Medicaid Provider Manuals
COVID-19 Update: Changes to Medicaid policy and procedure deemed of an imminent peril to the public health, safety, or welfare and requiring immediate approval, such as those related to COVID-19, are exempt from the legislative requirement to publish the proposed policy or procedure for public comment prior to implementation. To keep abreast of these exempted changes to policy and procedure related to COVID-19, refer to the Coronavirus (COVID-19) Medicaid Information website, which provides guidance to Medicaid providers and managed care organizations, emergency rules, and requests LDH has submitted to the Centers for Medicare & Medicaid Services (CMS). Broader information related to COVID-19 can be found at http://ldh.la.gov/Coronavirus/.
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||Comment Period Closed||Document Links|
|2021-BH-11||Section 2.2 – Bed Based Services – Crisis Stabilization for Adults||9/27/21||11/11/21||Section 2.2 – Bed Based Services – Crisis Stabilization for Adults|
|2021-BH-12||Section 2.3 – Outpatient Services – Crisis Response Services for Adults||9/27/21||11/11/21||Section 2.3 – Outpatient Services – Crisis Response Services for Adults|
|2021-BH-13||Appendix B – Glossary/Acronyms||9/27/21||11/11/21||Appendix B – Glossary/Acronyms|
|2021-BH-14||Appendix D – Approved Curriculum Equivalency||9/27/21||11/11/21||Appendix D – Approved Curriculum Equivalency|
|2021-Medical Transportation-1||Section 10.1 – Covered Services||9/24/21||11/8/21||Section 10.1 – Covered Services|
|2021-Medical Transportation-2||Section 10.2 – Scheduling and Authorization||9/24/21||11/8/21||Section 10.2 – Scheduling and Authorization|
|2021-Medical Transportation-3||Section 10.3 – Provider Requirements||9/24/21||11/8/21||Section 10.3 – Provider Requirements|
|2021-Medical Transportation-4||Section 10.4 – Provider Responsibilities||9/24/21||11/8/21||Section 10.4 – Provider Responsibilities|
|2021-Medical Transportation-5||Section 10.6 – Claims and Encounters||9/24/21||11/8/21||Section 10.6 – Claims and Encounters|
|2021 – Professional Services -22||Section 5.1 – Covered Services - Cardiology||9/14/21||10/29/21||Section 5.1 – Covered Services - Cardiology|
|2021-Professional Services-21||Section 5.1 - Covered Services - Cochlear Implants||9/9/21||10/24/21||Section 5.1 - Covered Services - Cochlear Implants|
|2021-Hospitals-1||Section 25.6 - Prior Authorization||9/9/21||10/24/21||Section 25.6 - Prior Authorization|
|2021-Professional Services-20||Section 5.1 – Covered Services – Anesthesia||9/7/21||10/22/21||Section 5.1 – Covered Services – Anesthesia|
|2021-DME-5||Section 18.2 – Specific Coverage Criteria||9/7/21||10/22/21||Section 18.2 – Specific Coverage Criteria|