Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part V - Hospital Services
Subpart 5 - Outpatient Hospital Services
Chapter 59 - Rehabilitation Services
Subchapter B - Reimbursement Methodology
Section V-5921 - Rehabilitation Services for Recipients Ages 0 up to Age 3
Universal Citation: LA Admin Code V-5921
Current through Register Vol. 50, No. 9, September 20, 2024
A. The following are reimbursement rates for rehabilitation services provided to Medicaid recipients up to the age of 3, regardless of the type of provider performing the services:
1. initial speech/language
evaluation-$70;
2. initial hearing
evaluation-$70;
3. initial
occupational therapy evaluation-$70;
4. occupational therapy, 15
minutes-$15;
5. occupational
therapy, 30 minutes-$30;
6.
occupational therapy, 45 minutes-$45;
7. occupational therapy, 60
minutes-$60;
8. physical therapy
and rehab evaluation-$75;
9.
physical therapy, one modality-$37;
10. physical therapy, two or more
modalities-$56;
11. physical
therapy, one or more procedures, and/or modalities, 15
minutes-$18.50;
12. physical
therapy with procedures, 30 minutes-$37;
13. physical therapy with procedures, 75
minutes-$92.50;
14. procedures and
modalities, 60 minutes-$74;
15.
speech and hearing therapy, 15 minutes-$14;
16. speech and hearing therapy, 30
minutes-$28;
17. speech and hearing
therapy, 45 minutes-$42;
18. speech
and hearing therapy, 60 minutes-$56;
19. speech/language/hearing therapy, 60
minutes-$56;
20. visit with
procedure(s), 45 minutes-$56;
21.
visit with procedure(s), 60 minutes-$74; and
22. visit with procedure(s), 90
minutes-$112.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX 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.
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