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(August 2005), amended LR 35:

§10703.Cost Reports

A.Case management agencies shall provide annual cost reports based on the state fiscal year, starting with the period beginning July 1, 2008 and ending June 30, 2009. Completed reports are due within 90 calendar days after the end of each fiscal year.

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

HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 35:

Family Impact Statement

In compliance with Act 1183 of the 1999 Regular Session of the Louisiana Legislature, the impact of this proposed Rule on the family has been considered. It is anticipated that this proposed Rule will have a positive impact on family functioning, stability or autonomy as described in R.S. 49:972 by ensuring continued access to case management services for infants and toddlers.

Interested persons may submit written comments to Jerry Phillips, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 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 4th Street, Baton Rouge, LA. At that time all interested individuals will be afforded an opportunity to submit data, views or arguments either orally or in writing. The deadline for the 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:  Targeted Case Management

Reimbursement Methodology

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 $177,295 for FY 08-09, $243,260 for FY 09-10, and $250,557 for FY 10-11.  It is anticipated that $328 ($164 SGF and $164 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 $446,733 for FY 08-09, $613,288 for FY 09-10, and $631,687 for FY 10-11.  It is anticipated that $164 will be expended in FY 08-09 for the federal 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 1, 2008 emergency rule, proposes to amend the provisions governing the reimbursement methodology for targeted case management services to require case management agencies to bill in 15 minute increments, to establish cost reporting requirements, and to increase the reimbursement rate paid for targeted case management services provided to infants and toddlers (approximately 19,000 units of service). It is not anticipated the change in units of service (15 minute increments) will have any effect on expenditures.  It is anticipated that implementation of this proposed rule will increase expenditures for targeted case management services for infants and toddlers by approximately $623,700 for FY 08-09, $856,548 for FY 09-10 and $882,244 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#110

Legislative Fiscal Office

NOTICE OF INTENT

Department of Insurance

Office of the Commissioner

Viatical Settlements (LAC 37:XIII.Chapter 39)

Under the authority of the Louisiana Insurance Code, R.S. 22:1 et seq., and in accordance with the provisions of the Administrative Procedure Act, R.S. 49:950 et seq., the Commissioner of Insurance for the Louisiana Department of Insurance hereby gives Notice of Intent to repeal in its entirety the current Regulation 58 entitled "Viatical Settlements" as promulgated in the February 20, 1994, Louisiana Register, Volume 20, Number 2, page 194 et seq. and simultaneously enact a replacement Regulation 58 bearing the same name. This new Regulation 58 is intended to simplify the viatical settlement reporting requirements, to incorporate a minimum subject specific continuing education requirement and to replace and supersede in all respects the prior Regulation 58.

On Tuesday, November 25, 2008, beginning at 9:00 a.m., the Department of Insurance will hold a public hearing in the Poydras Building's Plaza Hearing Room located at 1702 N. 3rd Street, Baton Rouge, LA, 70804 to allow for public commentary concerning the proposed repeal of current Regulation 58 and the enactment of the proposed Regulation 58 as set forth below.

Title 37

INSURANCE

Part XIII.  Regulations

Chapter 39.Regulation 58Viatical Settlements

§3901.Purpose

A.The purpose of Regulation 58 is to set forth certain requirements related to viatical settlements including but not limited to licensure of life and/or annuity insurance

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

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