La. Admin. Code tit. 50, § XXXIII-8501 - Provider Responsibilities
A.
Each provider of home and community-based behavioral health waiver services
shall enter into a contract with the CSoC contractor in order to receive
reimbursement for Medicaid covered services.
B. All services shall be delivered in
accordance with federal and state laws and regulations, the provisions of this
Rule, the provider manual, and other notices or directives issued by the
department.
C. Providers of waiver
services shall ensure that all services are authorized and any services that
exceed established limitations beyond the initial authorization are approved
for re-authorization prior to service delivery.
D. Anyone providing behavioral health
services must be licensed in accordance with state laws and regulations, in
addition to operating within their scope of practice license. Providers
requiring certification in accordance with federal or state laws, regulations,
rules, the provider manual, or other notices or directives issued by the
department must be appropriately certified. To be certified or recertified,
providers shall meet the provisions of this Rule, the provider manual and the
appropriate statutes. The provider shall create and maintain documents to
substantiate that all requirements are met.
E. Providers shall maintain case records that
include, at a minimum:
1. a copy of the plan
of care;
2. the name of the
individual;
3. the dates of
service;
4. the nature, content and
units of services provided;
5. the
progress made toward functional improvement; and
6. the goals of the plan of care.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. Each provider of home and community-based behavioral health waiver services shall enter into a contract with the CSoC contractor in order to receive reimbursement for Medicaid covered services.
B. All services shall be delivered in accordance with federal and state laws and regulations, the provisions of this Rule, the provider manual, and other notices or directives issued by the department.
C. Providers of waiver services shall ensure that all services are authorized and any services that exceed established limitations beyond the initial authorization are approved for re-authorization prior to service delivery.
D. Anyone providing behavioral health services must be licensed in accordance with state laws and regulations, in addition to operating within their scope of practice license. Providers requiring certification in accordance with federal or state laws, regulations, rules, the provider manual, or other notices or directives issued by the department must be appropriately certified. To be certified or recertified, providers shall meet the provisions of this Rule, the provider manual and the appropriate statutes. The provider shall create and maintain documents to substantiate that all requirements are met.
E. Providers shall maintain case records that include, at a minimum:
1. a copy of the plan of care;
2. the name of the individual;
3. the dates of service;
4. the nature, content and units of services provided;
5. the progress made toward functional improvement; and
6. the goals of the plan of care.