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| Item Number | Policy/Procedure | Date Posted | Comment Period Closed | Status | Document Links |
|---|---|---|---|---|---|
| 2025-LHCC-966 | Cultural and Linguistic Policy | 10/15/25 | 11/29/25 | Pending | Cultural and Linguistic Policy |
| 2025-HUM-1460 | Doula Services (ILO) | 10/15/25 | 11/29/25 | Pending | Doula Services (ILO) |
| 2025-ABH-2363 | AMA XXXX Hospice | 10/15/25 | 11/29/25 | Pending | AMA XXXX Hospice |
| 2025-HBL-2748 | Carelon Trans to Vsclr Emblztn-Occlsn Prcdrs | 10/15/25 | 11/29/25 | Pending | Carelon Trans to Vsclr Emblztn-Occlsn Prcdrs |
| 2025-HBL-1033 | Therapeutic Apheresis | 10/10/25 | 11/24/25 | Pending | Therapeutic Apheresis |
| 2025-UHC-1123 | Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Wounds | 10/10/25 | 11/24/25 | Pending | Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Wounds |
| 2025-UHC-1589 | Surgical Treatment of Lymphedema | 10/10/25 | 11/24/25 | Pending | Surgical Treatment of Lymphedema |
| 2025-UHC-1762 | Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery | 10/10/25 | 11/24/25 | Pending | Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery |
| 2025-UHC-486 | Abnormal Uterine Bleeding and Uterine Fibroids | 10/6/25 | 11/20/25 | Pending | Abnormal Uterine Bleeding and Uterine Fibroids |
| 2025-UHC-793 | Virtual Upper Gastrointestinal Endoscopy | 10/6/25 | 11/20/25 | Pending | Virtual Upper Gastrointestinal Endoscopy |
| 2025-LHCC-1273 | Orthognathic Surgery | 10/6/25 | 11/20/25 | Pending | Orthognathic Surgery |
| 2025-LHCC-1277 | Panniculectomy | 10/6/25 | 11/20/25 | Pending | Panniculectomy |
| 2025-LHCC-1361 | Pediatric Heart Transplant | 10/6/25 | 11/20/25 | Pending | Pediatric Heart Transplant |
| 2025-LHCC-1741 | AHCT for Sickle Cell Anemia and Thalassemia | 10/6/25 | 11/20/25 | Pending | AHCT for Sickle Cell Anemia and Thalassemia |
| 2025-LHCC-1842 | Cosmetic and Reconstructive Procedures | 10/6/25 | 11/20/25 | Pending | Cosmetic and Reconstructive Procedures |
| 2025-UHC-2311 | Injectable Dermal Fillers and Bulking Agents | 10/6/25 | 11/20/25 | Pending | Injectable Dermal Fillers and Bulking Agents |
| 2025-LHCC-2749 | Radiation Therapy for Skin Cancer | 10/6/25 | 11/20/25 | Pending | Radiation Therapy for Skin Cancer |
| 2025-LHCC-1743 | Hospice Services | 9/29/25 | 11/13/25 | Pending | Hospice Services |
| 2025-LHCC-1959 | BH Treatment Documentation Requirements | 9/29/25 | 11/13/25 | Pending | BH Treatment Documentation Requirements |
| 2025-ABH-2536 | Community Brief Crisis Support (CBCS) and Behavioral Health Crisis Care (BHCC) Policy | 9/29/25 | 11/13/25 | Pending | Community Brief Crisis Support (CBCS) and Behavioral Health Crisis Care (BHCC) Policy |
| 2025-ABH-822 | ABH Provider Manual | 9/29/25 | 11/13/25 | Pending | ABH Provider Manual |
| 2025-ABH-1891 | Member Appeals | 9/29/25 | 11/13/25 | Pending | Member Appeals |
| 2025-ABH-1892 | Member Grievance | 9/29/25 | 11/13/25 | Pending | Member Grievance |
| 2025-LHCC-2476 | In Lieu Of Services Remote Patient Monitoring | 9/29/25 | 11/13/25 | Pending | In Lieu Of Services Remote Patient Monitoring |
| 2025-LHCC-1491 | NCCI Unbunding | 9/29/25 | 11/13/25 | Pending | NCCI Unbunding |
| 2025-LHCC-2530 | Transportation Policy | 9/29/25 | 11/13/25 | Pending | Transportation Policy |
| 2025-LHCC-687 | Measurable Progressive Improvement | 9/29/25 | 11/13/25 | Pending | Measurable Progressive Improvement |
| 2025-LHCC-931 | Appeals Process | 9/29/25 | 11/13/25 | Pending | Appeals Process |
| 2025-LHCC-1378 | Wheelchair Seating | 9/29/25 | 11/13/25 | Pending | Wheelchair Seating |
| 2025-LHCC-1410 | Neurofeedback for Behavioral Health Disorders | 9/29/25 | 11/13/25 | Pending | Neurofeedback for Behavioral Health Disorders |
| 2025-LHCC-1480 | Pre-operative Visits | 9/29/25 | 11/13/25 | Pending | Pre-operative Visits |
| 2025-LHCC-1908 | Community Brief Crisis Support | 9/29/25 | 11/13/25 | Pending | Community Brief Crisis Support |
| 2025-HUM-1922 | UM Home Health Clinical Coverage Policy | 9/29/25 | 11/13/25 | Pending | UM Home Health Clinical Coverage Policy |
| 2025-ABH-2254 | Benefit Exception Amendment | 9/29/25 | 11/13/25 | Pending | Benefit Exception Amendment |
| 2025-HUM-2565 | Drugs and Biologicals HCPCS | 9/29/25 | 11/13/25 | Pending | Drugs and Biologicals HCPCS |
| 2025-LHCC-2667 | MediTrans Claims Manual9/29/25 | 9/29/25 | 11/13/25 | Pending | MediTrans Claims Manual |
| 2025-ACLA-2727 | MH-IOP | 9/29/25 | 11/13/25 | Pending | MH-IOP |
| 2025-HUM-2728 | Correct Coding | 9/29/25 | 11/13/25 | Pending | Correct Coding |
| 2025-HUM-2729 | Correct Coding | 9/29/25 | 11/13/25 | Pending | Correct Coding |
| 2025-HUM-2740 | Anesthesia | 9/29/25 | 11/13/25 | Pending | Anesthesia |
| 2025-LHCC-1507 | Clinical Validation of Modifier 59 | 9/19/25 | 11/3/25 | Pending | Clinical Validation of Modifier 59 |
| 2025-LHCC-1509 | Clinical Validation of Modifier 25 | 9/19/25 | 11/3/25 | Pending | Clinical Validation of Modifier 25 |
| 2025-HUM-1644 | Eyebrow and Eyelid Repair | 9/19/25 | 11/3/25 | Pending | Eyebrow and Eyelid Repair |
| 2025-HUM-1661 | Molecular Diagnostic Assays and Breath Testing for Transplant Rejection Clinical Coverage Policy | 9/19/25 | 11/3/25 | Pending | Molecular Diagnostic Assays and Breath Testing for Transplant Rejection Clinical Coverage Policy |
| 2025-UHC-206 | Electric Tumor Treatment Field Therapy | 9/11/2025 | 10/26/2025 | Pending | Electric Tumor Treatment Field Therapy |
| 2025-UHC-222 | Skin and Soft Tissue Substitutes | 9/11/2025 | 10/26/2025 | Pending | Skin and Soft Tissue Substitutes |
| 2025-UHC-311 | Transcatheter Heart Valve Procedures | 9/11/2025 | 10/26/2025 | Pending | Transcatheter Heart Valve Procedures |
| 2025-UHC-379 | Brow Ptosis and Eyelid Repair | 9/11/2025 | 10/26/2025 | Pending | Brow Ptosis and Eyelid Repair |
| 2025-UHC-524 | Durable Medical Equipment, Orthotics, Medical Supplies and Repairs/Replacements | 9/11/2025 | 10/26/2025 | Pending | Durable Medical Equipment, Orthotics, Medical Supplies and Repairs/Replacements |
| 2025-UHC-558 | Surgery of the Knee | 9/11/2025 | 10/26/2025 | Pending | Surgery of the Knee |
| 2025-UHC-559 | Implantable Beta-Emitting Microspheres | 9/11/2025 | 10/26/2025 | Pending | Implantable Beta-Emitting Mocrospheres |
| 2025-UHC-561 | Cognitive Rehabilitation | 9/11/2025 | 10/26/2025 | Pending | Cognitive Rehabilitation |
| 2025-UHC-579 | Surgery of the Hip | 9/11/2025 | 10/26/2025 | Pending | Surgery of the Hip |
| 2025-UHC-1399 | Glaucoma Surgical Treatment | 9/11/2025 | 10/26/2025 | Pending | Glaucoma Surgical Treatment |
| 2025-UHC-1418 | Autologous Cellular Therapy | 9/11/2025 | 10/26/2025 | Pending | Autologous Cellular Therapy |
| 2025-UHC-1426 | Genetic Testing for Cardiac Disease | 9/11/2025 | 10/26/2025 | Pending | Genetic Testing for Cardiac Disease |
| 2025-UHC-2188 | Mandatory Medicaid Coverage of Routine Patient Costs in Qualifying Clinical Trials | 9/11/2025 | 10/26/2025 | Pending | Mandatory Medicaid Coverage of Routine Patient Costs in Qualifying Clinical Trials |
| 2025-UHC-2252 | Hospital Services: Observation and Inpatient | 9/11/2025 | 10/26/2025 | Pending | Clinical Policy Guidelines |
| 2025-ACLA-2745 | Clinical Policy Guidelines | 9/11/2025 | 10/26/2025 | Pending | Hospital Services: Observation and Inpatient |
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