Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXIII - Program of All Inclusive Care for the Elderly
Chapter 3 - Services
Section XXIII-303 - Services Provided

Universal Citation: LA Admin Code XXIII-303

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

A. The PACE benefit package for all participants, regardless of the source of payment, must include:

1. all Medicaid-covered services, as specified in the state's approved Medicaid plan;

2. interdisciplinary assessment and treatment planning;

3. primary care, including physician and nursing services;

4. social services;

5. behavioral health services;
a. - c. Repealed.

6. restorative therapies, including:
a. physical therapy;

b. occupational therapy; and

c. speech-language pathology services;

7. personal care and supportive services;

8. nutrition counseling;

9. recreational therapy;

10. transportation;

11. meals;
a. - y. Repealed.

12. medical specialty services including, but not limited to:
a. anesthesiology;

b. audiology;

c. cardiology;

d. dentistry;

e. dermatology;

f. gastroenterology;

g. gynecology;

h. internal medicine;

i. nephrology;

j. neurosurgery;

k. oncology;

l. ophthalmology;

m. oral surgery;

n. orthopedic surgery;

o. otorhinolaryngology;

p. plastic surgery;

q. pharmacy consulting services;

r. podiatry;

s. psychiatry;

t. pulmonary disease;

u. radiology;

v. rheumatology;

w. general surgery;

x. thoracic and vascular surgery; and

y. urology;

13. laboratory tests, x-rays, and other diagnostic procedures;

14. drugs and biologicals;
a. - d. Repealed.

15. prosthetics, orthotics, durable medical equipment, corrective vision devices, such as:
a. eyeglasses and lenses;

b. hearing aids;

c. dentures;

d. repair and maintenance of these items; and

e. wheelchairs, including custom wheelchairs that are medically necessary;

f. - l. Repealed.

16. acute inpatient care, including:
a. ambulance;

b. emergency room care and treatment room services;

c. semi-private room and board;

d. general medical and nursing services;

e. medical surgical/intensive care/coronary care unit;

f. laboratory tests, x-rays, and other diagnostic procedures;

g. drugs and biological;

h. blood and blood derivatives;

i. surgical care, including the use of anesthesia;

j. use of oxygen;

k. physical, occupational, recreational therapies, and speech-language pathology services;

l. social services; and m. psychiatric treatment;

17. nursing facility care, including:
a. semi-private room and board;

b. physician and skilled nursing services;

c. custodial care;

d. personal care and assistance;

e. drugs and biologicals;

f. physical, occupational, recreational therapies, and speech-language pathology, if necessary;

g. social services; and

h. medical supplies and appliances;

18. other services determined necessary by the interdisciplinary team to improve and maintain the participant's overall health status.

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254, Title XIX of the Social Security Act, and 42 CFR 460 et seq.

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.