GREEN SHEET REDIGEST
HB 373 2019 Regular Session Thomas
HEALTH CARE/FACILITIES: Provides for calculation of Medicaid per diem rates
for certain intermediate care facilities for people with developmental disabilities
DIGEST
Present law provides for licensure and regulation of intermediate care facilities for people
with developmental disabilities (ICF/DD) by the La. Department of Health (LDH).
Proposed law retains present law and adds a requirement that LDH establish, for per diem
rate calculation purposes, a four-bed peer group for ICF/DD facilities that were licensed to
operate four-bed homes on the effective date of proposed law.
Proposed law requires LDH to promulgate administrative rules providing for a four-bed
home peer group for per diem rate calculation and to file with the federal Medicaid agency
any state plan amendment necessary to provide for the rate calculation.
Proposed law requires that the rules and regulations promulgated pursuant thereto provide
for calculation of per diem rates for four-bed homes in ICF/DD facilities based on the
approved methodology contained in the approved Medicaid state plan.
Proposed law stipulates that four-bed ICF/DD facilities shall receive a fair allocation of the
Medicaid share of facility-specific costs directly incurred by such facilities as a result of their
compliance with licensing requirements of LDH for four-bed homes, and that the payment
of such costs shall be made retroactive to the earliest date allowed by law.
Proposed law provides that subject to appropriation by the legislature, any ICF/DD licensed
and operational on January 1, 2019, shall have its per diem reimbursement rate rebased as
of January 1, 2019, and any four-bed peer group, as determined by proposed law, shall be
further rebased on July 1, 2020.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Amends R.S. 40:2180.2(intro. para.); Adds R.S. 40:2180.2(11) and 2180.6)
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Health and Welfare to
the engrossed bill
1. Provides that subject to appropriation by the legislature, any ICF/DD licensed
and operational on January 1, 2019, shall have its per diem reimbursement
rate rebased as of January 1, 2019, and any four-bed peer group, as
determined by proposed law, shall be further rebased on July 1, 2020.
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Prepared by Christine Arbo Peck.