1. A. In order to participate in the Medicaid Program, a provider must meet all of the following requirements.

   1. 1. The provider must meet all the requirements for licensure as established by state laws and rules promulgated by the Department of Health (LDH) or have a current, valid license or certification from the appropriate governing board for that profession.

   2. 2. The provider must agree to comply with all the terms and conditions for Medicaid enrollment as contained in:

      1. a. the provider enrollment packet;
      2. b. the Medical Assistance Program Integrity Law (MAPIL), R.S. 46:437.1 - 440.3;
      3. c. the provider agreement;
      4. d. the standards for participation contained in the Children’s Choice and Case Management Services provider manuals; and
      5. e. all other applicable federal and state laws, regulations and policies.
   3. 3. All services must be appropriately documented in the provider’s records.

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 27: 310 (March 2001), repromulgated for LAC, LR 28:1984 (September 2002), amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 39:2501 (September 2013), amended by the Department of Health, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 43:2525 (December 2017).