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Louisiana Medicaid Eligibility Manual Medical Services Reissued August 20, 2024 Replacing May 30, 2023
Page 3 of C-0000 Revised/added text indicated by underscore
Deleted text indicated by “**”
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services
• Medically necessary and preventive health care services provided to beneficiaries under age 21 including comprehensive assessments of physical and mental health, immunizations, lab tests, vision, hearing, and dental screenings, diagnostic and treatment services, and rehabilitation services
Eye Care Services
• Eye care for injury or disease for beneficiaries age 21 and over (Eyeglasses after cataract surgery are not covered except in QMB coinsurance)
• Routine eye exams and eyeglasses for beneficiaries under age 21 as EPSDT services
Home and Community Based Services
• Alternatives to institutional care such as, Personal Assistance Services (PAS), Long Term Personal Care Services ( LT-PCS), and Waiver services
Home Health Services
• Part-time skilled nursing services, home health aide services, medical supplies, equipment and appliances, and physical or occupational therapy, speech pathology, and audiology services provided in the beneficiary’s home
Hospital Services
• Inpatient, outpatient, and emergency room
• Inpatient psychiatric services in Free Standing Psychiatric Hospitals and Distinct Part Psychiatric Units of Acute Care General Hospitals