Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXXIII - Behavioral Health Services
Subpart 5 - School-Based Behavioral Health Services
Chapter 43 - Services
Section XXXIII-4301 - General Provisions
Current through Register Vol. 50, No. 9, September 20, 2024
A. The Medicaid Program shall provide coverage for behavioral health services pursuant to §1905(a) of the Social Security Act which are addressed in the IEP, section 504 plan, IHP or otherwise medically necessary, and that correct or ameliorate a child's health condition.
B. Services must be performed by qualified providers who provide school-based behavioral health services as part of their respective area of practice (e.g. psychologist providing a behavioral health evaluation and/or services). Services rendered by certified school psychologists must be supervised consistent with R.S. 17:7.1.
C. Services shall be provided in accordance with the established service limitations.
D. Children who are in need of behavioral health services shall be served within the context of the family and not as an isolated unit.
E. Evidence-based practices require prior approval and fidelity reviews on an ongoing basis as determined necessary by the department.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.