Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements

What this rule requires your agency to do

• 1Providers must document that criminal record history checks have been obtained and must not employ individuals who have been convicted of abuse, neglect, or mistreatment, or of a felony involving physical harm to an individual (R.S. 40:1203.1 et seq.). (Section 30.6, p.1)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements)
• 2LT-PCS providers must complete and submit the LDH-approved cost report(s) to the LDH designated contractor no later than five months after the state fiscal year ends (June 30). (Section 30.6, p.4)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements)
• 3Providers must have available computer equipment, software, and internet connectivity necessary to participate in prior authorization, data collection, and Electronic Visit Verification (EVV). (Section 30.6, p.2)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements)
• 4For involuntary transfer, discharge, or closure, the provider shall give written notice to the recipient, family member and/or responsible representative at least 30 calendar days prior, via certified mail return receipt requested, including all required content elements. (Section 30.6, pp.3-4)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements)
• 5Providers must check the Certified Nursing Assistant (CNA) and Direct Service Worker (DSW) Registries for placement of findings of abuse, neglect, or misappropriation in accordance with licensing regulations. (Section 30.6, p.2)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements)
• 6Changes in the provider's entity name, key administrative personnel, ownership, physical location, mailing address, telephone number, or EFT account information are to be reported in writing to HSS, OAAS, and the fiscal intermediary's Provider Enrollment Section within the time specified in the HSS licensing rule. (Section 30.6, p.6)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements)
• 7Providers must have a written back-up plan for each LT-PCS recipient, including responsible back-up persons, a 24-hour toll-free number manned by an answering service, and signatures and dates; back-up staffing plans must be provided to recipients before services begin. (Section 30.6, p.5)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements)
• 8Providers shall not refuse to serve any recipient who chooses their agency unless there is documentation to support an inability to meet the recipient's needs or all previous efforts to provide services have failed; OAAS or its designee must be notified immediately and the refusal request made in writing. (Section 30.6, p.3)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.6 — LT-PCS Provider Requirements)