La. Admin. Code tit. 50 § I-8303

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-8303 - Crossover Claims

A. The Medical Assistance Program shall provide Medicaid coverage of Medicare Part A and Part B crossover claims for dually eligible recipients with the following limitations:

1. Medicaid coverage of Medicare Part B crossover claims shall be limited to only those services covered under Title XIX (Medicaid); and

2. payment of Medicare Part A and Part B co-insurance and deductibles shall be limited to the total Medicaid allowable cost for each covered service.

La. Admin. Code tit. 50, § I-8303

Promulgated by the Department of Health and Human Resources, Office of Family Security, LR 13:92 (February 1987), amended by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 32:848 (May 2006).

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