1. A. The following school-based personal care services shall be covered:

   1. 1. basic personal care, toileting, diapering, and grooming activities;
   2. 2. assistance with bladder and/or bowel requirements or problems, including helping the child to and from the bathroom, but excluding catheterization;
   3. 3. assistance with eating and food, nutrition, and diet activities;
   4. 4. accompanying, but not transporting, the beneficiary to and from his/her physician and/or medical facility for necessary medical services;
   5. 5. provides assistance with transfers, positioning and repositioning; and
   6. 6. provide positive behavior support strategies to assist students with prompting to perform services related to physical and/or behavioral health needs.

2. B. Documentation for EPSDT PCS provided shall include, at a minimum, the following:

   1. 1. daily notes by PCS provider denoting date of service;
   2. 2. services provided;
   3. 3. total number of hours worked;
   4. 4. time period worked;
   5. 5. condition of recipient;
   6. 6. service provision difficulties;
   7. 7. justification for not providing scheduled services; and
   8. 8. any other pertinent information.

3. C. There must be a clear audit trail between:

   1. 1. the prescribing physician;
   2. 2. the local education agency;
   3. 3. the individual providing the personal care services to the recipient; and
   4. 4. the services provided and reimbursed by Medicaid.

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, Bureau of Health Services Financing, LR 45:565 (April 2019), amended LR 47:740 (June 2021), LR 49:1388 (August 2023).