Pediatric Day Health Care (PDHC) - MEDICAID - LOUISIANA

This policy covers Pediatric Day Health Care (PDHC) services under Louisiana Medicaid, providing community-based outpatient skilled nursing and therapeutic interventions for medically complex children when the PDHC prior authorization process and a signed physician order/individualized plan of care (POC) are met. Coverage is limited to members birth through 21 years who require ongoing RN/LPN-level skilled care that cannot be provided elsewhere and requires parental/guardian consent, prescribed frequency/duration, specified POC components with legible dated signatures, periodic face-to-face physician evaluations (every 90 days), and documentation on the prior authorization checklist.

"Pediatric Day Health Care (PDHC) services (implied by the title: "Pediatric Day Health Care (PDHC)")."

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