1. A. Schedule

   	Routine	*Continuous	Respite	General Inpatient
   Hospital Based	$114	$28	$117	$504
   Freestanding	$116	$29	$120	$513
   *(Continuous Home Care is an hourly rate. All others are per diems)

2. B. The formulas for calculating payment amount by category of service are:

   1. 1. routine home care, respite care and general inpatient care:

      1. a. if billed charges > per diem amount, pay per diem amount less noncovered charges;
      2. b. if billed charges < per diem amount, pay billed charges less noncovered charge;

      Per Diem Rate x days = Per Diem Amount;

   2. 2. continuous home care―the rate quoted is an hourly rate. As defined above, to be covered, continuous home care must be provided for a minimum of eight hours.

      Hourly Rate x Hours of Care Provided = Payment Amount

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).