Specifications include, but are not limited to: 1. The Contractor shall be a law firm with individuals that have a vast knowledge of Louisiana Medicaid eligibility requirements, reimbursement methodologies, and the Louisiana State Plan. They shall demonstrate working knowledge of the above in regards to other States and be tightly coordinated with Medicaid policy decisions, decision makers and processes on a federal level. 2. The Contractor will provide highly specialized technical assistance and consulting services to assist the LDH in administering the Medicaid Program and in developing various initiatives to reform the Medical Assistance Program. Services will include, but not be limited to, providing guidance and assistance in preparing applications for pilot projects which may require waiver approvals, responding to inquiries concerning the applications, researching federal laws applicable to LDH’s Medicaid Program, and implementing program initiatives as approved by the federal government. 3. The Contractor will provide to LDH consultation regarding (1) identifying and analyzing federal laws affected by changes in health care delivery systems; and (2) conducting any other necessary activities to facilitate the initiation of approved health care reform and redesign initiatives via Medicaid waivers/State Plans. 4. The Contractor will provide to LDH consultation on Medicaid rules regarding provider taxes, donations, upper payment limit payments, disproportionate share hospital payments, and managed care capitation payments.
