Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXI - Home and Community-Based Services Waivers
Subpart 5 - Supports Waiver
Chapter 57 - Covered Services
Section XXI-5703 - Day Habilitation
Current through Register Vol. 50, No. 9, September 20, 2024
A. Day habilitation is services that assist the beneficiary to gain desired community living experience, including the acquisition, retention or improvement in self-help, socialization and adaptive skills, and/or to provide the beneficiary an opportunity to contribute to his or her community. These services may be coordinated with any physical, occupational, or speech therapies identified in the individualized plan of care. Volunteer activities may be a part of this service and should follow the state guidelines for volunteering.
B. Day habilitation is the overarching service and may be delivered in a combination of these two service types:
NOTE: Day habilitation services may be delivered virtually and be included in the approved plan of care.
C. Day habilitation services are provided on a regularly scheduled basis for one or more days per week in a variety of community settings that are separate from the beneficiary's private residence, with the exception of virtual day habilitation. Day habilitation services should not be limited to a fixed site facility. Activities and environments are designed to foster personal choice in developing the beneficiary's meaningful day, including community activities alongside people who do not receive HCBS.
D. Day habilitation services may include assistance in personal care with activities of daily living.
E. Transportation is a separate billable component for day habilitation services. A day habilitation service must be billed on the same day that transportation is billed. Transportation cannot be billed if the service is delivered virtually.
F. Service Limitations. Services shall not exceed the number of units of service as defined in a plan of care year and must have a prior authorization.
G. Restrictions
H. Repealed.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.