LAC 50:XXIII.303
LAC 50:XXIII.303. Services Provided
Cite as La. Admin. Code tit. 50, pt. XXIII, § 303
A. The PACE benefit package for all participants, regardless of the source of payment, must include:
1. all Medicaid-covered services, as specified in the state’s approved Medicaid plan;
2. interdisciplinary assessment and treatment planning;
3. primary care, including physician and nursing services;
4. social services;
5. behavioral health services;
6. restorative therapies, including:
a. physical therapy;
b. occupational therapy; and
c. speech-language pathology services;
7. personal care and supportive services;
8. nutrition counseling;
9. recreational therapy;
10. transportation;
11. meals;
12. medical specialty services including, but not limited to:
a. anesthesiology;
b. audiology;
c. cardiology;
d. dentistry;
e. dermatology;
f. gastroenterology;
g. gynecology;
h. internal medicine;
i. nephrology;
j. neurosurgery;
k. oncology;
l. ophthalmology;
m. oral surgery;
n. orthopedic surgery;
o. otorhinolaryngology;
p. plastic surgery;
q. pharmacy consulting services;
r. podiatry;
s. psychiatry;
t. pulmonary disease;
u. radiology;
v. rheumatology;
w. general surgery;
x. thoracic and vascular surgery; and
y. urology;
13. laboratory tests, x-rays, and other diagnostic procedures;
14. drugs and biologicals;
15. prosthetics, orthotics, durable medical equipment, corrective vision devices, such as:
a. eyeglasses and lenses;
b. hearing aids;
c. dentures;
d. repair and maintenance of these items; and
e. wheelchairs, including custom wheelchairs that are medically necessary;
16. acute inpatient care, including:
a. ambulance;
b. emergency room care and treatment room services;
c. semi-private room and board;
d. general medical and nursing services;
e. medical surgical/intensive care/coronary care unit;
f. laboratory tests, x-rays, and other diagnostic procedures;
g. drugs and biological;
h. blood and blood derivatives;
i. surgical care, including the use of anesthesia;
j. use of oxygen;
k. physical, occupational, recreational therapies, and speech-language pathology services;
l. social services; and
m. psychiatric treatment;
17. nursing facility care, including:
a. semi-private room and board;
b. physician and skilled nursing services;
c. custodial care;
d. personal care and assistance;
e. drugs and biologicals;
f. physical, occupational, recreational therapies, and speech-language pathology, if necessary;
g. social services; and
h. medical supplies and appliances;
18. other services determined necessary by the interdisciplinary team to improve and maintain the participant’s overall health status.