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 95 - School-Based Health Services
Subchapter B - School-Based EPSDT Transportation Services
Section XV-9511 - General Provisions

Universal Citation: LA Admin Code XV-9511

Current through Register Vol. 50, No. 9, September 20, 2024

A. A special transportation trip is only billable to Medicaid on the same day that a Medicaid-eligible child is receiving a Medicaid Service included in the child's individualized service plan (IEP). Transportation shall be provided on a specially adapted bus. The need for transportation must be documented in the child's IEP.

B. School-based EPSDT transportation services shall be covered for all recipients in the school system who are eligible for the service.

C. Local education agency responsibilities shall be followed in accordance with §9507

D. Service Exclusion. Transportation services are not covered if performed for educational purposes (e.g., academic testing) or, as the result of the assessment and evaluation, it is determined the service is not reflected in an IEP. Medicaid does not reimburse for social or educational needs.

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

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