Requests the La. Department of Health to establish a four-bed peer group for intermediate care facilities for people with developmental disabilities
Impact
If enacted, HR282 would lead to the reformation of the reimbursement framework under which ICF/DDs operate, directly impacting the financial sustainability of these care facilities. Milne, which has experienced significant financial losses while providing care to individuals with developmental disabilities since its reestablishment post-Hurricane Katrina, exemplifies the need for this measure. The bill emphasizes the importance of ensuring that care facilities can continue to provide essential services without suffering financial hardship due to inadequate funding.
Summary
House Resolution 282 urges the Louisiana Department of Health to establish a four-bed peer group classification for intermediate care facilities for individuals with developmental disabilities (ICF/DD). The goal of this classification is to facilitate Medicaid reimbursement rate calculations that are fair and reflective of the operational costs incurred by such facilities. Currently, four-bed facilities are categorized under the one-to-eight-bed peer group, which results in inadequate reimbursement rates, ultimately jeopardizing the financial viability of providers like Alexander Milne Developmental Services who serve this population.
Sentiment
The sentiment surrounding HR282 is positive among its proponents, who view the resolution as a necessary step to support the ongoing operations of small peer group facilities that provide specialized care. Lawmakers who support the bill underscore the moral obligation to ensure that individuals with developmental disabilities receive high-quality care without compromising the financial health of their caregivers. However, as this bill pertains primarily to administrative and funding changes, there is less public contention, although the broader context of healthcare funding for the state's vulnerable populations remains complex.
Contention
One significant point of contention within the discussions around HR282 revolves around the implications for state Medicaid funding. Concerns may arise regarding how this change could potentially affect overall budget allocations for healthcare in Louisiana. While the bill does not explicitly face opposition, the framework for Medicaid reimbursement and its sustainability is a topic of ongoing debate among various stakeholders in the healthcare community, particularly concerning the balance of resources allocated to different types of care facilities.
Requests the Louisiana Department of Health to establish a four-bed peer group for intermediate care facilities for people with developmental disabilities.
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)
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 a study concerning the potential use of monitoring devices in the rooms of residents of intermediate care facilities for people with developmental disabilities
Requests the La. Department of Health to study and report on the costs of providing nursing services in certain Medicaid-funded programs and facilities for persons with intellectual and 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.