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Interested persons may submit written comments to Jerry Phillips, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, Louisiana 70821-9030. He is responsible for responding to inquiries regarding this proposed Rule. A public hearing on this proposed Rule is scheduled for Tuesday, November 25, 2008 at 9:30 a.m. in Room 118, Bienville Building, 628 North Fourth Street, Baton Rouge, LA. At that time all interested persons will be afforded an opportunity to submit data, views or arguments either orally or in writing. The deadline for receipt of all written comments is 4:30 p.m. on the next business day following the public hearing.

Alan Levine

Secretary

FISCAL AND ECONOMIC IMPACT STATEMENT FOR ADMINISTRATIVE RULES

RULE TITLE:  Medical Transportation ProgramEmergency Aircraft TransportationRotor Winged Ambulance Rate Increase

I.ESTIMATED IMPLEMENTATION COSTS (SAVINGS) TO STATE OR LOCAL GOVERNMENT UNITS (Summary)

It is anticipated that the implementation of this proposed rule will result in an estimated increase in expenses to the state of $203,302 for FY 08-09, $264,240 for FY 09-10, and $272,168 for FY 10-11. It is anticipated that $410 ($205 SGF and $205 FED) will be expended in FY 08-09 for the state's administrative expense for promulgation of this proposed rule and the final rule.

II.ESTIMATED EFFECT ON REVENUE COLLECTIONS OF STATE OR LOCAL GOVERNMENTAL UNITS (Summary)

It is anticipated that the implementation of this proposed rule will increase federal revenue collections by approximately $512,239 for FY 08-09, $666,183 for FY 09-10, and $686,168 for FY 10-11. It is anticipated that $205 will be expended in FY 08-09 for the federal share of administrative expenses for promulgation of this proposed rule and the final rule.

III.ESTIMATED COSTS AND/OR ECONOMIC BENEFITS TO DIRECTLY AFFECTED PERSONS OR NONGOVERNMENTAL GROUPS (Summary)

This rule, which continues the provisions of the September 17, 2008 emergency rule, proposes to amend the reimbursement methodology for emergency air medical transportation to increase the reimbursement rate paid for rotor winged emergency ambulance services (approximately 460 transports), and to clarify and repromulgate the existing rule in its entirety for the purpose of adopting these provisions in a codified format for inclusion in the Louisiana Administrative Code. It is anticipated that implementation of this proposed rule will increase expenditures for emergency air medical transportation services by approximately $715,131 for FY 08-09, $930,423 for FY 09-10 and $958,336 for FY 10-11.

IV.ESTIMATED EFFECT ON COMPETITION AND EMPLOYMENT (Summary)

It is anticipated that the implementation of this rule will have no effect on competition and employment.

Jerry Phillips

Robert E. Hosse

Medicaid Director

Staff Director

0810#107

Legislative Fiscal Office

NOTICE OF INTENT

Department of Health and Hospitals

Office of the Secretary

Bureau of Health Services Financing

Professional Services Program Children’s Immunizations (LAC 50:IX.8301 and 8305)

The Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing proposes to adopt LAC 50:IX.Chapter 83 in the Medical Assistance Program as authorized by R.S. 36:254 and pursuant to Title XIX of the Social Security Act. This proposed Rule is promulgated in accordance with the Administrative Procedure Act, R.S. 49:950 et seq.

The Omnibus Budget Reconciliation Act (OBRA) of 1993 created the Pediatric Vaccine Distribution Program known as the Vaccines for Children Program. OBRA 1993 added a new section to the Social Security Act which required that states establish a program for the purchase and distribution of pediatric vaccines to providers qualified under, and registered with, the Pediatric Vaccine Distribution Program for the purpose of immunizing eligible children. In compliance with OBRA 1993, the department adopted provisions governing the reimbursement of pediatric vaccines for Medicaid eligible children (Louisiana Register, Volume 22, Number 6). The department promulgated an Emergency Rule to amend the reimbursement methodology governing Medicaid payments to providers for the administration of vaccines to children, and incorporated these provisions into the Louisiana Administrative Code in a codified format (Louisiana Register, Volume 34, Number 8). This proposed Rule is being promulgated to continue the provisions of the August 6, 2008, Emergency Rule.

Title 50

PUBLIC HEALTHMEDICAL ASSISTANCE

Part IX.  Professional Services Program

Subpart 7.  Immunizations

Chapter 83.Children's Immunizations

§8301.General Provisions

A.The department shall provide Medicaid coverage for the administration of childhood and adolescent vaccines. Medicaid reimbursement is not available for the cost of vaccines that may be obtained through the Louisiana Immunization Program/Vaccines for Children (VFC) Program and administered to Medicaid eligible children.

B.Provider Qualifications. In order to qualify for Medicaid reimbursement for the administration of these vaccines, a provider must be:

1.a licensed health care provider who has authority under Louisiana state law to administer childhood and adolescent vaccines;
2.an enrolled Medicaid provider; and
3.an enrolled Vaccines for Children Program provider.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

Louisiana Register   Vol. 34, No. 10   October 20, 2008

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