LAC 50:XV.7321. Reimbursement

A. Reimbursement for EPSDT PCS shall be the lesser of billed charges or the maximum unit rate set by the department. The maximum rate is a flat rate for each approved unit of service provided to the beneficiary. This rate shall be adjusted as necessary by the department. 1. One quarter hour (15 minutes) is the standard unit of service, exclusive of travel time to arrive at the beneficiary’s home. 2. The entire 15 minutes shall have been spent providing personal care services in order to be reimbursed for a unit. b. The minimum hourly rate paid to personal care workers shall be the current minimum wage plus 75 percent of the wage enhancement.