RDCSB564 2709 3911
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
SB 564 Engrossed 2018 Regular Session Luneau
Present law provides for licensing of behavioral health services providers by the La.
Department of Health (LDH) and requires that such providers be licensed in order to receive
Medicaid reimbursement. Proposed law retains present law and provides relative to
specialized behavioral health services providers that furnish community psychiatric support
and treatment (CPST) services or psychosocial rehabilitation (PSR) services.
Proposed law establishes requirements for provider agencies that provide CPST or PSR
services as a condition of receiving Medicaid reimbursement.
Proposed law requires licensure, accreditation, holding of a National Provider Identification
(NPI) number, implementation of a member choice form, and credentialing as prerequisites
of a provider agency in order to be reimbursed by Medicaid. Proposed law authorizes LDH
to add further requirements for provider agencies that provide CPST and PSR services.
Proposed law requires individuals rendering CPST and PSR to meet certain minimum
qualifications in order to be reimbursed by Medicaid. Requires providers to obtain an NPI
number and hold at least a bachelor's degree to provide PSR services or CPST services.
Authorizes LDH to place further requirements on such providers through rulemaking.
Proposed law requires LDH to maintain a facility need review process for behavioral health
services providers that provide PSR or CPST services.
Proposed law requires behavioral health services providers that provide PSR or CPST
services to employ a full-time mental health supervisor. Requires the mental health
supervisor to assist in the design and evaluation of PSR or CPST services.
Proposed law requires LDH to implement a centralized credentialing verification
organization certified by the National Committee for Quality Assurance.
Proposed law authorizes recoupment of Medicaid funds paid to a provider who is not in
compliance with proposed law. Provides for referral of such providers to the Medicaid Fraud
Control Unit of the attorney general's office for further action.
Proposed law provides for rulemaking and audits of LDH by the legislative auditor with
respect to proposed law.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Adds R.S. 40:2162)
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Health and Welfare to
the engrossed bill:
1. Revise the definition of "community psychiatric support and treatment services"
in proposed law to delete a reference in the definition to behavioral health
rehabilitation services.
2. Revise the definition of "psychosocial rehabilitation services" in proposed law
to delete a reference in the definition to behavioral health rehabilitation services.
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3. Define "preliminary accreditation", for purposes of proposed law, to mean
accreditation granted by an accrediting body to an unaccredited program seeking
full accreditation status.
4. Provide that reimbursement to behavioral health services providers that provide
certain services in the Medicaid specialized behavioral health rehabilitation
services program shall comply with the requirements of proposed law, subject
to any required approval by the federal Medicaid agency.
5. Extend the period within which proposed law requires certain behavioral health
services providers to attain full accreditation from 12 months to 18 months.
6. Delete provision of psychosocial rehabilitation (PSR) services on a full-time
basis for a licensed and accredited provider agency on or before June 30, 2016,
as a qualification for PSR providers without the degree required by proposed law
to continue providing PSR services.
7. Change the minimum degree required by proposed law for provision of
community psychiatric support and treatment services on and after July 1, 2018,
from a master's degree to a bachelor's degree.
8. Stipulate that no facility need review approval for a license to provide
psychosocial rehabilitation services or community psychiatric support and
treatment services shall be granted to any applicant unless the La. Department
of Health determines that the evidence and data submitted by the applicant
establishes the probability of serious, adverse consequences to recipients' ability
to access services if the provider is not allowed to seek licensure.
9. Make technical changes.
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