La. Admin. Code tit. 50 § XXXIII-8305
Current through Register Vol. 50, No. 11, November 20, 2024
Section XXXIII-8305 - Covered ServicesA. The following behavioral health services shall be provided in the HCBS waiver program: 1. short-term respite care;2. independent living/skills building;3. youth support and training; and4. parent support and training. B. Service Limitations 1. Short term respite care shall be pre-approved for the duration of 72 hours per episode with a maximum of 300 hours allowed per calendar year. Hours in excess of 300 may be authorized when deemed medically necessary.2. Youth support and training services may not be provided by local education agencies and are limited to 750 hours per calendar year. Hours in excess of 750 may be authorized when deemed medically necessary.C. Service Exclusions. The following services 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; and4. services rendered in an institution for mental disease or any other institutional setting as defined in 42 CFR 441.301(c)(4).La. Admin. Code tit. 50, § XXXIII-8305
Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:367 (February 2012), Amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 412362 (11/1/2015), Amended by the Department of Health, Bureau of Health Services Financing and the Office of Behavioral Health, LR 43324(2/1/2017).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.