Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXXIII - Behavioral Health Services
Subpart 13 - Therapeutic Group Homes
Chapter 123 - Services
Section XXXIII-12303 - Covered Services
Universal Citation: LA Admin Code XXXIII-12303
Current through Register Vol. 50, No. 9, September 20, 2024
A. The Medicaid Program may reimburse a therapeutic group home for the following services:
1. screening and assessment
services;
2. therapy services
(individual, group, and family whenever possible);
3. on-going psychiatric assessment and
intervention as needed; and
4.
skill-building services.
B. Service Exclusions. The following services/components shall be excluded from Medicaid reimbursement:
1. components that are not provided to, or
directed exclusively toward the treatment of, the Medicaid eligible
individual;
2. services provided at
a work site which are job tasks oriented and not directly related to the
treatment of the recipient's needs;
3. any services or components in which the
basic nature of which are to supplant housekeeping, homemaking, or basic
services for the convenience of an individual receiving services;
4. services rendered in an institution for
mental disease;
5. room and board;
and
6. supervision associated with
the child's stay in the TGH.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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