HLS 23RS-1979 ORIGINAL
2023 Regular Session
HOUSE RESOLUTION NO. 209
BY REPRESENTATIVE TURNER
HEALTH SERVICES: Requests the Louisiana Department of Health to form a group to
study the uncompensated work of support coordination agencies in this state
1 A RESOLUTION
2To urge and request the Louisiana Department of Health to form a group to study the
3 uncompensated work of support coordination agencies in this state.
4 WHEREAS, support coordination agencies (SCAs) are organizations that provide
5care planning and case management to coordinate the services for home- and community-
6based service participants; and
7 WHEREAS, SCAs serve individuals who receive services through the Office for
8Citizens with Developmental Disabilities (OCDD) and the Office of Aging and Adult
9Services (OAAS); and
10 WHEREAS, the individuals who receive such services are also Medicaid eligible;
11and
12 WHEREAS, SCAs play a critical role in assisting individuals to access home- and
13community-based services between the time of linkage of a participant to an SCA via
14Statistical Resources Inc (SRI) and the time of certification of eligibility to begin services;
15and
16 WHEREAS, such agencies complete the person-centered planning process, which
17involves coordination with the family and natural supports for the waiver participant; and
18 WHEREAS, additionally, SCAs must provide trained staff from the linkage to assist
19with the medical and financial certification process, housing, transition activities, and
20collaboration with all medical and behavioral health team members to identify the services
21needed within the respective communities; and
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HR NO. 209
1 WHEREAS, the process to certify a participant for services is time, labor, and
2resource-intensive, and SCAs are not currently fully reimbursed for such work; and
3 WHEREAS, payment to an SCA begins at the time of certification rather than the
4time of linkage; and
5 WHEREAS, there is a significant loss in revenues associated with the
6uncompensated work of SCAs, which also requires agencies to carry larger than optimal case
7loads; and
8 WHEREAS, it is the duty of the legislature to ensure the efficiency of such
9programs and to resolve such costly and labor-intensive issues.
10 THEREFORE, BE IT RESOLVED that the House of Representatives of the
11Legislature of Louisiana does hereby urge and request the Louisiana Department of Health
12to form a group to study the uncompensated work of support coordination agencies in this
13state.
14 BE IT FURTHER RESOLVED that the group shall study the methods used by other
15states as it relates to linkage and the certification process.
16 BE IT FURTHER RESOLVED that the study shall consider all of the following:
17 (1) The reimbursement of SCAs for their work beginning at the point of linkage
18from a local governing authority.
19 (2) The reassignment of all pre-certification work to local governing authorities.
20 (3) The possibility of not linking participants to an SCA until they are deemed
21Medicaid eligible.
22 BE IT FURTHER RESOLVED that this working group shall include the following
23individuals:
24 (1) A representative from the Office for Citizens with Developmental Disabilities.
25 (2) A representative from the Office of Aging and Adult Services.
26 (3) A representative from the Louisiana Medicaid Program.
27 (4) A representative from a local governing entity who has experience working with
28support coordination agencies.
29 (5) The executive director of the Community Provider Association or his designee.
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HR NO. 209
1 (6) A designated worker representative who is a currently employed by a support
2coordination agency.
3 BE IT FURTHER RESOLVED that on or before February 1, 2024, the study group
4shall submit to the House Committee on Health and Welfare and the David R. Poynter
5Legislative Research Library a written report of its findings and recommendations.
6 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the
7secretary of the Louisiana Department of Health, the designated representative from a local
8governing entity who has experience working with support coordination agencies, the
9executive director of the Community Provider Association, and the designated worker
10representative who is a currently employed by a support coordination agency.
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)]
HR 209 Original 2023 Regular Session Turner
Requests the La. Dept. of Health to form a group to study the uncompensated work of
support coordination agencies in this state.
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