La. Admin. Code tit. 50 § XXXIII-4101

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

Section XXXIII-4101 - Introduction

A. The Medicaid Program hereby adopts provisions to provide coverage under the Medicaid state plan for school-based behavioral health services rendered to children and youth with behavioral health disorders. These services shall be administered under the authority of the Department of Health.

B. The school-based behavioral health services rendered to children with emotional or behavioral disorders are medically necessary behavioral health services provided to Medicaid recipients in accordance with an individualized education plan (IEP), a section 504 accommodation plan pursuant to 34 C.F.R. § 104.36, an individualized health care plan or are otherwise medically necessary.

La. Admin. Code tit. 50, § XXXIII-4101

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:400 (February 2012), Amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 412171 (10/1/2015), Amended LR 45568 (4/1/2019), Amended LR 46185 (2/1/2020).

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