LAC 50:III.20305. Services

A. Covered Services. Recipients shall receive coverage of pregnancy-related health care services and associated medically necessary services for conditions that, if not treated, would complicate the pregnancy. Pregnancy-related health care services which may be covered include: 1. inpatient and outpatient health care services; 2. physician services; 3. surgical services; 4. clinic and other ambulatory health care services; 5. prescription and over-the-counter medications; 6. laboratory and radiological services; 7. pre-natal care and pre-pregnancy family services and supplies; 8. inpatient and outpatient mental health services other than those services relative to substance abuse treatment; 9. durable medical equipment and other medically-related or remedial devices; 10. disposable medical supplies; 11. nursing care services; 12. case management services; 13. physical therapy, occupational therapy and services for individuals with speech, hearing and language disorders; 14. medical transportation services; and 15. any other medically necessary medical, diagnostic, screening, preventive, restorative, remedial, therapeutic or rehabilitative services. B. Service Exclusion. Sterilization procedures are not a covered service in this program. C. Service Limits and Prior Authorization. Other Medicaid-specific benefit limits, age limits and prior authorization requirements may be applicable to the services covered in this program.