Page 5

Louisiana Medicaid Eligibility Manual Medical Services Reissued August 20, 2024 Replacing May 30, 2023

Page 5 of C-0000 Revised/added text indicated by underscore

Deleted text indicated by “**”

Rehabilitation Services

• Prior-authorized speech, language, hearing, physical and/or occupational therapy provided by a rehabilitation center or outpatient hospital department. Does not include vocational or developmental evaluation, or voice evaluations or therapy.

Transportation

• Prior-authorized, non-emergency trips to obtain Medicaid- covered services.

Exception: Transportation for pharmacy services is not covered.

• Emergency transportation services (prior authorization is not required).

C-400 RESERVED