Louisiana Medicaid pays for in-home personal care and related services through 2 programs, including the Community Choices Waiver (CCW) and the New Opportunities Waiver (NOW). The Office of Aging and Adult Services runs CCW and LT-PCS, and the Office of Intellectual and Developmental Disability Supports (OIDD) runs NOW, Children's Choice, Supports, and Residential Options waivers. CCW has a request-for-services registry with priority groups.
Yes. Long-Term Personal Care Services (LT-PCS) helps Medicaid recipients 21 and older who qualify for nursing home care with activities of daily living plus light housekeeping, meals, shopping, and laundry; it does not cover companionship or sitter services, and CCW recipients cannot also get LT-PCS.
Which Louisiana waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
Community Choices Waiver (CCW)
Population
Older adults and people with adult-onset disabilities who are 21 or older, meet long-term care Medicaid eligibility, and meet nursing home level of care.
Services covered
personal assistance services
caregiver temporary support (respite)
monitored in-home caregiving
adult day health care
home delivered meals (up to two per day)
personal emergency response system
support coordination
financial management services
nursing services
Billing format
EVV is captured in the Louisiana Service Reporting System (LaSRS), run by the state's data and prior authorization contractor, Statistical Resources, Inc.; providers may use their own EVV system with an attestation.
People 3 and older with a developmental disability and an OIDD Statement of Approval who meet ICF/IID level of care and whose needs cannot be met by another OIDD waiver.
Services covered
individualized and family support (day and night)
adult companion care
center-based respite
community integration and development
day habilitation
supported living
personal emergency response system
self-direction option
Billing format
Services follow an Individual Support Plan; EVV for personal care services is captured in LaSRS.
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
caregiver scheduling software for home care agencies.
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