Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part V - Hospital Services
Subpart 5 - Outpatient Hospital Services
Chapter 51 - General Provisions
Section V-5117 - Service Limits
Universal Citation: LA Admin Code V-5117
Current through Register Vol. 50, No. 9, September 20, 2024
A. Outpatient hospital services shall be limited to the following:
1. rehabilitation services-number of visits
in accordance with a rehabilitation plan prior authorized by the department or
its designee;
2. clinic
services-physician services provided in a clinic in an outpatient hospital
setting shall be considered physician services, not outpatient services, and
there shall be no limits placed on the number of physician visits payable by
the Medicaid program for eligible recipients; and
3. all other outpatient services, including
therapeutic and diagnostic radiology services, shall have no limit imposed
other than the medical necessity for the services.
B. There shall be no limits placed on emergency room visits.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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