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| 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-1883 | Lumbar Artificial Disc Replacement | 7/15/25 | 8/29/25 | Pending | Lumbar Artificial Disc Replacement |
| 2025-LHCC-1884 | Lumbar Spine Surgery | 7/15/25 | 8/29/25 | Pending | Lumbar Spine Surgery |
| 2025-LHCC-1885 | Knee Arthroscopy | 7/15/25 | 8/29/25 | Pending | Knee Arthroscopy |
| 2025-LHCC-1886 | Sacroiliac Joint Infusion | 7/15/25 | 8/29/25 | Pending | Sacroiliac Joint Infusion |
| 2025-LHCC-1887 | Shoulder Arthroplasty | 7/15/25 | 8/29/25 | Pending | Shoulder Arthroplasty |
| 2025-LHCC-1889 | Shoulder Arthroscopy | 7/15/25 | 8/29/25 | Pending | Shoulder Arthroscopy |
| 2025-ACLA-2133 | Prior Authorization Services List | 7/15/25 | 8/29/25 | Pending | Prior Authorization Services List |
| 2025-UHC-2725 | Respiratory Pathogen Nucleic Acid Detection Testing | 7/15/25 | 8/29/25 | Pending | Respiratory Pathogen Nucleic Acid Detection Testing |
| 2025-UHC-490 | Cardiovascular Disease Risk Tests | 7/15/25 | 8/29/25 | Pending | Cardiovascular Disease Risk Tests |
| 2025-ABH-496 | Community Psychiatric Support and Treatment (CPST) and Psychosocial Rehabilitation (PSR) Services | 7/15/25 | 8/29/25 | Pending | Community Psychiatric Support and Treatment (CPST) and Psychosocial Rehabilitation (PSR) Services |
| 2025-UHC-521 | Gastrointestinal Motility Disorders Diagnosis and Treatment | 7/15/25 | 8/29/25 | Pending | Gastrointestinal Motility Disorders Diagnosis and Treatment |
| 2025-UHC-582 | Cosmetic and Reconstructive Procedures | 7/15/25 | 8/29/25 | Pending | Cosmetic and Reconstructive Procedures |
| 2025-LHCC-682 | Active Procedures in Physical Medicine | 7/15/25 | 8/29/25 | Pending | Active Procedures in Physical Medicine |
| 2025-LHCC-686 | Durable Medical Equipment | 7/15/25 | 8/29/25 | Pending | Durable Medical Equipment |
| 2025-LHCC-690 | Outpatient Habilitative and Rehabilitative Speech Therapy | 7/15/25 | 8/29/25 | Pending | Outpatient Habilitative and Rehabilitative Speech Therapy |
| 2025-LHCC-691 | Passive Treatment | 7/15/25 | 8/29/25 | Pending | Passive Treatment |
| 2025-LHCC-982 | Outpatient Applied Behavior Analysis Medical Necessity | 7/15/25 | 8/29/25 | Pending | Outpatient Applied Behavior Analysis Medical Necessity |
| 2025-LHCC-1212 | Spinal Cord Stimulation | 7/15/25 | 8/29/25 | Pending | Spinal Cord Stimulation |
| 2025-ABH-1290 | Sinus Procedures | 7/15/25 | 8/29/25 | Pending | Sinus Procedures |
| 2025-UHC-1419 | Carrier Testing for Genetic Diseases | 7/15/25 | 8/29/25 | Pending | Carrier Testing for Genetic Diseases |
| 2025-LHCC-1711 | Sympathetic Nerve Block | 7/15/25 | 8/29/25 | Pending | Sympathetic Nerve Block |
| 2025-LHCC-1750 | Sacroiliac Joint Injections – NIA | 7/15/25 | 8/29/25 | Pending | Sacroiliac Joint Injections – NIA |
| 2025-LHCC-1755 | Paravertebral Facet Joint injections or blocks | 7/15/25 | 8/29/25 | Pending | Paravertebral Facet Joint injections or blocks |
| 2025-LHCC-1756 | Facet Joint Denervation | 7/15/25 | 8/29/25 | Pending | Facet Joint Denervation |
| 2025-LHCC-1878 | Cervical Spine Surgery | 7/15/25 | 8/29/25 | Pending | Cervical Spine Surgery |
| 2025-LHCC-1880 | Hip Arthroplasty | 7/15/25 | 8/29/25 | Pending | Hip Arthroplasty |
| 2025-LHCC-1881 | Hip Arthroscopy | 7/15/25 | 8/29/25 | Pending | Hip Arthroscopy |
| 2025-LHCC-1882 | Knee Arthroplasty | 7/15/25 | 8/29/25 | Pending | Knee Arthroplasty |
| 2025-UHC-222 | Skin and Soft Tissue Substitutes | 6/30/25 | 8/14/25 | Pending | Skin and Soft Tissue Substitutes |
| 2025-LHCC-502 | Clinical Information and Documentation Policy | 6/30/25 | 8/14/25 | Pending | Clinical Information and Documentation Policy |
| 2025-UHC-558 | Surgery of the Knee | 6/30/25 | 8/14/25 | Pending | Surgery of the Knee |
| 2025-UHC-579 | Surgery of the Hip | 6/30/25 | 8/14/25 | Pending | Surgery of the Hip |
| 2025-LHCC-1213 | Sacroiliac Joint Fusion | 6/30/25 | 8/14/25 | Pending | Sacroiliac Joint Fusion |
| 2025-LHCC-1357 | Intestinal and Multivisceral Transplant | 6/30/25 | 8/14/25 | Pending | Intestinal and Multivisceral Transplant |
| 2025-LHCC-1379 | Inhaled Niric Oxide | 6/30/25 | 8/14/25 | Pending | Inhaled Niric Oxide |
| 2025-LHCC-1380 | Multiple Sleep Latency Testing | 6/30/25 | 8/14/25 | Pending | Multiple Sleep Latency Testing |
| 2025-LHCC-1382 | Lysis of Epidural Lesions | 6/30/25 | 8/14/25 | Pending | Lysis of Epidural Lesions |
| 2025-LHCC-1383 | Disc Decompression Procedures | 6/30/25 | 8/14/25 | Pending | Disc Decompression Procedures |
| 2025-LHCC-1413 | Discography | 6/30/25 | 8/14/25 | Pending | Discography |
| 2025-LHCC-1479 | High Complexity Medical Decision-Making | 6/30/25 | 8/14/25 | Pending | High Complexity Medical Decision-Making |
| 2025-LHCC-1917 | Repair of Nasal Valve Compromise | 6/30/25 | 8/14/25 | Pending | Repair of Nasal Valve Compromise |
| 2025-HUM-2721 | Low-Frequency, Noncontact, Nonthermal Ultrasound for Wound Care | 6/30/25 | 8/14/25 | Pending | Low-Frequency, Noncontact, Nonthermal Ultrasound for Wound Care |
| 2025-HUM-2723 | 23 Hour BH Observation | 6/30/25 | 8/14/25 | Pending | 23 Hour BH Observation |
| 2025-HUM-2724 | Freestanding Psychiatric Hospital for Adults ILOS | 6/30/25 | 8/14/25 | Pending | Freestanding Psychiatric Hospital for Adults ILOS |
| 2025-HUM-1556 | Care Management Program Description | 6/9/26 | 7/24/25 | Pending | Medicaid CM PD |
| 2025-HUM-1590 | Chiropractic - In Lieu Of Services | 6/9/26 | 7/24/25 | Pending | Chiropractic ILOS |
| 2025-LHCC-1700 | Care Management Program | 6/9/26 | 7/24/25 | Pending | Care Management Program |
| 2025-LHCC-1710 | Maternal Child Health Program Description | 6/9/26 | 7/24/25 | Pending | Maternal_Child_Health_Program_Description |
| 2025-LHCC-1845 | Pediatric Day Health Care Policy | 6/9/26 | 7/24/25 | Pending | Pediatric Day Health Care |
| 2025-LHCC-1904 | Homebuilders Services | 6/9/26 | 7/24/25 | Pending | Homebuilders Services |
| 2025-ABH-2363 | Hospice Services | 6/9/26 | 7/24/25 | Pending | Hospice Services |
| 2025-HUM-2367 | RSV Admin Codes CPT | 6/9/26 | 7/24/25 | Pending | CPT |
| 2025-LHCC-2664 | MediTrans Public Transportation Policy | 6/9/26 | 7/24/25 | Pending | Public Transportation Policy |
| 2025-HUM-2690 | Outpatient Facility | 6/9/26 | 7/24/25 | Pending | Outpatient Facility |
| 2025-HUM-2700 | HCPCS Drugs and Biologicals | 6/9/26 | 7/24/25 | Pending | HCPCS Drugs and Biologicals |
| 2025-HUM-2714 | CPT | 6/9/26 | 7/24/25 | Pending | CPT |
| 2025-ABH-2719 | Prior Authorization Requirement Change Notification | 6/9/26 | 7/24/25 | Pending | PA Requirement Change Notification |
| 2025-HUM-2722 | Skin and Tissue Substitutes | 6/9/26 | 7/24/25 | Pending | Skin and Tissue Substitutes |
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.
RELATED INFO
- Previously posted for public comment
- Managed Care Policies & Procedures - Archive (2024)
- Managed Care Policies & Procedures - Archive (2023)
- Managed Care Policies & Procedures - Archive (2022)
- Managed Care Policies & Procedures - Archive (2021)
- Managed Care Policies & Procedures - Archive (2020)
- Managed Care Policies & Procedures - Archive (2019)
- MCO Managed Care Policies and Procedures Public Comments
- LDH Managed Care Policies and Procedures Public Comments