Current through Register Vol. 50, No. 9, September 20, 2024
A.
Respite care services-out of home are provided on a short-term basis to
beneficiaries who are unable to care for themselves due to the absence of, or
need for, relief of caregivers who normally provide care and support. Services
are provided by a center-based respite provider.
1. A licensed respite care facility shall
insure that community activities are available to the beneficiary in accordance
with his approved POC, including transportation to and from these
activities.
2. While receiving
respite care services, the beneficiary's routine is maintained in order to
attend school, school activities or other community activities. Community
activities and transportation to and from these activities in which the
beneficiary typically engages in are to be available while receiving respite
services-out of home.
a. These activities
should be included in the beneficiary's approved plan of care. This will
provide the beneficiary the opportunity to continue to participate in typical
routine activities.
b.
...
B.
Service Limits
1. Respite care services are
limited to 720 hours per beneficiary, per POC year.
2. The process for approving hours in excess
of 720 hours must go through the established approval process with proper
justification and documentation.
3.
Federal financial participation (FFP) will be claimed for the cost of room and
board only if it is provided as part of respite care furnished in a respite
center approved by the state that is not a private residence.
C. Service Exclusions
1. Room and board shall be covered only if it
is provided as part of respite care furnished in a state-approved facility that
is not a private residence.
2.
Respite care services-out of home is not a billable waiver service to
beneficiary receiving the following services:
a. community living supports;
b. companion care;
c. host home;
d. shared living; or
e. monitored in-home caregiving
(MIHC).
3. Respite care
services-out of home cannot be provided in a personal residence.
4. Payment will not be made for
transportation community access.
D. Provider Qualifications. Providers must be
licensed by the Department of Health as a home and community based services
provider and meet the module requirements for center-based respite in LAC
48:I.Chapter 50.
AUTHORITY
NOTE: Promulgated in accordance with
R.S.
36:254 and Title XIX of the Social Security
Act.
