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Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.7 — LT-PCS Service Delivery

LouisianasubregulatoryLouisiana Department of Health, Bureau of Health Services Financing / Office of Aging and Adult Services (OAAS)· effective 2021-08-24

What this rule requires your agency to do

  • 1If services are to be discontinued, the provider must notify the LTC Access contractor within 24 hours prior to action being taken. (Section 30.7, p.3)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.7 — LT-PCS Service Delivery)
  • 2Weekly units of service must not be more than the units specified in the POC. (Section 30.7, p.1)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.7 — LT-PCS Service Delivery)
  • 3Services provided in the beneficiary's home must be provided while the beneficiary is present, and provision of LT-PCS outside the home does not include trips outside state borders without written prior approval of OAAS or its designee. (Section 30.7, p.2)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.7 — LT-PCS Service Delivery)
  • 4A provider must give written notification to the beneficiary or responsible representative when discontinuing services for good cause, written and delivered in accordance with all LDH rules. (Section 30.7, p.2)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.7 — LT-PCS Service Delivery)
  • 5If POC deviations extend beyond 30 calendar days, there are continuous deviations, or an apparently permanent change in the beneficiary's functioning is noted, a status change assessment should be requested to determine if the POC needs revision. (Section 30.7, pp.1-2)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.7 — LT-PCS Service Delivery)
  • 6When discontinuing services without 30-day notice for unsafe working conditions, the provider must make a documented, reasonable effort to notify the beneficiary and/or personal representative and attempt to resolve the problem, and notify OAAS or its designee of safety concerns. (Section 30.7, p.3)(Louisiana Medicaid Services Manual, Chapter 30: Personal Care Services, Section 30.7 — LT-PCS Service Delivery)

Applies to: Medicaid-enrolled LT-PCS provider agencies and their direct care workers

Governs LT-PCS service delivery, including plan of care adherence and deviations, location-of-service rules, permissible service interruptions, and required notifications when discontinuing services.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.