Louisiana would require Medicaid ride-payment rules and limit some out-of-parish trips, but the main provisions would wait for separate implementation funding.
Medicaid rides, including wheelchair-accessible trips, would have minimum payments of $14.50 per trip and $2.10 per mile if lawmakers approve implementation funding.
Payment rules would account for rides carrying several passengers, while trips beyond a patient’s parish or neighboring parishes would require a medical-need determination.
The Louisiana Department of Health would set Medicaid payment rates of at least $14.50 per trip and $2.10 per mile for nonemergency medical transportation. The rates would cover nonemergency rides, including wheelchair-accessible rides, provided to Medicaid patients. The department must establish the rate method through rules. The provisions would not take effect unless a separate legislative appropriation for implementation becomes effective. The department must take implementation steps within 90 days after the provisions take effect.
The department would set payment rules for rides carrying multiple passengers and would require a medical-need determination for certain trips outside a patient’s home parish. The travel limit would apply when a Medicaid patient travels to a covered service outside the patient’s parish or a neighboring parish. The department or the patient’s Medicaid managed care organization must determine that the trip is medically necessary before the ride can go beyond those parishes. The provisions would not take effect unless a separate legislative appropriation for implementation becomes effective. The department must take implementation steps within 90 days after the provisions take effect.
No hearings or votes scheduled.