La. Admin. Code tit. 48 § V-4901

Current through Register Vol. 50, No. 11, November 20, 2024

Section V-4901 - Purpose and Services

A. Purpose. Children's Special Health Services (CSHS) provides for the care of children in Louisiana with certain special health care needs ( birth to 21 years).

B. Services Provided

1. Service Level I. CSHS provides general services for all children in Louisiana with special health care needs. Services are directed through information gathering, setting of service standards, program planning, public education, referral and family empowerment.

2. Service Level II. The program offers child specific medical care coordination for those families needing this service as determined by CSHS regional staff.

3. Service Level III. The Program offers child specific wraparound services which may include assessment,

intervention, and follow-up nursing, social and nutrition services. Other support services may include care coordination, parent-to-parent support, transition planning, and other allied health services.

4. Service Level IV. For those families who are financially and medically eligible (as defined in Chapter 51), the Program offers direct medical diagnostic and treatment services in addition to the services provided in Levels I, II and III. These direct medical services are available for children with certain chronic physical illnesses or serious disabilities which can be treated through an outpatient clinic approach.

a. These direct medical diagnostic and treatment services may include the provision of /or payment for hospitalizations, medications, (re)habilitative appliances and devices, medical equipment and allied health services as ordered by physicians on contract to CSHS.

b. Families receiving services from the Program are required to contribute financially through any form of medical insurance, (i.e., private, managed care plans, Medicaid or Medicare). Families may be required to make direct payment for services to vendors. A determination of ability to financially contribute is made by designated CSHS regional staff.

La. Admin. Code tit. 48, § V-4901

Promulgated by the Department of Health and Human Resources, Office of Preventive and Public Health Services, LR 13:246 (April 1987). Amended by the Department of Health and Hospitals, Office of Public Health, LR 15:10, amended by the Department of Health and Hospitals, Office of Public Health, LR 22:362 (May 1996).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:31.2, R.S. 40:1299.111-120, and Title XIX, Public Health Service Act, Section 1905