LAC 50:I.8303
LAC 50:I.8303. Crossover Claims
Cite as La. Admin. Code tit. 50, pt. I, § 8303
A. The Medical Assistance Program shall provide Medicaid coverage of Medicare Part A and Part B crossover claims for dually eligible recipients with the following limitations:
1. Medicaid coverage of Medicare Part B crossover claims shall be limited to only those services covered under Title XIX (Medicaid); and
2. payment of Medicare Part A and Part B co-insurance and deductibles shall be limited to the total Medicaid allowable cost for each covered service.