2019 Regular Session ENROLLED
SENATE RESOLUTION NO. 272
BY SENATOR MIZELL
A RESOLUTION
To urge and request the Louisiana Department of Health to establish a four-bed peer group
for intermediate care facilities for people with developmental disabilities for the
purpose of Medicaid reimbursement rate calculation for those facilities.
WHEREAS, intermediate care facilities for people with developmental disabilities
(ICF/DDs), are facilities that provide services to individuals with developmental or
intellectual disabilities who require twenty-four hours of care per day in community, group,
or residential home settings; and
WHEREAS, ICF/DDs are licensed and regulated by the Louisiana Department of
Health (LDH) in accordance with the provisions of R.S. 40:2180 et seq.; and
WHEREAS, under Louisiana's Medicaid state plan, ICF/DDs are grouped by number
of beds in resident rooms in a system known as peer group classification which is utilized
for purposes of calculating Medicaid reimbursement rates paid to the respective facilities;
and
WHEREAS, Louisiana's current ICF/DD peer groups are one-to-eight beds, nine-to-
fifteen beds, sixteen-to-thirty-two beds, and thirty-three or more beds; and
WHEREAS, the establishment of a four-bed ICF/DD peer group would help to
ensure the viability of providers that develop four-bed group homes.
THEREFORE, BE IT RESOLVED that the Senate of the Legislature of Louisiana
does hereby urge and request the Louisiana Department of Health to establish a four-bed
peer group for intermediate care facilities for people with developmental disabilities for the
purpose of Medicaid reimbursement rate calculation for those facilities.
BE IT FURTHER RESOLVED that the department promulgate rules and regulations
in accordance with the Administrative Procedure Act to provide for the four-bed ICF/DD
peer group and file a state plan amendment with the Centers for Medicare and Medicaid
Services to amend the Medicaid state plan as necessary to establish the four-bed peer group.
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BE IT FURTHER RESOLVED that the rules of the department and Medicaid state
plan ensure that four-bed ICF/DDs receive a fair allocation of the Medicaid share of
facility-specific costs directly incurred by such facilities as a result of their compliance with
the department's licensing of four-bed homes, and that payment of such costs be made
retroactive to the earliest date allowed by law.
BE IT FURTHER RESOLVED that the department submit the Medicaid state plan
amendment to the Centers for Medicare and Medicaid Services on or before December 1,
2019.
BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the
secretary of the Louisiana Department of Health.
PRESIDENT OF THE SENATE
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