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

   1. 1. therapeutic services delivered by one of the following practitioners:

      1. a. psychiatrist;
      2. b. licensed mental health professional;
      3. c. provisionally licensed professional counselor;
      4. d. provisionally licensed marriage and family therapist;
      5. e. licensed master social worker;
      6. f. psychology intern from an American Psychological Association approved internship program; or
      7. g. provisionally licensed psychologist);
   2. 2. rehabilitation services, including community psychiatric support and treatment (CPST) and psychosocial rehabilitation (PSR);
   3. 3. crisis intervention services; and
   4. 4. crisis stabilization services.

2. B. Service Exclusions. The following services 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;
   4. 4. services rendered in an institute for mental disease other than a psychiatric residential treatment facility (PRTF) or an inpatient psychiatric hospital; and
   5. 5. the cost of room and board associated with crisis stabilization.

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 38:364 (February 2012), amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 41:2359 (November 2015), amended by the Department of Health, Bureau of Health Services Financing and the Office of Behavioral Health, LR 44:1892 (October 2018), LR 50:983 (July 2024), amended by the Department of Health, Bureau of Health Services Financing, LR 52:496 (April 2026).