1. A. The beneficiary shall be allowed the freedom of choice to select an EPSDT PCS provider.

2. B. EPSDT personal care services include:

   1. 1. basic personal care, including toileting, grooming, bathing and assistance with dressing;
   2. 2. assistance with bladder and/or bowel requirements or problems, including helping the beneficiary to and from the bathroom or assisting the beneficiary with bedpan routines, but excluding catheterization;
   3. 3. assistance with eating and food, nutrition, and diet activities, including preparation of meals for the beneficiary only;
   4. 4. performance of incidental household services essential to the beneficiary’s health and comfort in her/his home. Examples of such activities are changing and washing bed linens and rearranging furniture to enable the beneficiary to move about more easily in his/her own home;
   5. 5. accompanying, not transporting the beneficiary to and from his/her physician and/or other medical appointments for necessary medical services; and
   6. 6. assistance with locomotion in their place of service, while in bed or from one surface to another. Assisting the beneficiary with transferring and bed mobility.

3. C. Intent of Services

   1. 1. EPSDT PCS shall not be provided to meet childcare needs nor as a substitute for the parent or guardian in the absence of the parent or guardian.
   2. 2. EPSDT PCS shall not be used to provide respite care for the primary caregiver.
   3. 3. EPSDT PCS provided in an educational setting shall not be reimbursed if these services duplicate services that are provided by or shall be provided by the Department of Education.

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 21:947 (September 1995), repromulgated for LAC codification, LR 29:177 (February 2003), amended by the Department of Health, Bureau of Health Services Financing, LR 45:905 (July 2019).