Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XI - Clinic Services
Subpart 15 - Rural Health Clinics
Chapter 163 - Services
Section XI-16301 - Scope of Services [Formerly section 16501]
Universal Citation: LA Admin Code XI-16301
Current through Register Vol. 50, No. 9, September 20, 2024
A. Medicaid reimbursement is limited to medically necessary services that are covered by the Medicaid State Plan and would be covered if furnished by a physician . The following services shall be covered:
1. services furnished by a
physician, within the scope of practice of his profession under Louisiana
law;
2. services furnished by a:
a. physician assistant;
b. nurse practitioner;
c. nurse midwife;
d. clinical social worker;
e. clinical psychologist; or
f. dentist;
3. services and supplies that are furnished
as an incident to professional services furnished by all eligible
professionals;
4. other ambulatory
services; and
5. diabetes
self-management training (DSMT) services.
B. The department shall provide coverage of diabetes self-management training services rendered to Medicaid beneficiaries diagnosed with diabetes mellitus.
1.
Repealed.
C. The department shall provide coverage for fluoride varnish applications performed in the RHC.
1. - 2.b.
Repealed.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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