Mental Health Rehabilitation


Mental Health Rehabilitation, or MHR, is one behavioral health provider type within the Medicaid system. Two of the  services of focus include Community Psychiatric Supportive Treatment (CPST) and Psychosocial Rehabilitation (PSR) which are home and community based services. In 2019 and 2020 for approximately 18 months, the Office of Behavioral Health (OBH) collaborated with MHR providers and the five Managed Care Organizations (MCOs) to develop and implement reforms to the MHR program. To facilitate conversations around these changes, the Office of Behavioral Health (OBH) hosted monthly MHR Stakeholder Group meetings, including breakout sessions for focused discussions. One of the recommendations that came from the workgroup was a complete overhaul of the CPST and PSR services definitions.


The Louisiana Legislature passed Senate Bill 213 and Governor John Bel Edwards signed it as Act 503. The legislation renews the integrity and sustainability of the Medicaid Mental Health Rehabilitation (MHR) program by increasing distinction between Community Psychiatric Support and Treatment (CPST) and Psychosocial Rehabilitation (PSR) services and by expanding utilized provider types for CPST services. A recording of the All-MHR Provider Call from April 22, 2022, can be found in the MHR Stakeholder Presentations section below. 

For a summary of the changes to the CPST and PSR services, please refer to Information Bulletin 22-22. Additional guidance will be updated periodically within the Informational Bulletin.

MHR Regional Tour – October 2022

The Office of Behavioral Health (OBH) is planning a regional tour of the state to meet with MHR providers regarding Act 503 and the redesigned CPST and PSR services. OBH staff will present on the changes to the service definitions and the expanded provider types for CPST. Representatives from the managed care entities will also be available for questions. The schedule and locations for the tour is provided below. RSVP/registration is not required for attendance. For more information, email

October 3 – Hammond: 10:00 a.m.

Tangipahoa Parish Government
Clausen Building, Large Conference Room
15485 W Club Deluxe Road
Hammond, LA 70403

October 4 – Lafayette: 10:00 a.m.

Lafayette Economic Development Authority
Conference Room
211 E. Devalcourt Street
Lafayette, LA 70506

(Overflow parking available next door at Abdalla Hall or across the street at the Louisiana Immersive Technologies Enterprise)

October 4 – Lake Charles: 4:00 p.m.

United Way Southwest Louisiana
Training Room
815 Ryan Street
Lake Charles, LA 70601

(Overflow parking available on the southeast corner of Ryan Street and Broad Street)

October 5 – Alexandria: 10:30 a.m.

Central Louisiana Technical Community College
Multi-Purpose Room
516 Murray Street
Alexandria, LA 71301

October 5 – Bossier City: 4:00 p.m.

Hilton Garden Inn
Camellia Room
2015 Old Minden Road
Bossier City, LA 71111

October 6 – Monroe: 1:30 p.m.

Ouachita Parish Health Unit
Community Room
1650 Desiard Street
Monroe, LA 71201

October 7 – Baton Rouge: 10:00 a.m.

Louisiana Department of Health
Bienville Building, Room 118
628 N. 4th Street
Baton Rouge, 70802

October 11 – Metairie: 9:30 a.m.

East Bank Regional Library
Jefferson Room
4747 West Napoleon Avenue
Metairie, LA 70001

October 11 – Houma: 1:30 p.m.

North Terrebonne Library
Small Conference Room
4130 W Park Avenue
Gray, LA 70359



MHR Stakeholder Presentations



The Louisiana Department of Health strives to make the information on this webpage as accurate, complete, reliable and as timely as possible. The information is subject to change and to future revisions as the implementation and operations of specialized behavioral health services continue to evolve. Providers are responsible to ensure services are delivered in accordance with the version of the provider manual and any rules in effect on the date of service. Prior to inclusion of behavioral health services in the Medicaid Service Provider Manual in 2017, the Service Definition Manual version 9 (SDM v9) was in effect. Providers are responsible to ensure services are delivered in accordance with the version of the SDM or Medicaid Service Provider Manual and any rules in effect on the date of service.

LDH, its employees, agents, or others will not be liable or responsible to you for any claim, loss, injury, liability, or damages related to your use of or reliance upon this information.

This information is not intended to be a substitute for professional legal, financial or business advice. This webpage does not create, nor is it intended to create, an attorney-client relationship between you and LDH. You are urged to consult with your attorney, accountant or other qualified professional if you require advice or opinions tailored to your specific needs and circumstances.

Contact Person

Robyn McDermott
OBH Deputy Assistant Secretary

628 N. 4th Street, 4th Floor
Baton Rouge, LA 70802