La. Admin. Code tit. 50 § XXI-16327
Current through Register Vol. 50, No. 11, November 20, 2024
Section XXI-16327 - Respite Care Services-Out of HomeA. Respite care services-out of home are provided on a short-term basis to beneficiaries who are unable to care for themselves due to the absence of, or need for, relief of caregivers who normally provide care and support. Services are provided by a center-based respite provider. 1. A licensed respite care facility shall insure that community activities are available to the beneficiary in accordance with his approved POC, including transportation to and from these activities.2. While receiving respite care services, the beneficiary's routine is maintained in order to attend school, school activities or other community activities. Community activities and transportation to and from these activities in which the beneficiary typically engages in are to be available while receiving respite services-out of home.a. These activities should be included in the beneficiary's approved plan of care. This will provide the beneficiary the opportunity to continue to participate in typical routine activities.B. Service Limits 1. Respite care services are limited to 720 hours per beneficiary, per POC year.2. The process for approving hours in excess of 720 hours must go through the established approval process with proper justification and documentation.3. Federal financial participation (FFP) will be claimed for the cost of room and board only if it is provided as part of respite care furnished in a respite center approved by the state that is not a private residence.C. Service Exclusions 1. Room and board shall be covered only if it is provided as part of respite care furnished in a state-approved facility that is not a private residence.2. Respite care services-out of home is not a billable waiver service to beneficiary receiving the following services: a. community living supports;e. monitored in-home caregiving (MIHC).3. Respite care services-out of home cannot be provided in a personal residence.4. Payment will not be made for transportation community access.D. Provider Qualifications. Providers must be licensed by the Department of Health as a home and community based services provider and meet the module requirements for center-based respite in LAC 48:I.Chapter 50.La. Admin. Code tit. 50, § XXI-16327
Promulgated by the Department of Health and Hospitals, Office for Citizens with Developmental Disabilities, LR 33:2451 (November 2007), Amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 422164 (10/1/2015), Amended by the Department of Health, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 451767 (12/1/2019), Amended LR 471519 (10/1/2021), Amended LR 481566 (6/1/2022).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.