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
2020-EPSDT Health-1

EPSDT Health + Idea - Section 20.0 – Overview

 12/28/20 2/11/21  EPSDT Health + Idea - Section 20.0 – Overview
2020-EPSDT Health-2

EPSDT Health + Idea - Section 20.1 – Covered Services

12/28/20  2/11/21 

EPSDT Health + Idea - Section 20.1 – Covered Services

2020-EPSDT Health-3

EPSDT Health + Idea - Section 20.2 – Eligibility Criteria

12/28/20  2/11/21 

EPSDT Health + Idea - Section 20.2 – Eligibility Criteria

2020-EPSDT Health-4

EPSDT Health + Idea - Section 20.3 – Provider Requirements

12/28/20  2/11/21 

EPSDT Health + Idea - Section 20.3 – Provider Requirements

2020-EPSDT Health-5

EPSDT Health + Idea - Section 20.4 – Program Requirements

12/28/20  2/11/21 

EPSDT Health + Idea - Section 20.4 – Program Requirements

2020-EPSDT Health-6

EPSDT Health + Idea - Section 20.5 – Record Keeping

12/28/20  2/11/21 

EPSDT Health + Idea - Section 20.5 – Record Keeping

2020-EPSDT Health-7 

EPSDT Health + Idea - Section 20.6 – Reimbursement

12/28/20  2/11/21 

EPSDT Health + Idea - Section 20.6 – Reimbursement

2020-Behavioral Health-10

Behavioral Health Services - Section 2.3 – Outpatient Services – Peer Support Services

12/22/20  2/5/21  Behavioral Health Services - Section 2.3 – Outpatient Services – Peer Support Services
2020-Behavioral Health-9

Behavioral Health Services - Appendix D - Approved Curriculum/Equivalency

12/22/20  2/5/21  Behavioral Health Services - Appendix D - Approved Curriculum/Equivalency
2020-Behavioral Health-8

Behavioral Health Services - Appendix E-4 – Evidenced Based Practices – (EBPs) Policy –  Multi-Systemic Therapy (MST)

 12/21/20 2/4/21  Behavioral Health Services - Appendix E-4 – Evidenced Based Practices – (EBPs) Policy –  Multi-Systemic Therapy (MST)
2020-Independent Labs-1

Independent Laboratories - Section 27.0 - Overview

12/9/20  1/23/21  Independent Laboratories - Section 27.0 - Overview
2020-Independent Labs-2

Independent Laboratories - Section 27.1 – Covered Services

12/9/20  1/23/21  Independent Laboratories - Section 27.1 – Covered Services
2020-Independent Labs-3

Independent Laboratories - Section 27.2 – Provider Requirements

12/9/20  1/23/21  Independent Laboratories - Section 27.2 – Provider Requirements
2020-Independent Labs-4

Independent Laboratories - Section 27.3 - Reimbursement

12/9/20  1/23/21  Independent Laboratories - Section 27.3 - Reimbursement
2020-Independent Labs-5

Independent Laboratories - Appendix A – Fee Schedule

12/9/20  1/23/21  Independent Laboratories - Appendix A – Fee Schedule
2020-ESRD-1

End Stage Renal Disease – Covered Services Section 17.1

12/8/20  1/22/21  End Stage Renal Disease – Covered Services Section 17.1
2020-Professional Services-10

Professional Services - 5.1 – Covered Services – Laboratory and Radiology

12/8/20  1/22/21  Professional Services - 5.1 – Covered Services – Laboratory and Radiology
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