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 Public Comments Due By Document Links
2021-PACE-5 Section 35.1 – Services 6/14/21 7/29/21 Section 35.1 – Services
2021-PACE-6

Section 35.2 – Beneficiary Requirements

6/14/21

7/29/21

Section 35.2 – Beneficiary Requirements
2021-PACE-7

Section 35.3 – Service Access and Authorization

6/14/21 7/29/21 Section 35.3 – Service Access and Authorization
2021-PACE-8 Section 35.4 – Provider Requirements 6/14/21 7/29/21 Section 35.4 – Provider Requirements
2021-PACE-9

Section 35.7 – Reimbursement

6/14/21 7/29/21 Section 35.7 – Reimbursement
2021-PACE-10

Section 35.X – Beneficiary Rights and Responsibilities

6/14/21 7/29/21 Section 35.X – Beneficiary Rights and Responsibilities
2021-PACE-11

Appendix A - Glossary

6/14/21 7/29/21 Appendix A - Glossary
2021-Professional Services-7 Section 5.0 – Overview 5/20/21 7/3/21 Section 5.0 – Overview
2021-Professional Services-8

Section 5.1 – Critical Care Services

5/20/21 7/3/21 Section 5.1 – Critical Care Services
2021-Professional Services-9

Section 5.1 – Global Surgery Period

5/20/21 7/3/21 Section 5.1 – Global Surgery Period
2021-Professional Services-10

Section 5.1 – Gynecology

5/20/21 7/3/21 Section 5.1 – Gynecology
2021-Professional Services-11 Section 5.1 – Medical Review 5/20/21 7/3/21 Section 5.1 – Medical Review
2021-Professional Services-12 Section 5.1 – Modifiers 5/20/21 7/3/21 Section 5.1 – Modifiers
2021-Professional Services-13 Section 5.1 - Obstetrics 5/20/21 7/3/21 Section 5.1 - Obstetrics
2021-Professional Services-14 Section 5.1 – Physician Administered Drugs 5/20/21 7/3/21 Section 5.1 – Physician Administered Drugs
2021-Professional Services-15

Section 5.1 – Sterilizations

5/20/21 7/3/21 Section 5.1 – Sterilizations
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