Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XV - Services for Special Populations
Subpart 1 - Applied Behavior Analysis-Based Therapy Services
Chapter 1 - General Provisions
Section XV-103 - Recipient Criteria
Universal Citation: LA Admin Code XV-103
Current through Register Vol. 50, No. 9, September 20, 2024
A. In order to qualify for ABA-based therapy services, a Medicaid recipient must meet the following criteria. The recipient must:
1. be
from birth up to 21 years of age;
2. exhibit the presence of excesses and/or
deficits of behaviors that significantly interfere with home or community
activities (examples include, but are not limited to aggression, self-injury,
elopement, impaired development in the areas of communication and/or social
interaction, etc.);
3. be diagnosed
by a qualified health care professional with a condition for which ABA-based
therapy services are recognized as therapeutically appropriate, including
autism spectrum disorder; and
4.
have a comprehensive diagnostic evaluation that prescribes and/or recommends
ABA services that is conducted by a qualified health care
professional.
B. All of the criteria in §103. A must be met to receive services.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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