RS 40:1241

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RS 40:1241

NOTE: §1241 effective until the implementation of a diagnosis-related group hospital payment methodology pursuant to an approved state plan amendment by the Centers for Medicare and Medicaid Services. See Acts 2018, No. 234.

CHAPTER 5-E. HEALTH PROVISIONS: MEDICAL

ASSISTANCE PROGRAM (MEDICAID)

PART I. HEALTH SERVICES FINANCING

SUBPART A. HOSPITAL PROSPECTIVE

REIMBURSEMENT METHODOLOGY

§1241. Hospital prospective reimbursement methodology

A. Notwithstanding any provisions of the Louisiana Administrative Code or any contrary provision of any other law or regulation, for the purpose of the hospital prospective reimbursement methodology and temporary licensure of international medical graduates, the Louisiana Medical Assistance Program's recognition of a major teaching hospital is limited to facilities having a documented affiliation agreement with a Louisiana medical school accredited by the Liaison Committee on Medical Education or the Commission on Osteopathic College Accreditation.

B. A major teaching hospital shall meet one of the following criteria:

(1)Be a major participant in at least four approved medical residency programs of which at least two of the programs shall be in medicine, surgery, obstetrics and gynecology, pediatrics, family practice, emergency medicine, or psychiatry.

(2)Maintain an intern and resident full-time equivalency of at least twenty filled positions with an approved medical residency program in family practice located more than one hundred fifty miles from the medical school accredited by the Liaison Committee on Medical Education.

C. For the purposes of this Subpart, "hospital prospective reimbursement methodology" means a method of hospital reimbursement in which Medicaid payment is made based on a predetermined, fixed amount.

NOTE: §1241 repealed effective only upon implementation of a diagnosis-related group hospital payment methodology pursuant to an approved state plan amendment by the Centers for Medicare and Medicaid Services.

§1241. Repealed by Acts 2018, No. 234, §1.

Acts 2009, No. 347, §1; Redesignated from R.S. 40:1300.291 by HCR 84 of 2015 R.S; Acts 2018, No. 234, §1; Acts 2022, No. 152, §1.

NOTE: Former R.S. 40:1241 redesignated to R.S. 40:1265.1 by HCR 84 of 2015 R.S.