A. The following are reimbursement rates for rehabilitation services provided to Medicaid recipients up to the age of 3, regardless of the type of provider performing the services:
- 1. initial speech/language evaluation—$70;
- 2. initial hearing evaluation—$70;
- 3. initial occupational therapy evaluation—$70;
- 4. occupational therapy, 15 minutes—$15;
- 5. occupational therapy, 30 minutes—$30;
- 6. occupational therapy, 45 minutes—$45;
- 7. occupational therapy, 60 minutes—$60;
- 8. physical therapy and rehab evaluation—$75;
- 9. physical therapy, one modality—$37;
- 10. physical therapy, two or more modalities—$56;
- 11. physical therapy, one or more procedures, and/or modalities, 15 minutes—$18.50;
- 12. physical therapy with procedures, 30 minutes—$37;
- 13. physical therapy with procedures, 75 minutes—$92.50;
- 14. procedures and modalities, 60 minutes—$74;
- 15. speech and hearing therapy, 15 minutes—$14;
- 16. speech and hearing therapy, 30 minutes—$28;
- 17. speech and hearing therapy, 45 minutes—$42;
- 18. speech and hearing therapy, 60 minutes—$56;
- 19. speech/language/hearing therapy, 60 minutes—$56;
- 20. visit with procedure(s), 45 minutes—$56;
- 21. visit with procedure(s), 60 minutes—$74; and
- 22. visit with procedure(s), 90 minutes—$112.
Authority Note
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
Historical Note
HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:1034 (May 2004), repromulgated LR 34:1921 (September 2008).