La. Admin. Code tit. 50 § XV-10704
Current through Register Vol. 50, No. 11, November 20, 2024
Section XV-10704 - Targeted Case Management Workforce Retention Bonus PaymentsA. Establishment of Targeted Case Management Workforce Retention Bonus Payments1. 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: 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; ord. failure to provide LDH with any requested documentation or information related to or for the purpose of verifying compliance with this Rule.La. Admin. Code tit. 50, § XV-10704
Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 482070, Amended LR 49689 (4/1/2023).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.