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 C - School-Based Medicaid Personal Care Services
Section XV-9523 - Covered Services

Universal Citation: LA Admin Code XV-9523

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

A. The following school-based personal care services shall be covered:

1. basic personal care, toileting, diapering, and grooming activities;

2. assistance with bladder and/or bowel requirements or problems, including helping the child to and from the bathroom, but excluding catheterization;

3. assistance with eating and food, nutrition, and diet activities;

4. accompanying, but not transporting, the beneficiary to and from his/her physician and/or medical facility for necessary medical services;

5. provides assistance with transfers, positioning and repositioning; and

6. provide positive behavior support strategies to assist students with prompting to perform services related to physical and/or behavioral health needs.

B. Documentation for EPSDT PCS provided shall include, at a minimum, the following:

1. daily notes by PCS provider denoting date of service;

2. services provided;

3. total number of hours worked;

4. time period worked;

5. condition of recipient;

6. service provision difficulties;

7. justification for not providing scheduled services; and

8. any other pertinent information.

C. There must be a clear audit trail between:

1. the prescribing physician;

2. the local education agency;

3. the individual providing the personal care services to the recipient; and

4. the services provided and reimbursed by Medicaid.

C.5 - D.4. Repealed.

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

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