La. Admin. Code tit. 50 § V-5921

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

Section V-5921 - Rehabilitation Services for Recipients Ages 0 up to Age 3

A. The following are reimbursement rates for rehabilitation services provided to Medicaid recipients up to the age of 3, regardless of the type of provider performing the services:

1. initial speech/language evaluation-$70;

2. initial hearing evaluation-$70;

3. initial occupational therapy evaluation-$70;

4. occupational therapy, 15 minutes-$15;

5. occupational therapy, 30 minutes-$30;

6. occupational therapy, 45 minutes-$45;

7. occupational therapy, 60 minutes-$60;

8. physical therapy and rehab evaluation-$75;

9. physical therapy, one modality-$37;

10. physical therapy, two or more modalities-$56;

11. physical therapy, one or more procedures, and/or modalities, 15 minutes-$18.50;

12. physical therapy with procedures, 30 minutes-$37;

13. physical therapy with procedures, 75 minutes-$92.50;

14. procedures and modalities, 60 minutes-$74;

15. speech and hearing therapy, 15 minutes-$14;

16. speech and hearing therapy, 30 minutes-$28;

17. speech and hearing therapy, 45 minutes-$42;

18. speech and hearing therapy, 60 minutes-$56;

19. speech/language/hearing therapy, 60 minutes-$56;

20. visit with procedure(s), 45 minutes-$56;

21. visit with procedure(s), 60 minutes-$74; and

22. visit with procedure(s), 90 minutes-$112.

La. Admin. Code tit. 50, § V-5921

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:1034 (May 2004), repromulgated LR 34:1921 (September 2008).

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