Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XV - Services for Special Populations
Subpart 15 - Health Services for American Indians
Chapter 203 - Provider Participation
Section XV-20301 - "638" Facilities

1. a federally recognized tribe that meets the definition as set forth in 25 U.S.C. § 1603 (d); or

2. a tribal organization as that term is defined in 25 U.S.C. § 450 b(l); or

3. an inter-tribal consortium as that term is defined in 25 U.S.C. § 458 aaa(a)(5).

1. comply with all provider enrollment requirements for the Louisiana Medicaid Program, including an attestation stating they will only seek reimbursement for services rendered to Medicaid eligible tribe members and Medicaid eligible individuals who are statutorily eligible under 25 U.S.C. § 1680 c (a) to receive treatment at an IHS facility;

2. employ or have a contractual agreement with the licensed health professionals who will perform the required services included in the encounter rate. These health care professionals must meet the participation standards required for Medicaid enrollment of their respective provider type;

3. comply with the Medicaid rules and regulations governing those services included in the facility's encounter rate;

4. assure that services will be provided on-site; and

5. have a physician affiliated with the clinic that must spend as much time in the facility as is necessary to ensure that patients are receiving services in a safe and efficient manner in accordance with accepted standards of medical, dental, and behavioral health practice, and other health care professionals available as needed.