La. Admin. Code tit. 50 § XXXIII-15501

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

Section XXXIII-15501 - Provider Responsibilities

A. Each Opioid Treatment Program shall enter into a contract with the managed care organizations (MCOs) and the coordinated system of care (CSoC) contractor in order to receive reimbursement for Medicaid covered services.

B. Opioid treatment programs shall deliver all services in accordance with federal and state laws and regulations, and the provisions of this Rule.

C. Opioid Treatment Programs must be licensed in accordance with state laws and regulations, in addition to operating within their scope of practice license.

D. Opioid Treatment Programs shall retain all records necessary to fully disclose the extent of services provided to recipients for five years from the date of service and furnish such records, and any payments claimed for services, to the Medicaid program upon request.

E. Opioid Treatment Programs shall maintain compliance with state and federal regulatory authorities for operation, including but not limited to the Substance Abuse and Mental Health Services Administration (SAMHSA), the Drug Enforcement Administration (DEA), and the State Opioid Treatment Authority.

La. Admin. Code tit. 50, § XXXIII-15501

Promulgated by the Department of Health, Bureau of Health Services Financing and the Office of Behavioral Health, LR 4627 (1/1/2020).

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