Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XV - Services for Special Populations
Subpart 5 - Early and Periodic Screenings, Diagnosis, and Treatments
Chapter 91 - School Based Health Centers
Subchapter E - Reimbursement
Section XV-9141 - Reimbursement Methodology
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.
B. Medicaid covered services provided by SBHCs shall be reimbursed at the lower of either:
C. Effective for dates of service on or after February 13, 2014, reimbursement for physical and occupational therapy services shall be 85 percent of the 2013 Medicare published rate.
D. Speech/language therapy services shall continue to be reimbursed at the flat fee in place as of February 13, 2014 and in accordance with the Medicaid published fee schedule for speech/language therapy services provided in school based health centers.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
