Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part III - Eligibility
Subpart 11 - State Children's Health Insurance Program
Chapter 203 - LaCHIP Phase IV-Prenatal Care Services
Section III-20305 - Services

Universal Citation: LA Admin Code III-20305

Current through Register Vol. 50, No. 9, September 20, 2024

A. Covered Services. Recipients shall receive coverage of pregnancy-related health care services and associated medically necessary services for conditions that, if not treated, would complicate the pregnancy. Pregnancy-related health care services which may be covered include:

1. inpatient and outpatient health care services;

2. physician services;

3. surgical services;

4. clinic and other ambulatory health care services;

5. prescription and over-the-counter medications;

6. laboratory and radiological services;

7. pre-natal care and pre-pregnancy family services and supplies;

8. inpatient and outpatient mental health services other than those services relative to substance abuse treatment;

9. durable medical equipment and other medically-related or remedial devices;

10. disposable medical supplies;

11. nursing care services;

12. case management services;

13. physical therapy, occupational therapy and services for individuals with speech, hearing and language disorders;

14. medical transportation services; and

15. any other medically necessary medical, diagnostic, screening, preventive, restorative, remedial, therapeutic or rehabilitative services.

B. Service Exclusion. Sterilization procedures are not a covered service in this program.

C. Service Limits and Prior Authorization. Other Medicaid-specific benefit limits, age limits and prior authorization requirements may be applicable to the services covered in this program.

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

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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.