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 93 - Substance Abuse Services
Section XV-9303 - Covered Services
Universal Citation: LA Admin Code XV-9303
Current through Register Vol. 50, No. 9, September 20, 2024
A. The medical necessity for these rehabilitative services must be determined by, and services recommended by, a licensed mental health practitioner, or as ordered by a staff physician.
B. Outpatient Treatment Program
1. Professionally directed assessment,
diagnosis, treatment, and recovery services are provided in an organized
non-residential treatment setting by licensed mental health practitioners
(LMHPs) and non-licensed professionals under the supervision of a
LMHP.
2. Outpatient treatment
program hours range from one hour to nine hours/week. The maximum level of
hours may be exceeded based on medical necessity.
3. Outpatient treatment program services
include, but are not limited to:
a.
individual, group, and family counseling;
b. medication compliance;
c. relapse prevention; and
d. disease concept.
4. Outpatient treatment program services
offer comprehensive, coordinated, and defined services that may vary in level
of intensity.
C. Intensive Outpatient Treatment Program
1.
Professionally directed assessment, diagnosis, treatment, and recovery services
are provided in an organized non-residential treatment setting by LMHPs and
non-licensed professionals under the supervision of a LMHP.
2. Adolescents in intensive outpatient
treatment programs receive a minimum of six hours/week with no specified
frequency/week. The maximum is up to 20 hours/week. The maximum level of hours
may be exceeded based on medical necessity.
3. Intensive outpatient treatment program
services include, but are not limited to:
a.
individual, group, and family counseling; and
b. education on recovery.
4. Intensive outpatient treatment
program services offer comprehensive, coordinated, and defined services that
may vary in level of intensity.
5.
These services consist of a scheduled series of face-to-face sessions
appropriate to the individual's plan of care.
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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