La. Admin. Code tit. 50 § XV-9511

Current through Register Vol. 50, No. 12, December 20, 2024

Section XV-9511 - General Provisions

A. A special transportation trip is only billable to Medicaid on the same day that a Medicaid-eligible child is receiving a Medicaid Service included in the child's individualized service plan (IEP). Transportation shall be provided on a specially adapted bus. The need for transportation must be documented in the child's IEP.

B. School-based EPSDT transportation services shall be covered for all recipients in the school system who are eligible for the service.

C. Local education agency responsibilities shall be followed in accordance with §9507

D. Service Exclusion. Transportation services are not covered if performed for educational purposes (e.g., academic testing) or, as the result of the assessment and evaluation, it is determined the service is not reflected in an IEP. Medicaid does not reimburse for social or educational needs.

La. Admin. Code tit. 50, § XV-9511

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 45563 (4/1/2019), Amended LR 47740 (6/1/2021), Amended LR 491387 (8/1/2023).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.