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-4305 - Service Limitations and Exclusions
Universal Citation: LA Admin Code XXXIII-4305
Current through Register Vol. 50, No. 9, September 20, 2024
A. The Medicaid Program shall not cover school based behavioral health services performed solely for educational purposes (e.g. academic testing). Only services that are reflected in the IEP, section 504 plan, IHP (as determined by the assessment and evaluation) or otherwise medically necessary shall be covered.
B. Social needs, educational needs, or habilitative services are not covered school based behavioral health services.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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