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:

Michelle Renee
225/342-5691

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:

Michelle Renee
225/342-5691


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
  • Behavioral Health, Evaluation and Therapy Services
  • Nursing Services


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:

Michelle Renee
225/342-5691