La. Admin. Code tit. 50 § XXXIII-16101

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

Section XXXIII-16101 - Qualifying Criteria

A. Effective for dates of service on or after January 20, 2013, providers of behavioral health services may qualify for supplemental payments for services rendered to Medicaid recipients. To qualify for the supplemental payment, the behavioral health provider must be:

1. licensed as necessary by the state of Louisiana;

2. enrolled as a Medicaid provider; and

3. a government-owned and operated entity or a quasi-governmental entity.

B. Providers of the following services shall be eligible to receive supplemental payments:

1. providers furnishing services thru a statewide management organization;

2. children's mental health services;

3. behavioral health services;

4. home and community-based waiver services;

5. psychiatric residential treatment facility services;

6. therapeutic group home services;

7. substance abuse services; and

8. local government juvenile justice programs.

La. Admin. Code tit. 50, § XXXIII-16101

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 40:1529 (August 2014).

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