Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXI - Home and Community-Based Services Waivers › Subpart 5 - Supports Waiver › Chapter 61 - Reimbursement › Section XXI-6101 - Unit of Reimbursement

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  reimbursement for all services will be paid on a per claim basis. The
				  reimbursement rate covers both service provision and administration. Services
				  which utilize a prospective flat rate of one-quarter hour (15 minutes) will not
				  be paid for the provision of less than one-quarter hour of service.
B. Supported Employment Services.
				  Reimbursement shall be a prospective flat rate for each approved unit of
				  service provided to the beneficiary. A standard unit of service in both
				  individual and group supported employment services is one-quarter hour (15
				  minutes). A standard unit for individual ongoing follow along and job
				  assessment is a fee for service rate.
C. Day Habilitation. Reimbursement shall be a
				  prospective flat rate for each approved unit of service provided to the
				  beneficiary. A standard unit of service is one-quarter hour (15
				  minutes).
D. Prevocational
				  Services. Reimbursement shall be a prospective flat rate for each approved unit
				  of service provided to the beneficiary. A standard unit of service is
				  one-quarter hour (15 minutes).
E.
				  Respite, housing stabilization transition services and housing stabilization
				  services shall be reimbursed at a prospective flat rate for each approved unit
				  of service provided to the beneficiary. One-quarter hour (15 minutes) is the
				  standard unit of service.
F.
				  Habilitation. Reimbursement shall be a prospective flat rate for each approved
				  unit of service provided to the beneficiary. One-quarter hour (15 minutes) is
				  the standard unit of service.
G.
				  Personal Emergency Response System (PERS). Reimbursement for the maintenance of
				  the PERS is paid through a monthly rate. Installation of the device is paid
				  through a one-time fixed cost.
H.
				  Direct Service Worker Wages and Bonus Payments
1.
				   Establishment of Direct Service Worker Wage Floor for Medicaid
				  Home and Community-Based Services for Intellectual and Developmental
				  Disabilities
a. Effective October 1, 2021,
				  providers of Medicaid home and community-based waiver services operated through
				  the Office for Citizens with Developmental Disabilities employing direct
				  service workers will receive the equivalent of a $2.50 per hour rate
				  increase.
b. Effective October 1,
				  2021, this increase or its equivalent will be applied to all service units
				  provided by direct service workers with an effective date of service for the
				  identified home and community-based waiver services provided beginning October
				  1, 2021.
c. The minimum hourly wage
				  floor paid to direct service workers shall be $9 per hour.
d. All providers of services affected by this
				  rate increase shall be subject to a direct service worker wage floor of $9 per
				  hour. This wage floor is effective for all affected direct service workers of
				  any work status whether full-time or part-time.
e. The Department of Health (LDH) reserves
				  the right to adjust the direct service worker wage floor as needed through
				  appropriate rulemaking promulgation consistent with the Administrative
				  Procedure Act.