Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXI - Home and Community-Based Services Waivers
Subpart 13 - Residential Options Waiver
Chapter 167 - Provider Participation
Section XXI-16703 - Staffing Restrictions and Requirements
Universal Citation: LA Admin Code XXI-16703
Current through Register Vol. 50, No. 9, September 20, 2024
A. Legally responsible individuals may only be paid for services when the care is extraordinary in comparison to that of a beneficiary of the same age without a disability and the care is in the best interest of the beneficiary.
B.In order to receive payment, relatives must meet the criteria for the provision of the service and the same provider qualifications specified for the service as other providers not related to the beneficiary.
1. Relatives must also comply with the
following requirements:
a. become an employee
of the beneficiary's agency of choice and meet the same standards as direct
support staff who are not related to the individual;
b.become a Medicaid enrolled provider agency;
or
c.if the self-direction option
is selected, relatives must:
i. become an
employee of the self-direction beneficiary; and
ii. have a Medicaid provider agreement
executed by the fiscal agent as authorized by the Medicaid
agency.
2.
Family members who may provide services include:
a. parents of an adult child;
b. siblings;
c. grandparents;
d. aunts, and uncles; and
e. cousins.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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