Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 2 - Medical Guidelines
Chapter 25 - Hospital Reimbursement Schedule, Billing Instruction and Maintenance Procedures
Section I-2509 - Psychiatric and Chemical Dependency Reimbursement
Current through Register Vol. 50, No. 9, September 20, 2024
A. Inpatient. Reimbursement for inpatient psychiatric and/or chemical dependency unit services will be limited to the lesser of covered billed charges or the per diem amount.
|
Per Diem Rate Schedule |
|
|
Psychiatric Services |
$799 |
|
Chemical Dependency Unit Services |
$597 |
B. Outpatient. Psychiatric and chemical dependency services rendered on an outpatient basis by professional providers such as medical doctors, Ph.D. psychologists, and social workers will be reimbursed based on the medical reimbursement schedule for related CPT-4 Procedure Codes promulgated by the state of Louisiana, Office of Workers' Compensation. Any facility fees associated with providing these professional services will be reimbursed at covered charges less a 10 percent discount. The formula for calculating payment amount is:
(Billed Charges) - (Noncovered Charges) = Covered Charges x 0.90 = Payment Amount
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.
