La. Admin. Code tit. 50 § XXXIII-4305

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

Section XXXIII-4305 - Service Limitations and Exclusions

A. The Medicaid Program shall not cover school based behavioral health services performed solely for educational purposes (e.g. academic testing). Only services that are reflected in the IEP, section 504 plan, IHP (as determined by the assessment and evaluation) or otherwise medically necessary shall be covered.

B. Social needs, educational needs, or habilitative services are not covered school based behavioral health services.

La. Admin. Code tit. 50, § XXXIII-4305

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:401 (February 2012), Amended LR 45569 (4/1/2019), Amended LR 46186 (2/1/2020).

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