LAC 50:XV.9523
LAC 50:XV.9523. Covered Services
Cite as La. Admin. Code tit. 50, pt. XV, § 9523
A. The following school-based personal care services shall be covered:
1. basic personal care, toileting, diapering, and grooming activities;
2. assistance with bladder and/or bowel requirements or problems, including helping the child to and from the bathroom, but excluding catheterization;
3. assistance with eating and food, nutrition, and diet activities;
4. accompanying, but not transporting, the beneficiary to and from his/her physician and/or medical facility for necessary medical services;
5. provides assistance with transfers, positioning and repositioning; and
6. provide positive behavior support strategies to assist students with prompting to perform services related to physical and/or behavioral health needs.
B. Documentation for EPSDT PCS provided shall include, at a minimum, the following:
1. daily notes by PCS provider denoting date of service;
2. services provided;
3. total number of hours worked;
4. time period worked;
5. condition of recipient;
6. service provision difficulties;
7. justification for not providing scheduled services; and
8. any other pertinent information.
C. There must be a clear audit trail between:
1. the prescribing physician;
2. the local education agency;
3. the individual providing the personal care services to the recipient; and
4. the services provided and reimbursed by Medicaid.