LAC 50:XVII.10505
LAC 50:XVII.10505. Reimbursement Methodology
Cite as La. Admin. Code tit. 50, pt. XVII, § 10505
A. Medicaid coverage shall be limited to reimbursement for noninvasive types of bone growth stimulators only. Medicaid will not provide reimbursement for invasive types of bone growth stimulators.
B. Noninvasive types of bone growth stimulators shall be reimbursed on an item-by-item basis. Reimbursement amounts may be based on:
1. invoiced costs to providers;
2. comparative prices of providers;
3. manufacturer’s suggested retail prices; or
4. a flat fee negotiated between the department and the provider.