LAC 50:XI.16301
LAC 50:XI.16301. Scope of Services [Formerly §16501]
Cite as La. Admin. Code tit. 50, pt. XI, § 16301
A. Medicaid reimbursement is limited to medically necessary services that are covered by the Medicaid State Plan and would be covered if furnished by a physician. The following services shall be covered:
1. services furnished by a physician, within the scope of practice of his profession under Louisiana law;
2. services furnished by a:
a. physician assistant;
b. nurse practitioner;
c. nurse midwife;
d. clinical social worker;
e. clinical psychologist; or
f. dentist;
3. services and supplies that are furnished as an incident to professional services furnished by all eligible professionals;
4. other ambulatory services; and
5. diabetes self-management training (DSMT) services.
B. The department shall provide coverage of diabetes self-management training services rendered to Medicaid beneficiaries diagnosed with diabetes mellitus.
C. The department shall provide coverage for fluoride varnish applications performed in the RHC.