Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary

Therapy Services

HOW TO ACCESS:

Recipients have the choice of services from the following provider types: Home Health; Hospital-Outpatient Services; and Rehabilitation Clinic Services.

ELIGIBILITY:

Medicaid recipients birth through 20 years of age.

COVERED SERVICES:

• Audiological Services (Available in rehabilitation Clininc and Hospital-Outpatient settings only.)
• Occupational Therapy
• Physical Therapy
• Speech & Language Therapy

COMMENTS:

Covered services can be provided in the home through Home Health and Rehabilitation Clinics. Services provided by Rehabilitation Clinics can also be provided at the clinic.  Services provided through Hospital-Outpatient Services must be provided at the facility/clinic.  Covered services may be provided by Early Steps/EICs or School Boards if prescribed by a physician and Prior Authorized.

All medically necessary services must be prescribed by a physician and Prior Authorization is required.  The provider of services will submit requests for Prior Authorization.

CONTACT:

Stephanie Young
(225)342-1461

HOW TO ACCESS:

EPSDT Health Services-Early Intervention Centers (EIC) or EarlySteps Program

ELIGIBILITY:

Medicaid recipients under 3 years of age.

COVERED SERVICES:

• Audiological Services
• Occupational Therapy
• Physical Therapy
• Speech & Language Therapy
• Psychological Therapy

COMMENTS:

All EPSDT Health Services through EICs amd EarlySteps must be included in the infant/toddler's Individualized Family Service Plan (IFSP). If services are provided by an EIC or EarlySteps, Prior Authorization requirements are met through inclusion of services on the IFSP.

CONTACT:

Kimberly Cezar
(225) 342-6253

Kimberly.Cezar@LA.GOV

HOW TO ACCESS:

EPSDT Health Services-Local Education Agencies (LEA) e.g. School Boards

ELIGIBILITY:

Medicaid recipients 3 through 20 years of age.

COVERED SERVICES:

• Audiological Evaluation and Therapy
• Occupational Therapy Evaluation and Treatment Services
• Physical Therapy Evaluation and Treatment Services
• Speech & Language Evaluation and Therapy
• Psychological Evaluation including a battery of tests, interviews, and behavioral evaluations that appraise cognitive, emotional, social, and behavioral functioning and self-concept.
• Psychological Therapy includes diagnosis and psychological counseling for children and their parents.

COMMENTS:

Services are performed by the Local Education Agencies (LEA).

All EPSDT Health Services must be included in the child's Individualized Education Program (IEP). If services are provided by a School Board, Prior Authorization requirements are met through inclusion of services on the IEP.

CONTACT:

Kaylin Tate
(225) 342-7862