Medicaid Managed Care Policies & Procedures Archive

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.

Below are items previously posted for public comment:

Item Number Policy/Procedure Date Posted Comment Period Closed Status Document Links
2026-LHCC-281 Emergency Contract Deliverable - Credentialing Committee 5/1/26 6/15/26 Approved Emergency Contract Deliverable - Credentialing Committee
2026-LHCC-2829 Cardiovascular Stress Test 5/11/26 6/25/26 Approved Cardiovascular Stress Test
2026-LHCC-2830 Aortic Valve Replacement 5/11/26 6/25/26 Approved Aortic Valve Replacement
2026-LHCC-1167 DME Clinical Policy 5/11/26  6/25/26  Approved DME Clinical Policy
2026-LHCC-1217 Ultrasound in Pregnancy 5/11/26  6/25/26  Approved Ultrasound in Pregnancy
2026-LHCC-1278 Evoked Potential Testing 5/11/26  6/25/26  Approved Evoked Potential Testing
2026-LHCC-1360 Heart-Lung Transplant 5/11/26  6/25/26  Approved Heart-Lung Transplant
2026-LHCC-1745 Donor Lymphocyte Infusion 5/11/26   6/25/26  Approved Donor Lymphocyte Infusion
2026-LHCC-1838 Intensity-Modulated Radiotherapy 5/11/26   6/25/26  Approved Intensity-Modulated Radiotherapy
2026-LHCC-2232 Concert Genetics General Approach to Genetic Testing 5/11/26   6/25/26  Approved Concert Genetics General Approach to Genetic Testing
2026-LHCC-2234 Concert Genetics Lung Disorders 5/11/26   6/25/26  Approved Concert Genetics Lung Disorders
2026-LHCC-2352 ID Multisystem Lab Testing 5/11/26   6/25/26  Approved ID Multisystem Lab Testing
2026-LHCC-2355 ID Vector Borne and Tropical Disease Lab Testing 5/11/26   6/25/26  Approved ID Vector Borne and Tropical Disease Lab Testing
2026-LHCC-2357 ID Genitourinary Lab Testing 5/11/26   6/25/26  Approved ID Genitourinary Lab Testing
2026-HBL-2815 UM AROW CMBM A2026M5387 5/11/26   6/25/26  Approved UM AROW CMBM A2026M5387
2026-HBL-2876 UM AROW CMBM 5/11/26   6/25/26  Approved UM AROW CMBM
2026-LHCC-2887 Concert Genetic Testing Identity and Forensics 5/11/26   6/25/26  Approved Concert Genetic Testing Identity and Forensics
2026-LHCC-2888 Concert Genetic Testing Nutrition and Metabolism 5/11/26   6/25/26  Approved Concert Genetic Testing Nutrition and Metabolism
2026-LHCC-2889 Concert Genetic Testing Transplant 5/11/26   6/25/26  Approved Concert Genetic Testing Transplant
2026-LHCC-2890 Concert Genetic Testing Endocrinology  5/11/26   6/25/26  Approved Concert Genetic Testing Endocrinology

Related Information

Surgeon General Evelyn Griffin, MD

Secretary Bruce D. Greenstein

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