{"ref":"LA-HC-BUS-03","title":"Louisiana Medicaid LT-PCS and Waiver Provider Participation","category":"Business","summary":"Sets the obligations the Agency takes on when it enrolls in Louisiana Medicaid to provide Long Term-Personal Care Services (LT-PCS) or waiver personal care: licensure and enrollment, the Freedom of Choice list, service strictly by the plan of care, the direct service worker wage floor and wage pass-through policy, cost reports, refusals to serve, reporting changes, and how the Medicaid layer fits with the licensing rules in this manual.","inShort":["For Medicaid clients, do the tasks in the plan of care exactly as written, and no more hours than authorized.","Record each task on the OAAS service log as you do it, and clock in and out through EVV.","Tell your supervisor if the client's needs seem to have changed for good, so a new assessment can be requested.","Clients must get OAAS approval at least 24 hours before you work with them outside Louisiana.","The Agency pays Medicaid personal care workers at least the wage floor and passes on 70% of rate increases."],"primaryCitation":"Medicaid Services Manual, Chapter 30, §30.6","citations":["Medicaid Services Manual, Chapter 30, §30.6","Medicaid Services Manual, Chapter 30, §30.7","Medicaid Services Manual, Chapter 30, §30.8","Medicaid Services Manual, Chapter 30, §30.9","OAAS-PC-21-004, Direct Service Provider Critical Incident Report Guide","LAC 48:I.5001.A","La. R.S. 40:2120.3","La. R.S. 46:437.1 et seq."],"federalCitations":["42 CFR §447.15"],"surveyorAsks":["Are you enrolled in Medicaid as a personal care services provider for each LDH region where you serve? Are you on the Freedom of Choice list?","Show me your written policy on passing 70% of rate increases to direct service workers, and evidence that DSWs are paid at least the wage floor."],"forms":[{"ref":"LA-HC-BUS-03-A","title":"Medicaid Program Compliance Calendar and Wage Pass-Through Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Medicaid Services Manual, Chapter 30, §30.6)","5. Enrollment and Good Standing","6. Accepting Beneficiaries and Refusals to Serve","7. Wage Floor and Wage Pass-Through Policy","8. Cost Reports","9. Service Delivery Under the Plan of Care","10. Reporting Changes and Notices","11. Where Each Medicaid Requirement Is Carried Out","12. Corrective Action and Sanctions","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"la-hca","state":"Louisiana","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}