Provides for calculation of Medicaid per diem rates for certain intermediate care facilities for people with developmental disabilities (EG1 +$894,496 GF EX See Note)
Impact
The implementation of HB 373 is expected to have significant implications on how Medicaid funding is allocated to ICF/DD facilities. By instituting a four-bed peer group for rate calculations, the bill aims to ensure a fair distribution of Medicaid resources, potentially leading to improved financial stability for these facilities. This change would help accommodate the specific cost burdens that four-bed homes face, ultimately enabling them to maintain quality care for individuals with developmental disabilities.
Summary
House Bill 373 establishes a new regulatory framework for the calculation of Medicaid per diem rates for specific intermediate care facilities for people with developmental disabilities (ICF/DD). This bill mandates the creation of a four-bed peer group within ICF/DD facilities, facilitating a structured approach to setting these rates. Existing regulations from the Louisiana Department of Health will be updated to accommodate this new calculation method, ensuring that facilities can adequately cover their operational costs while remaining compliant with state laws.
Sentiment
The reception of HB 373 appears to be largely favorable among stakeholders in the healthcare and disability services sectors. Supporters argue that the bill addresses critical funding challenges faced by small and medium-sized ICF/DD facilities, promoting better care and support for individuals with disabilities. However, there may be concerns regarding the sufficiency of per diem rates and the dynamics of resource allocation among different facility sizes and types, which could lead to ongoing discussions on balancing fairness and financial viability.
Contention
Despite the bill's positive reception within the healthcare community, some contention may arise around the details of its implementation—specifically regarding the adequacy of rates and the potential bureaucratic challenges involved in the promulgation of new regulations. Questions about how well these changes address the unique needs of facilities with varying operational scales may surface, influencing future discussions around Medicaid funding and regulatory effectiveness in Louisiana.
Provides for calculation of Medicaid per diem rates for certain intermediate care facilities for people with developmental disabilities (OR +$748,890 GF EX See Note)
Requests the Louisiana Department of Health to establish a four-bed peer group for intermediate care facilities for people with developmental disabilities.
Requests a study concerning the potential use of monitoring devices in the rooms of residents of intermediate care facilities for people with developmental disabilities
Extends the facility need review approval for licensed intermediate care facilities for people with developmental disabilities that are located in certain areas. (gov sig)
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.