La. Admin. Code tit. 50 § XVII-10505

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

Section XVII-10505 - Reimbursement Methodology

A. Medicaid coverage shall be limited to reimbursement for noninvasive types of bone growth stimulators only. Medicaid will not provide reimbursement for invasive types of bone growth stimulators.

B. Noninvasive types of bone growth stimulators shall be reimbursed on an item-by-item basis. Reimbursement amounts may be based on:

1. invoiced costs to providers;

2. comparative prices of providers;

3. manufacturer's suggested retail prices; or

4. a flat fee negotiated between the department and the provider.

La. Admin. Code tit. 50, § XVII-10505

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 37:1601 (June 2011).

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