2014 Louisiana Laws
Revised Statutes
TITLE 40 - Public Health and Safety
RS 40:1300.331 - Health care providers; upper payment limit
PART LXX. HEALTH CARE PROVIDERS UPPER PAYMENT LIMIT
FINANCING METHODOLOGY
§1300.331. Health care providers; upper payment limit
A. Subject to appropriation, the Department of Health and Hospitals may develop and maintain a Medicaid upper payment limit financing methodology which incorporates any health care provider licensed by the Department of Health and Hospitals. The purpose of developing an upper payment limit financing methodology is to enhance the delivery of health care services to the uninsured and Medicaid patients. Any such upper payment limit financing methodology shall be in accordance with federal law and subject to approval by the Centers for Medicare and Medicaid Services.
B. The department may submit waivers or state plan amendments to the Centers for Medicare and Medicaid Services in order to secure federal financial participation in relation to any such upper payment limit financing methodology. Disbursements of monies generated by the use of an upper payment limit methodology shall be made only in accordance with an approved waiver or state plan amendment.
Acts 2011, No. 310, §1, eff. June 28, 2011.
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