La. Admin. Code tit. 50 § XXI-5725

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

Section XXI-5725 - Specialized Medical Equipment and Supplies

A. Specialized Medical Equipment and Supplies

1. Incontinence briefs and supplies are available for a beneficiary, 21 years or older, who has a physician's order and requires the use of incontinence briefs and supplies.

2. Assistive technology (AT), which may include remote features, is a service intended to increase the individual's ability to perform activities more independently in their home, at their job, traveling around their community and/or communicating with others. The service may include equipment and applications that are used to support an individual remotely and increase their safety, independence and control. This service includes a consultation and, if needed, a monthly subscription fee.

B. Service Restrictions

1. Incontinence supplies are for those who are 21 years of age or older.

2. Assistive technology with remote features is for anyone 18 years or older.

3. Incontinence supplies require a physician's order.

4. An AT consultation is available if needed.

C. Service Limitations

1. Incontinence supplies' cost cannot exceed $2,500 in a single plan of care year.

2. Assistive technology with remote features services shall not exceed the number of units of service as outlined in the plan of care, and must have a prior authorization.

La. Admin. Code tit. 50, § XXI-5725

Promulgated by the Department of Health, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 50:214 LR 50214 (2/1/2024), Amended LR 501843 (12/1/2024).

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