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-2517 - Hospice Care Rate Schedule
Universal Citation: LA Admin Code I-2517
Current through Register Vol. 50, No. 9, September 20, 2024
A. Schedule
|
Routine |
*Continuous |
Respite |
General Inpatient |
|
|
Hospital Based |
$114 |
$28 |
$117 |
$504 |
|
Freestanding |
$116 |
$29 |
$120 |
$513 |
|
*(Continuous Home Care is an hourly rate. All others are per diems) |
||||
B. The formulas for calculating payment amount by category of service are:
1. routine home care, respite care and
general inpatient care:
Per Diem Rate x days = Per Diem Amount;
a. if billed charges per diem amount, pay per
diem amount less noncovered charges;
b. if billed charges < per diem amount,
pay billed charges less noncovered charge;
2. continuous home care-the rate quoted is an
hourly rate. As defined above, to be covered, continuous home care must be
provided for a minimum of eight hours.
Hourly Rate x Hours of Care Provided = Payment Amount
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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