La. Admin. Code tit. 50 § XXXIII-14303

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

Section XXXIII-14303 - Covered Services

A. The following SUD services shall be reimbursed under the Medicaid Program:

1. assessment;

2. outpatient treatment;

3. residential treatment; and

4. inpatient treatment.

B. Service Exclusions. The following services/components shall be excluded from Medicaid reimbursement:

1. components that are not provided to, or directed exclusively toward the treatment of, the Medicaid eligible individual;

2. services provided at a work site which are job tasks oriented and not directly related to the treatment of the recipient's needs;

3. any services or components in which the basic nature of which are to supplant housekeeping, homemaking, or basic services for the convenience of an individual receiving services; and

4. room and board for any rates provided in a residential setting.

5. Repealed.

La. Admin. Code tit. 50, § XXXIII-14303

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:426 (February 2012), Amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 412357 (11/1/2015), Amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 441890 (10/1/2018), Amended LR 45270 (2/1/2019).

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