Requests the La. Dept. of Health modify regulations related to the nonemergency, non-ambulance medical transportation component of the Medicaid manged care program
Impact
If implemented, these reforms may alter existing regulations surrounding NEMT services and expand the scope of care available to Medicaid enrollees. The proposed changes could lead to increased access for individuals in underserved areas, thus ensuring that they receive necessary healthcare. The resolution also calls for the Louisiana Department of Health to provide periodic updates regarding active NEMT providers, which may help in better coordination of healthcare services and accessibility for enrollees.
Summary
House Resolution 256 urges the Louisiana Department of Health to reform the nonemergency, non-ambulance medical transportation (NEMT) component of the state's Medicaid managed care program. The resolution emphasizes the significance of NEMT services in facilitating access to vital healthcare for Medicaid enrollees, particularly those with specialized medical needs who may reside outside the designated service regions. By modifying regulations to allow for greater accessibility regardless of the enrollee's location, the resolution aims to enhance the overall effectiveness of the Medicaid program.
Sentiment
The sentiment around HR 256 is generally supportive, particularly among advocates for Medicaid enrollees and healthcare accessibility. Proponents of the resolution recognize the need for improvements in NEMT services to ensure that all Medicaid enrollees have equal access to healthcare resources. However, there may be concerns regarding the administrative feasibility of such reforms and whether adequate resources can be devoted to implementing and sustaining these changes.
Contention
While the resolution has garnered support, there are potential points of contention regarding its implementation. Some stakeholders may worry about the financial implications of broadening NEMT services and whether sufficient funding is available to sustain these changes. Additionally, questions may arise about the ability of the Louisiana Department of Health to effectively coordinate new transportation services across the state to meet the needs of all enrollees.
Requests the Louisiana Department of Health to authorize certain nonemergency medical transportation providers to furnish services outside of their designated regions in particular circumstances
Authorizes transportation network companies to provide nonemergency medical transportation services through the state Medicaid program (EN GF EX See Note)
Requests the Louisiana Department of Health to authorize coverage through the Medicaid program for portable oxygen concentrators, when medically necessary.
Requests the Louisiana Department of Health, through its Medical Care Advisory Committee, or the creation of a subcommittee thereof, to study ways for Medicaid to invest in community-based social service organizations that address health-related social needs and determinants
Requests the Louisiana Department of Health to study and promulgate additional rules for single broker NEMT services relative to compliance and oversight
Requests the Louisiana Department of Health to apply for a waiver from the United States Department of Heath and Human Services to allow Medicaid reimbursement for individuals, including juveniles in detention.
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.