Page 4
Louisiana Medicaid Eligibility Manual Medical Services Reissued August 20, 2024 Replacing May 30, 2023
Page 4 of C-0000 Revised/added text indicated by underscore
Deleted text indicated by “**” Institution for Mental Diseases (IMD)
• Psychiatric services provided in an IMD for beneficiaries under age 21 or age 65 and older
Exception: Beneficiaries that are inpatient in an IMD on the day before their 21st birthday are eligible for benefits through the day before their 22nd birthday as long as they remain an inpatient and all other eligibility requirements are met.
Laboratory and X-Ray Services
• Medically necessary tests and x-rays that are not performed as routine procedures
Long Term Care (LTC) Services
• Residential care in a nursing facility
Medical Equipment, Appliances, & Supplies
• Medical equipment, appliances, and supplies provided with prior approval
Personal Care Services
• Services with an approved plan of care that provide assistance with distinct tasks, allowing the individual to remain at home instead of being an inpatient or a resident of a facility
Prescribed Medication
• Most prescriptions other than cosmetic drugs, cough and cold preparations, and minor tranquilizers
Professional Services
• Services provided by health care professionals in response to symptoms or diagnosed medical conditions indicating illness, injury, or trauma