Louisiana Medicaid LT-PCS and Waiver Provider Participation
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.
About this policy
- Policy number
- LA-HC-BUS-03
- Version
- 1.0
- Main rule
- Medicaid Services Manual, Chapter 30, §30.6
- Library
- Louisiana home care · 50 policies
- Category
- Business
- Sections
- 20
In short
- 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.
What's inside
20 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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.
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