LAC 50:XXXIII.12303. Covered Services

A. The Medicaid Program may reimburse a therapeutic group home for the following services: 1. screening and assessment services; 2. therapy services (individual, group, and family whenever possible); 3. on-going psychiatric assessment and intervention as needed; and 4. skill-building services. B. Service Exclusions. The following services/components shall be excluded from Medicaid reimbursement: 1. components that are not provided to, or directed exclusively toward the treatment of, the Medicaid eligible individual; 2. services provided at a work site which are job tasks oriented and not directly related to the treatment of the recipient’s needs; 3. any services or components in which the basic nature of which are to supplant housekeeping, homemaking, or basic services for the convenience of an individual receiving services; 4. services rendered in an institution for mental disease; 5. room and board; and 6. supervision associated with the child’s stay in the TGH.