1. A. Adult day health care services shall be reimbursed according to LAC 50:XXI.709.

2. B. The following services shall be reimbursed at the authorized rate or approved amount of the installation, device/equipment, and when the service has been prior approved by the plan of care:

   1. 1. home delivered meals (not to exceed the maximum limit set by OAAS);
   2. 2. activity and sensor monitoring;
   3. 3. transition services (not to exceed the maximum lifetime limit set by OAAS);
   4. 4. personal emergency response system; and
   5. 5. assistive technology.
3. C. ADHC health status monitoring services shall be reimbursed as a per diem rate.

4. D. The following services shall be reimbursed at an established monthly rate:

   1. 1. support coordination;
   2. 2. transition intensive support coordination; and
   3. 3. monthly monitoring/maintenance for PERS and/or ASM services.
5. E. Reimbursement shall not be made for ADHC Waiver services provided prior to the department’s approval of the POC and release of prior authorization for the services.
6. F. The state has the authority to set and change provider rates and/or provide lump sum payments to providers based upon funds allocated by the legislature.

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 and the Office of Aging and Adult Services, LR 49:683 (April 2023), amended LR 50:383 (March 2024).