of
				medical records on patients known or suspected of being cases or carriers of a
				communicable disease, shall make such records available for review by the state
				health officer.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(2) and
				  R.S.
				  40:5(10).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 1 - Disease Reporting Requirements › Section II-123 - Ventilation Requirements for Housing TB Patients in Hospitals and Nursing Homes [formerly paragraph 2:014-2]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Persons with tuberculosis in a
				communicable state or suspected of having tuberculosis in a communicable state
				who are cared for in hospitals and nursing homes shall be cared for in rooms
				with negative air pressure and either:
1. at
				least six changes of room air per hour accomplished by exhaust ventilation;
				or
2. equivalent circulation and
				treatment by ultraviolet light treatment, "air scrubber," or equivalent. If the
				patient is not in a room with proper ventilation and is unable or unwilling to
				cover his/her cough, then exposed persons shall wear proper masks, which filter
				all particles larger than one micron, in order to prevent the spread of
				infectious respiratory droplets.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 3 - Testing of Newborn Infants › Section II-301 - Measures to Prevent Ophthalmia Neonatorum at Time of Birth of an Infant [formerly paragraph 2:020]

Current through Register Vol. 50, No. 6, June 20, 2024
A. It
				shall be the duty of the attending physician, midwife, nurse or other person in
				attendance on a parturient person to use prophylactic measures at the time of
				delivery to prevent ophthalmia neonatorum, such as the instillation into both
				eyes of the newborn a 1 percent solution of nitrate of silver, a 1/2 percent
				erythromycin ophthalmic ointment or drops, a 1 percent tetracycline ophthalmic
				ointment or drops, all in single dose or single use containers, or an equally
				efficient agent, as determined by the state health officer. This duty is waived
				if the newborn has no evidence of ophthalmia neonatorum and the mother of the
				newborn states in writing that she objects to the application of such
				prophylactic agent on religious ground.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(2),
				  R.S.
				  40:5 and R.S.
				  40:1102-1106.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 5 - Health Examinations for Employees, Students, Volunteers and Patients at Certain Medical Facilities › Section II-501 - Employee Health [formerly paragraph 2:021]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The requirements of Part I, Chapter 1,
				§117 shall be met.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4, and
				  R.S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 5 - Health Examinations for Employees, Students, Volunteers and Patients at Certain Medical Facilities › Section II-503 - Mandatory Tuberculosis Testing

Current through Register Vol. 50, No. 6, June 20, 2024
A. [formerly paragraph 2:022] All persons,
				including employees, students or volunteers, having no history of latent
				tuberculosis infection or tuberculosis disease, prior to or at the time of
				employment, beginning clinical rotations in the healthcare profession, or
				volunteering at any hospital or nursing home (as defined in Parts XIX and XX of
				the Sanitary Code, respectively, herein, and including intermediate care
				facilities for the developmentally disabled) requiring licensing by the
				Louisiana Department of Health or at any Louisiana Department of Health, Office
				of Public Health (LDH-OPH) parish health unit or an LDH-OPH outpatient health
				care facility, whose duties include direct patient care, shall be free of
				tuberculosis in a communicable state as evidenced by either:
1. a negative purified protein derivative
				skin test for tuberculosis, 5 tuberculin unit strength, given by the Mantoux
				method or a blood assay for
Mycobacterium tuberculosis
approved by the United States Food and Drug Administration;
2. a normal chest X-ray, if the skin test or
				a blood assay for
Mycobacterium tuberculosis
approved by the
				United States Food and Drug Administration is positive; or
3. a statement from a licensed physician
				certifying that the individual is non-infectious if the X-ray is other than
				normal. The individual shall not be denied access to work solely on the basis
				of being infected with tuberculosis, provided the infection is not
				communicable.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 7 - Public Health Immunization Requirements › Section II-701 - Immunization Schedule [formerly paragraph 2:025]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Office of Public Health (OPH) will
				determine the Louisiana immunization schedule, with appropriate immunizations
				for age using the current immunization schedule from the Advisory Committee for
				Immunization Practice (ACIP) of the United States Public Health Service
				(USPHS). Compliance for school and day care center entry will be based on the
				individual having received an appropriate number of immunizations for his/her
				age of the following types:
1. vaccines which
				contain tetanus and diphtheria toxoids, including Diphtheria and Tetanus (DT),
				Diphtheria/Tetanus/Acellular Pertussis (DTaP), Tetanus and Diphtheria (Tdap),
				Tetanus Toxoid (TT) or combinations which include these components;
2. polio vaccine, including Inactivated Polio
				Vaccine (IPV), or combinations which include this component;
3. vaccines which contain measles antigen,
				including Measles, Mumps, and Rubella (MMR) and combinations which include
				these components;
4. vaccines which
				contain hepatitis antigen, including Hepatitis B (HepB), Hepatitis A (HepA),
				and combinations which include these components;
5. vaccines which contain varicella antigen,
				including varicella and combinations which include this component.
6. vaccines which contain meningococcal
				antigen and combinations which include this component.
7. Repealed.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 7 - Public Health Immunization Requirements › Section II-703 - Mandatory Immunization Reporting

Current through Register Vol. 50, No. 6, June 20, 2024
A. All immunization providers in the state of
				Louisiana shall be licensed or credentialed by their respective boards (to
				administer vaccines) and shall register and enroll in the Louisiana
				Immunization Network ("LINKS").
B.
				All licensed or credentialed immunization providers shall comply with the rules
				and regulations outlined in the LINKS site enrollment agreement.
C. All licensed and credentialed immunization
				providers in Louisiana shall report all immunizations administered, regardless
				of patient age, and update patient demographics at each patient encounter to
				LINKS within one week of vaccine administration to the patient.
D. Boards that license healthcare providers
				authorized to administer vaccines shall provide an updated listing of all such
				authorized providers every calendar year to the OPH's immunization program. The
				updated listings shall be received by the OPH's immunization program no later
				than January 31 annually.
E. All
				providers licensed/credentialed to administered vaccines shall report all
				specified immunizations, antivirals, and other medications administered for all
				ages (within seven days of administration) to the LINKS system in preparation
				for or in response to a declared public health disaster or emergency
				event.
F. When reporting to the
				LINKS system, several pieces of information will be needed including; site and
				individual user demographic information; and consent to privacy and
				confidentiality compliance.
G. All
				of the information reported under Subsection F of this Section may be found on
				the LDH-OPH Immunization Program webpage identified as "
https://lalinks.org/linksweb/LINKS_ENROLL.html
".
				All licensed or credentialed immunization providers shall comply with the
				rules, regulations and policies outlined within the LINKS information
				system.
AUTHORITY NOTE:
				  Promulgated m accordance with the provisions of
				  R.S.
				  40:4(A)(2),
				  R.S.
				  40:5(A) and
				  R.S.
				  40:31.15. Also see
				  R.S.
				  17:170,
				  R.S.
				  22:1030 and
				  R.S.
				  44:17.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 9 - Prevention and Control of Yellow Fever › Section II-901 - Definitions [formerly paragraph 2:029]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Unless otherwise specifically provided
				herein, the following words and terms used in this Chapter and all other
				Chapters which are adopted or may be adopted, are defined for the purposes
				thereof as follow.
Official Center
-any nonfederal medical
				  facility consisting of either a state, parish or municipal public health or a
				  private clinic under full-time supervision of a physician licensed by the
				  Louisiana Board of Medical Examiners.
Vaccination
-the injection of immunizations
				  required for international travel administered by approved centers medical
				  personnel to an individual.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(2) and
				  R.S.
				  40:5(12), and further in
				  full cooperation with the U. S. Public Health Service requirements for
				  international travel.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 9 - Prevention and Control of Yellow Fever › Section II-903 - Background and Legal Authority [formerly paragraph 2:030]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The International Health Regulations
				(IHR), Chapter II, Article 66, World Health Organization (WHO), to which the
				United States is signatory, require the health administration of each nation to
				designate centers where international travelers may be vaccinated against
				yellow fever. In this nation, the United States Public Health Service (USPHS)
				has this responsibility under Executive Order of the President. The vaccine
				must be approved by WHO, and the traveler's International Certificate of
				Vaccination or Revaccination against Yellow Fever must be properly
				validated.
B. [formerly paragraph
				2:030-1] Since September 1, 1977, the USPHS has delegated to the State and
				Territorial Health Departments the responsibility of designating and
				supervising non-federal Yellow Fever Vaccination Centers within their
				respective jurisdictions. Criteria for categories of facilities to be
				designated are determined by the State and Territorial Health Departments.
				State and Territorial Health Departments issue and control the uniform stamps
				which may be used to validate International Certificates of Vaccination or
				Revaccination against Yellow Fever.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4 (A)(2) and
				  R.S.
				  40:5 and further in full cooperation with the
				  U. S. Public Health Service requirements for international
				  travel.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 9 - Prevention and Control of Yellow Fever › Section II-907 - Application Procedures [formerly paragraph 2:032]

Current through Register Vol. 50, No. 6, June 20, 2024
A. To request designation as an approved
				Yellow Fever Center call or write to the Office of Public Health, Epidemiology
				Section, P.O. Box 60630, New Orleans, LA 70160 (504-568-5005) and request an
				application form. After receipt of a completed application form, OPH personnel
				will conduct an on-site inspection of the clinic facilities utilizing an
				instrument developed by the Office of Public Health for this purpose. A report
				will then be forwarded along with the completed application to the state health
				officer for approval/disapproval. If approved, the designated center, the
				Division of Quarantine, Centers for Disease Control, and the vaccine
				manufacturer shall be notified in writing. The uniform stamp is then issued
				using the supervising physician's state medical license number for
				identification. Any facility whose request for approval is denied may appeal
				the denial after conditions which resulted in a denial of approval have been
				verifiably modified to bring the center into conformity with established
				regulations. The facility has 30 days after receipt of the denial in which to
				appeal in writing to the state health officer, Office of Public Health, P.O.
				Box 60630, New Orleans, LA 70160.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(2) and
				  R.S.
				  40:5. and further in full cooperation with
				  the U.S. Public Health Service requirements for international
				  travel.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part III - The Control of Rabies and Other Zoonotic Diseases › Chapter 1 - Anti-Rabies Vaccination Requirements for Dogs and Cats › Section III-101 - Definitions [formerly paragraph 3:001]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Unless otherwise specifically provided
				herein, the following words and terms used in this Part of the Sanitary Code
				and all other Parts which are adopted or may be adopted are defined for the
				purposes thereof as follows.
Local Health Authority
-any parish or
				  municipal health officer, department or other agency charged with the
				  responsibility of preserving the public health.
Owner
-any person who keeps in his care or
				  who harbors or has custody of a dog or other animal.
Prairie Dogs
-[formerly paragraph 3:009] any
				  burrowing rodents of the genus
Cynomys.
Prairie dogs can
				  harbor monkeypox. Prairie dogs are also known to be a host for fleas, which
				  carry the causative agent of Plague, the bacteria
Yersinia
				  pestis.
These fleas have the potential to infect other wild animals,
				  as well as domestic animals and humans. Prairie dogs are not indigenous to
				  Louisiana.
Vaccination
-the injection, by a licensed
				  veterinarian, of an animal using anti-rabies vaccine approved by the state
				  health officer.
Wild Animal
-any animal species wherein the
				  majority of its members are not maintained by humans for recreational,
				  commercial food production, agricultural, research, or industrial purposes.
				  Other than possibly endangered species, the majority of the members of such a
				  species live primarily in a natural or non-domestic environment. Wolves, wolf
				  hybrids, and feline species other than
Felis felis
/domestic
				  cat hybrids, in circumstances involving rabies vaccination or rabies exposure,
				  will be regarded as wild animals.
Zoonotic disease
-a disease in humans caused
				  by an infectious agent transmitted from animals to humans. Zoonotic diseases
				  include, but are not limited to, anthrax (caused by
Bacillus
				  anthracis
) and plague (caused by
Yersinia
				  pestis
).
AUTHORITY NOTE: The
				  first source of authority for promulgation of the sanitary code is in
				  R.S.
				  36:258(B), with more
				  particular provisions throughout Chapters 1 and 4 of Title 40 of the Louisiana
				  Revised Statutes. This Part is promulgated in accordance with the provisions of
				  R.S.
				  40:5(2), (3) and (10)
				  together with the specific provisions of
				  R.S.
				  40:4 A(2)(a) and
				  R.S.
				  40:1277.