Medicaid Managed Care Policies & Procedures

In accordance with La. R.S. 46:460.51, et seq., prior to adopting, approving, amending, or implementing certain policies or procedures, LDH will publish the proposed policy or procedure for the purpose of soliciting public comments. For this purpose, a policy or procedure, as defined by the statute, shall mean a requirement governing the administration of managed care organizations specific to billing guidelines, medical management and utilization review guidelines, case management guidelines, claims processing guidelines and edits, grievance and appeals procedures and process, other guidelines or manuals containing pertinent information related to operations and pre-processing claims, and core benefits and services.

The following table contains the LDH and managed care organization policies and procedures that are open for public comment.




Item Number  Policy/Procedure Policy/Procedure Date Posted Comment Period Closed Status Comment Period Closed Status  Policy/Procedure Date Posted Comment Period Closed Status  Comment Period Closed Status  Status Document Links
2025-LHCC-690 Outpatient Habilitative and Rehabilitative Speech Therapy 9/3/25 10/18/25 Pending Outpatient Habilitative and Rehabilitative Speech Therapy
2025-LHCC-1109 Diaphragmatic/Phrenic Nerve Stimulation 9/2/25 10/17/25 Pending Diaphragmatic/Phrenic Nerve Stimulation
2025-LHCC-1228  Sacroiliac Joint Interventions for Pain Management  9/2/25 10/17/25 Pending Sacroiliac Joint Interventions for Pain Management
2025-LHCC-1265  Vagus Nerve Stimulation  9/2/25 10/17/25 Pending Vagus Nerve Stimulation
2025-LHCC-1271  Implantable Hypoglossal Nerve Stimulation for OSA  9/2/25 10/17/25 Pending Implantable Hypoglossal Nerve Stimulation for OSA 
2025-LHCC-1274 Osteogenic Stimulation  9/2/25 10/17/25 Pending Osteogenic Stimulation 
2025-LHCC-1284 Preventive Health and Clinical Practice 9/2/25 10/17/25 Pending Preventive Health and Clinical Practice
2025-HBL-1311 Bone Anchored and Bone Conduction Hearing Aids 9/2/25 10/17/25 Pending Bone Anchored and Bone Conduction Hearing Aids
2025-LHCC-1412 Clinical Policy: Clinical Trials 9/2/25 10/17/25 Pending Clinical Policy: Clinical Trials
2025-LHCC-1524 Posterior Tibial Nerve Stimulation for Voiding Dysfunction 9/2/25 10/17/25 Pending Posterior Tibial Nerve Stimulation for Voiding Dysfunction
2025-LHCC-1525 Intradiscal Steroid Injections for Pain Management 9/2/25 10/17/25 Pending Intradiscal Steroid Injections for Pain Management
2025-LHCC-1526 Trigger Point Injections 9/2/25 10/17/25 Pending Trigger Point Injections
2025-LHCC-1744 Phototherapy for Neonatal Hyperbilirubinemia 9/2/25 10/17/25 Pending Phototherapy for Neonatal Hyperbilirubinemia
2025-LHCC-2225 Lantidra (donislecel) Allogeneic Pancreatic Islet Cellular Therapy 9/2/25 10/17/25 Pending Lantidra (donislecel) Allogeneic Pancreatic Islet Cellular Therapy
2025-HUM-1548 Individual Placement and Support (IPS) 8/5/25 9/19/25 Pending Individual Placement and Support (IPS)
2025-HUM-1657 Hospital Bed Clinical Coverage Policy 8/5/25 9/19/25 Pending Hospital Bed Clinical Coverage Policy
2025-LHCC-1746 Total Artificial Heart 8/5/25 9/19/25 Pending Total Artificial Heart
2025-LHCC-1840 Cochlear Implants and Replacements 8/5/25 9/19/25 Pending Cochlear Implants and Replacements
2025-LHCC-1945 Homocysteine Testing 8/5/25 9/19/25 Pending Homocysteine Testing
2025-LHCC-2178 Allogeneic Hematopoietic Progenitor Cell Therapy 8/5/25 9/19/25 Pending Allogeneic Hematopoietic Progenitor Cell Therapy
2025-LHCC-2352 ID Multisystem Lab Testing 8/5/25 9/19/25 Pending ID Multisystem Lab Testing
2025-LHCC-2353 Dermatologic Lab Testing 8/5/25 9/19/25 Pending Dermatologic Lab Testing
2025-LHCC-2355 ID Vector Borne and Tropical Disease Lab Testing 8/5/25 9/19/25 Pending ID Vector Borne and Tropical Disease Lab Testing
2025-LHCC-2356 Primary Care Preventative Lab Testing 8/5/25 9/19/25 Pending Primary Care Preventative Lab Testing
2025-LHCC-2357 ID Genitourinary Lab Testing 8/5/25 9/19/25 Pending ID Genitourinary Lab Testing
2025-LHCC-2359 Gastroenterologic Lab Testing 8/5/25 9/19/25 Pending Gastroenterologic Lab Testing
2025-HUM-2528 Applied Behavioral Analysis DRAFT 8/5/25 9/19/25 Pending Applied Behavioral Analysis DRAFT
2025-LHCC-111 Functional Family Therapy - Child Welfare 8/5/25 9/19/25 Pending Functional Family Therapy - Child Welfare
2025-UHC-378 Surgery of the Shoulder 8/5/25 9/19/25 Pending Surgery of the Shoulder
2025-UHC-476 Cytological Examination of Breast Fluids for Cancer Screening or Diagnosis 8/5/25 9/19/25 Pending Cytological Examination of Breast Fluids for Cancer Screening or Diagnosis
2025-UHC-478 Obstructive and Central Sleep Apnea Treatment 8/5/25 9/19/25 Pending Obstructive and Central Sleep Apnea Treatment
2025-LHCC-499 Retrospective Review For Services Requiring Authorizations 8/5/25 9/19/25 Pending Retrospective Review For Services Requiring Authorizations
2025-UHC-562 Sinus Surgeries and Interventions 8/5/25 9/19/25 Pending Sinus Surgeries and Interventions
2025-LHCC-603 Coordinated System of Care (CSoC) PP 8/5/25 9/19/25 Pending Coordinated System of Care (CSoC) PP
2025-UHC-794 Noncontact Warming Therapy, Ultrasound therapy and Flurescence Imaging for Wounds 8/5/25 9/19/25 Pending Noncontact Warming Therapy, Ultrasound therapy and Flurescence Imaging for Wounds
2025-LHCC-1108 Pediatric Liver Transplant 8/5/25 9/19/25 Pending Pediatric Liver Transplant
2025-LHCC-1211 Reduction Mammoplasty and Gynecomastia Surgery 8/5/25 9/19/25 Pending Reduction Mammoplasty and Gynecomastia Surgery
2025-LHCC-1227 Skin and Soft Tissue Substitutes for Chronic Wounds 8/5/25 9/19/25 Pending Skin and Soft Tissue Substitutes for Chronic Wounds
2025-UHC-1393 Panniculectomy and Body Contouring Procedures 8/5/25 9/19/25 Pending Panniculectomy and Body Contouring Procedures
2025-UHC-1400 Occipital Nerve Injections and Ablations 8/5/25 9/19/25 Pending Occipital Nerve Injections and Ablations
2025-LHCC-1452 Caudal or Interlaminar Epidural Steroid Injections 8/5/25 9/19/25 Pending Caudal or Interlaminar Epidural Steroid Injections
2025-LHCC-1454 Facet Joint Interventions 8/5/25 9/19/25 Pending Facet Joint Interventions
2025-LHCC-1456 Fecal Incontinence Treatments 8/5/25 9/19/25 Pending Fecal Incontinence Treatments
2025-LHCC-1457 Neuromuscular Electrical Stimulation 8/5/25 9/19/25 Pending Neuromuscular Electrical Stimulation
2025-LHCC-1506 Never Paid Events 8/5/25 9/19/25 Pending Never Paid Events
2025-HUM-1539 Crisis Intervention - Follow Up 8/5/25 9/19/25 Pending Crisis Intervention - Follow Up

RELATED INFO

Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein

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