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a. - c. Repealed.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a. - y. Repealed.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a. - d. Repealed.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f. - l. Repealed.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.
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