La. Admin. Code tit. 50 § V-5919
Current through Register Vol. 50, No. 11, November 20, 2024
Section V-5919 - State-Owned HospitalsA. Effective for dates of service on or after February 10, 2012, medical education payments for outpatient rehabilitation services which are reimbursed by a prepaid risk-bearing managed care organization (MCO) shall be reimbursed by Medicaid annually through the Medicaid cost report settlement process. 1. Qualifying medical education programs are defined as graduate medical education, paramedical education, and nursing schools.2. Final payment shall be determined based on the actual MCO covered outpatient rehabilitation services and Medicaid medical education costs for the cost reporting period per the Medicaid cost report.B. Effective for dates of service on or after January 1, 2020, the reimbursement rates paid to state hospitals for outpatient rehabilitation services shall be increased by 3.2 percent of the rates on file as of December 31, 2019.La. Admin. Code tit. 50, § V-5919
Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:2774 (November 2012), Amended by the Department of Health, Bureau of Health Services Financing, LR 451774 (12/1/2019).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.