1. A. All behavioral health services must be medically necessary. The medical necessity for services shall be determined by a licensed mental health practitioner (LMHP) or physician who is acting within the scope of his/her professional license and applicable state law.
2. B. All services shall be prior authorized. Services which exceed the initial authorization must be approved for re-authorization prior to service delivery.

3. C. Services provided to children and youth must include communication and coordination with the family and/or legal guardian and custodial agency for children in state custody. Coordination with other child-serving systems should occur as needed to achieve the treatment goals. All coordination must be documented in the child’s medical record.

   1. 1. The agency or individual who has the decision making authority for a child or adolescent in state custody must request and approve the provision of services to the recipient.

4. D. Children who are in need of behavioral health services shall be served within the context of the family and not as an isolated unit.

   1. 1. Services shall be:

      1. a. delivered in a culturally and linguistically competent manner; and
      2. b. respectful of the individual receiving services.
   2. 2. Services shall be appropriate to children and youth of diverse racial, ethnic, religious, sexual, and gender identities and other cultural and linguistic groups.

   3. 3. Services shall also be appropriate for:

      1. a. age;
      2. b. development; and
      3. c. 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, Bureau of Health Services Financing, LR 38:369 (February 2012), amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 41:2369 (November 2015).