RS 40:2251

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RS 40:2251

PART VI. UTILIZATION OF ESSENTIAL

COMMUNITY PROVIDERS

§2251. Definitions

A. For the purposes of this Part, "essential community provider" means a health care provider who has historically served medically needy or indigent patients, including any of the following who have historically served such patients:

(1)A federally qualified health center.

(2)A rural health clinic.

(3)Any hospital owned or operated by the state.

(4)A community health center.

(5)Any small rural hospital or any hospital owned or operated by a hospital service district.

(6)A physician who has historically served Medicaid and indigent patients.

(7)Any children's hospital as defined in 42 CFR Section 412.23(d).

(8)Any home health agency.

B. Essential community providers shall include only those providers who are licensed, certified, enrolled, and available to participate in the Medicaid program.

C. Essential community providers shall not include any health care providers who have been convicted of fraud against the Medicaid program.

D. Essential community providers shall meet all quality assurance standards required by the Louisiana Louisiana Department of Health and the United States Department of Health and Human Services for participation in the Medicaid program and any waiver program approved for the Medicaid program.

Acts 1995, No. 1282, §1, eff. June 29, 1995; Acts 1997, No. 3, §5, eff. July 1, 1997.