1. A. The department or its designee will review and approve or deny the transportation requests, prior to scheduling, for beneficiary eligibility and verification of the following:

   1. 1. that the originating or destination address belongs to a healthcare provider or facility; or
   2. 2. that the service is a prior authorized Medicaid covered service performed in the community.
2. B. Elevated level of care wheelchair services require verification of medical necessity through an additional prior approval.

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 47:1639 (November 2021), amended LR 50:1471 (October 2024), LR 51:1858 (November 2025).