Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXXIII - Behavioral Health Services
Subpart 11 - Psychiatric Residential Treatment Facility Services
Chapter 107 - Reimbursement
Section XXXIII-10705 - In-State Psychiatric Residential Treatment Facilities
Current through Register Vol. 50, No. 9, September 20, 2024
A. In-state publicly and privately owned and operated PRTFs shall be reimbursed for covered PRTF services according to the following provisions. The rate paid by the MCO or the CSoC contractor shall take into consideration the following ownership and service criteria:
B. Except as otherwise noted in these provisions, the Medicaid fee schedule is the same for governmental and private individual practitioners.
C. Risk Sharing. In-state privately owned and operated PRTF covered services provided during the time period from January 1, 2012 through June 30, 2013 shall also receive risk- sharing payments. These payments shall be made as part of a transitional plan to include these services within the Medicaid Program.
D. Beginning July 1, 2013, no risk-sharing payments will be paid and all covered PRTF services rendered by private facilities will be reimbursed using the established Medicaid fee schedule rates.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
