§1243.2. Upper payment limit mechanism for outpatient behavioral health services for
Medicaid recipients under the age of twenty-one
A. The Louisiana Department of Health is authorized to seek approval from the
Centers for Medicare and Medicaid Services of a program designed to reimburse non-state,
governmental entities through the Medicaid program for outpatient behavioral health services
to Medicaid recipients under the age of twenty-one.
B. The Louisiana Department of Health may develop and maintain a Medicaid upper
payment limit financing methodology for the behavioral health services provided for in
Subsection A of this Section. The disbursements of monies generated by the use of an upper
payment limit methodology shall be made only in accordance with an approved waiver or
state plan amendment. The source of the non-federal match for these payments may only be
by voluntary certification of expenditures or intergovernmental transfer of funds.
Acts 2012, No. 650, §1, eff. June 7, 2012; Redesignated from R.S. 40:1300.332 by
HCR 84 of 2015 R.S.