Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XV - Services for Special Populations
Subpart 7 - Targeted Case Management
Chapter 107 - Reimbursement
Section XV-10704 - Targeted Case Management Workforce Retention Bonus Payments
Universal Citation: LA Admin Code XV-10704
Current through Register Vol. 50, No. 9, September 20, 2024
A. Establishment of Targeted Case Management Workforce Retention Bonus Payments
1. Case
management agencies for the early and periodic screening, diagnosis, and
treatment (EPSDT) targeted population and for participants in the New
Opportunities Waiver (NOW) who provided services from April 1, 2021 to October
31, 2022 shall receive bonus payments of $300 per month for the case manager
that worked with participants for those months.
2. The case manager who provided services to
participants from April 1, 2021 to October 31, 2022 must receive at least $250
of this $300 bonus payment paid to the agency. This bonus payment is effective
for all affected case managers of any working status, whether full-time or
part-time.
B. Audit Procedures for Targeted Case Management Workforce Bonus Payments
1. The bonus payments reimbursed to case
management agencies shall be subject to audit by LDH.
2. Case management agencies shall provide to
LDH or its representative all requested documentation to verify that they are
in compliance with the targeted case management bonus payments.
3. This documentation may include, but is not
limited to, payroll records, wage and salary sheets, check stubs,
etc.
4. Case management agencies
shall produce the requested documentation upon request and within the time
frame provided by LDH.
5.
Non-compliance or failure to demonstrate that the bonus payments were paid
directly to case managers may result in the following:
a. sanctions; or
b. disenrollment from the Medicaid
Program.
C. Sanctions for Targeted Case Management Workforce Bonus Payments
1. The case management agency will be subject
to sanctions or penalties for failure to comply with this Rule. The severity of
such action will depend upon the following:
a.
failure to pay case managers the $250 monthly bonus payments;
b. the number of employees identified as
having been paid less than the $250 monthly bonus payments;
c. the persistent failure to pay the $250
monthly bonus payments; or
d.
failure to provide LDH with any requested documentation or information related
to or for the purpose of verifying compliance with this Rule.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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