Medicaid Provider Manuals

The intent of the provider services manual is to present useful information and guidance to providers participating in the Louisiana Medicaid Program. The first chapter, "General Information and Administration" contains information applicable to all providers. Each remaining chapter is dedicated to a specific program or service and outlines the policies, procedures, qualifications, services and limitations to that service or program. Click here to view current provider manuals.

Below are the changes to provider manuals beginning August 1, 2019. To provide feedback, please complete this form.

Item Number Provider Manual Chapter Date Posted Public Comments Due By Document Links
2020-DME-1

Durable Medical Equipment - 18.2 – Specific Coverage Criteria

1/28/20  3/13/20 

Durable Medical Equipment - 18.2 – Specific Coverage Criteria

2020-DME-2

Durable Medical Equipment - 18.5 – Prior Authorization

1/28/20  3/13/20 

Durable Medical Equipment - 18.5 – Prior Authorization

2020-DME-3

Durable Medical Equipment - Appendix E – Contact Referral Information

1/28/20  3/13/20 

Durable Medical Equipment - Appendix E – Contact Referral Information

2020-DME-4

Durable Medical Equipment - Appendix I – Breast Pump Form

1/28/20  3/13/20 

Durable Medical Equipment - Appendix I – Breast Pump Form

2020-Hospice-1

Hospice – 24.2 – Election of Hospice Care

1/23/20 3/13/20 Hospice – 24.2 – Election of Hospice Care
2020-Hospice-2

Hospice – Appendix C – Hospice Diagnosis Codes

1/23/20 3/8/20 Hospice – Appendix C – Hospice Diagnosis Codes
2019-ABA-1 Section 4.3Service Authorization Process 12/27/19 2/10/20 Section 4.3Service Authorization Process
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