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