1. A. The following SUD services shall be reimbursed under the Medicaid Program:

   1. 1. assessment;
   2. 2. outpatient treatment;
   3. 3. residential treatment; and
   4. 4. inpatient treatment.

2. B. Service Exclusions. The following services/components shall be excluded from Medicaid reimbursement:

   1. 1. components that are not provided to, or directed exclusively toward the treatment of, the Medicaid eligible individual;
   2. 2. services provided at a work site which are job tasks oriented and not directly related to the treatment of the recipient’s needs;
   3. 3. any services or components in which the basic nature of which are to supplant housekeeping, homemaking, or basic services for the convenience of an individual receiving services; and
   4. 4. room and board for any rates provided in a residential setting.

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 38:426 (February 2012), amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 41:2357 (November 2015), amended by the Department of Health, Bureau of Health Services Financing and the Office of Behavioral Health, LR 44:1891 (October 2018), LR 45:270 (February 2019).