Article archive / January 2017
Originally published: . Volume 8, No. 1. Source pages: 5.
The Department of Health, Bureau of Health Services Financing is amending LAC 50:XV.703 in the Medical Assistance Program. The Emergency Rule is addresses the adopted provisions to establish coverage and reimbursement for applied behavior analysis (ABA)- based therapy services under the Medicaid State Plan for ABA- based therapy services for Chisholm class members and other children under the age of 21 (See Louisiana Register, Volume 41, Number 5).
“The department has now determined that it is necessary to amend the reimbursement methodology governing ABA- based therapy services in order to realign the reimbursement rates to be consistent with the commercial rates for these services which will be in effect statewide in January 2017. This action is being taken to avoid a budget deficit in the Medicaid Program. It is estimated that implementation of this Emergency Rule will reduce expenditures in the Medicaid Program by approximately $3,609,821 for state fiscal year 2016-2017,” noted the announcement.
Effective January 1, 2017, this amends the provisions governing the reimbursement methodology for applied behavior analysis-based therapy services covered under the Medicaid State Plan.
Interested persons may submit written comments to Jen Steele, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030 or by email to MedicaidPolicy@la.gov. Ms. Steele is responsible for responding to inquiries regarding this proposed Rule.
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