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| Item Number | Provider Manual Chapter | Date Posted | Comment Period Closed | Document Links |
|---|---|---|---|---|
| 2024-ABA-6 | Section 4.6 – Coordination of Care | 12/30/24 | 2/13/25 | Section 4.6 – Coordination of Care |
| 2024-ABA-5 | Section 4.1 – Covered Services | 12/30/24 | 2/13/25 | Section 4.1 – Covered Services |
| 2024-DME-8 | Section 18.4 – Provider Requirements | 12/30/24 | 2/13/25 | Section 18.4 – Provider Requirements |
| 2024-DME-7 | Section 18.2.10 – Specific Coverage Criteria – Breast Milk and Supplies | 12/30/24 | 2/13/25 | Section 18.2.10 – Specific Coverage Criteria – Breast Milk and Supplies |
| 2024-DME-6 | Section 18.2.1.7 – Specific Coverage Criteria – Ventilator Assist Devices | 12/20/24 | 2/3/25 | Section 18.2.1.7 – SCC – Ventilator Assist Devices |
| 2024-BHS-19 | Section 2.3 – Outpatient Services – Peer Support Services (PSS) | 12/19/24 | 2/2/25 | Section 2.3 – Outpatient Services – Peer Support Services |
| 2024-Pharmacy Benefits Management Services - 3 | Section 37.5.15 – Third Party Liability/Coordination of Benefits | 12/9/24 | 1/23/25 | Section 37.5.15 – Third Party Liability/Coordination of Benefits |
| 2024-CCW-6 | Section 7.1 – Covered Services | 11/26/24 | 1/10/25 | Section 7.1 – Covered Services |
| 2024-CCW-7 | Section 7.2 – Self-Direction Option | 11/26/24 | 1/10/25 | Section 7.2 – Self-Direction Option |
| 2024-CCW-8 | Section 7.3 – Beneficiary Requirements | 11/26/24 | 1/10/25 | Section 7.3 – Beneficiary Requirements |
| 2024-CCW-9 | Section 7.4 – Beneficiary Rights and Responsibilities | 11/26/24 | 1/10/25 | Section 7.4 – Beneficiary Rights and Responsibilities |
| 2024-CCW-10 | Section 7.5 – Service Access and Authorization | 11/26/24 | 1/10/25 | Section 7.5 – Service Access and Authorization |
| 2024-CCW-11 | Section 7.6 – Provider Requirements | 11/26/24 | 1/10/25 | Section 7.6 – Provider Requirements |
| 2024-CCW-12 | Section 7.7 – Record Keeping | 11/26/24 | 1/10/25 | Section 7.7 – Record Keeping |
| 2024-CCW-13 | Section 7.8 – Reimbursement | 11/26/24 | 1/10/25 | Section 7.8 – Reimbursement |
| 2024-CCW-14 | Section 7.9 – Program Oversight and Review | 11/26/24 | 1/10/25 | Section 7.9 – Program Oversight and Review |
| 2024-CCW-15 | Section 7.10 – Incidents, Accidents, and Complaints | 11/26/24 | 1/10/25 | Section 7.10 – Incidents, Accidents, and Complaints |
| 2024-CCW-16 | Section 7.11 – Support Coordination | 11/26/24 | 1/10/25 | Section 7.11 – Support Coordination |
| 2024-CCW-17 | Appendix A – Contact Information | 11/26/24 | 1/10/25 | Appendix A – Contact Information |
| 2024-CCW-18 | Appendix B – Forms/Documents/Links | 11/26/24 | 1/10/25 | Appendix B – Forms/Documents/Links |
| 2024-CCW-19 | Appendix C – Billing Codes | 11/26/24 | 1/10/25 | Appendix C – Billing Codes |
| 2024-CCW-20 | Appendix E – Glossary | 11/26/24 | 1/10/25 | Appendix E – Glossary |
| 2024-CCW-21 | Appendix G – Database Checks | 11/26/24 | 1/10/25 | Appendix G – Database Checks |
| 2024-ABA-2 | Section 4.1 – Covered Services | 11/4/24 | 12/19/24 | Section 4.1 – Covered Services |
| 2024-ABA-3 | Section 4.3 – Service Access Authorization | 11/4/24 | 12/19/24 | Section 4.3 – Service Access Authorization |
| 2024-ABA-4 | Section 4.6 – Coordination of Care | 11/4/24 | 12/19/24 | Section 4.6 – Coordination of Care |
| 2024-NOW-1 | New Opportunities Waiver – Appendix E - Billing Codes | 10/25/24 | 12/9/24 | Appendix E – Billing Codes |
| 2024-BHS-17 | Section 2.3 – Outpatient Services – Individual Placement and Support (IPS) | 10/14/24 | 11/28/24 | DME Section 2.3 Outpatient Services Individual Placement and Support |
| 2024-DME-5 | Section 18.4 – Provider Requirements | 10/8/24 | 11/22/24 | DME Section 18.4 Provider Requirements Imminent Peril Justification |
| 2024-DME-4 | Section 18.1 – Services and Limitations | 10/8/24 | 11/22/24 | DME Section 18.1 Services and Limitations Imminent Peril Justification |
| 2024-BHS-16 | Appendix E-4 – Evidence Based Practices (EBPs) – Multi-Systemic Therapy (MST) | 10/4/24 | 11/18/24 | Appendix E-4 – Evidence Based Practices – Multi-Systemic Therapy |
| 2024-Pharmacy Benefits-Management Services-3 | Section 37.3 - Reimbursement | 9/10/24 | 10/24/24 | Pharmacy - 37.3 - Reimbursement |
| 2024-Home Health - 1 | Section 23.5 - Prior Authorization | 8/27/2024 | 10/11/24 | Home Health - 23.5 - Prior Authorization |
| 2024-PCS-3 | Appendix A - LTS-PCS Forms, Documents and Links | 8/21/2024 | 10/5/24 | Appendix A - LTS-PCS Forms, Documents and Links |
| 2024-PCS-2 | Section 30.7 - Service Delivery | 8/21/2024 | 10/5/24 | PCS Section 30.7 - Service Delivery |
| 2024-PCS-1 | Section 30.2 - Covered Services | 8/21/2024 | 10/5/24 | PCS Section 30.2 - Covered Services |
| 2024-SW-4 | Appendix B - Service Procedure Codes | 8/20/2024 | 10/4/24 | Supports Waiver - Appendix B - Service Procedure Codes |
| 2024-SW-3 | Section 43.7 - Provider Requirements | 8/20/2024 | 10/4/24 | Supports Waiver - 43.7 - Provider Requirements |
| 2024-SW-2 | Section 43.4 - Covered Services | 8/20/2024 | 10/4/24 | Supports Waiver - 43.4 - Covered Services |
| 2024-SW-1 | Section 43.0 - Overview | 8/20/2024 | 10/4/24 | Supports Waiver - 43.0 - Overview |
| 2024-ADHC-14 | Appendix G – Database Checks | 7/23/24 | 9/6/24 | ADHC – Appendix G – Database Checks |
| 2024-ADHC-13 | Appendix F – Concurrent Services | 7/23/24 | 9/6/24 | ADHC – Appendix F – Concurrent Services |
| 2024-ADHC-12 | Appendix D – Glossary | 7/23/24 | 9/6/24 | ADHC – Appendix D – Glossary |
| 2024-ADHC-11 | Appendix B – Forms and Links | 7/23/24 | 9/6/24 | ADHC – Appendix B – Forms and Links |
| 2024-ADHC-10 | Section 9.10 – Support Coordination | 7/23/24 | 9/6/24 | ADHC – Section 9.10 – Support Coordination |
| 2024-ADHC-9 | Section 9.9 – Incidents, Accidents, and Complaints | 7/23/24 | 9/6/24 | ADHC – Section 9.9 – Incidents, Accidents, and Complaints |
| 2024-ADHC-8 | Section 9.8 – Program Oversight and Review | 7/23/24 | 9/6/24 | ADHC – Section 9.8 – Program Oversight and Review |
| 2024-ADHC-7 | Section 9.7 - Reimbursement | 7/23/24 | 9/6/24 | ADHC – Section 9.7 - Reimbursement |
| 2024-ADHC-6 | Section 9.6 – Record Keeping | 7/23/24 | 9/6/24 | ADHC – Section 9.6 – Record Keeping |
| 2024-ADHC-5 | Section 9.5 – Provider Requirements | 7/23/24 | 9/6/24 | ADHC – Section 9.5 – Provider Requirements |
| 2024-ADHC-4 | Section 9.4 – Service Access and Authorization | 7/23/24 | 9/6/24 | ADHC – Section 9.4 – Service Access and Authorization |
| 2024-ADHC-3 | Section 9.3 – Rights and Responsibilities | 7/23/24 | 9/6/24 | ADHC – Section 9.3 – Rights and Responsibilities |
| 2024-ADHC-2 | Section 9.2 – Beneficiary Requirements | 7/23/24 | 9/6/24 | ADHC – Section 9.2 – Beneficiary Requirements |
| 2024-ADHC-1 | Section 9.1 – Covered Services | 7/23/24 | 9/6/24 | ADHC – Section 9.1 – Covered Services |
| 2024-RHC-1 | Section 40.1 – Covered Services | 6/28/24 | 8/12/24 | Section 40.1 – Covered Services |
| 2024-FQHC-1 | Section 22.1 – Covered Services | 6/28/24 | 8/12/24 | Section 22.1 – Covered Services |
| 2024-BHS-7 | Section 2.2 - Bed Based Services -- Psychiatric Residential Treatment Facilities | 5/22/24 | 7/6/24 | Section 2.2 - Bed Based Services -- Psychiatric Residential Treatment Facilities |
| 2024-BHS-6 | Section 2.2 - Bed Based Services -- Therapeutic Group Homes | 5/22/24 | 7/6/24 | Section 2.2 - Bed Based Services -- Therapeutic Group Homes |
| 2024-PCS-1 | Section 30.8 - Record Keeping | 5/10/24 | 6/24/24 | Section 30.8 - Record Keeping |
| 2024-BHS-5 | Section 2.3 - Outpatient Services - Crisis Response Services | 4/30/24 | 6/14/24 | Section 2.3 - Outpatient Services - Crisis Response Services |
| 2024-Hospitals-1 | Section 25.2 - Inpatient Services | 4/26/24 | 6/10/24 | Hospitals - Section 25.2 - Inpatient Services |
| 2024-Hospitals-2 | Section 25.3 - Outpatient Services | 4/26/24 | 6/10/24 | Hospitals - Section 25.3 - Outpatient Services |
| 2024-Hospitals-3 | Section 25.6 - Prior Authorization | 4/26/24 | 6/10/24 | Hospitals - Section 25.6 - Prior Authorization |
| 2024-Hospitals-4 | Section 25.7 - Reimbursement | 4/26/24 | 6/10/24 | Hospitals - Section 25.7 - Reimbursement |
| 2024-PACE-1 | Section 35.0 - Overview | 4/24/24 | 6/8/24 | Program of All-Inclusive Care for the Elderly (PACE) - Section 35 - Overview |
| 2024-PACE-2 | Section 35.1 – Services | 4/24/24 | 6/8/24 | PACE - Section 35.1 - Services |
| 2024-PACE-3 | Section 35.2 – Beneficiary Requirements | 4/24/24 | 6/8/24 | PACE - Section 35.2 - Beneficiary Requirements |
| 2024-PACE-4 | Section 35.3 – Beneficiary Rights and Responsibilities | 4/24/24 | 6/8/24 | PACE - 35.3 Beneficiary Rights and Responsibilities |
| 2024-PACE-5 | Section 35.4 – Service Access and Authorization | 4/24/24 | 6/8/24 | PACE - Section 35.4 - Service Access and Authorization |
| 2024-PACE-6 | Section 35.5 – Provider Requirements | 4/24/24 | 6/8/24 | PACE - Section 35.5 - Provider Requirements |
| 2024-PACE-7 | Section 35.6 – Staffing and Training | 4/24/24 | 6/8/24 | PACE - Section 35.6 - Staffing and Training |
| 2024-PACE-8 | Section 35.7 – Recordkeeping | 4/24/24 | 6/8/24 | PACE - Section 35.7 - Recordkeeping |
| 2024-PACE-9 | Section 35.8 – Reimbursement | 4/24/24 | 6/8/24 | PACE - Section 35.8 - Reimbursement |
| 2024-PACE-10 | Section 35.10 – Program Quality and Oversight | 4/24/24 | 6/8/24 | PACE - 35.10 - Program Quality and Oversight |
| 2024-PACE-11 | Section 35.11 – Grievances/Complaints | 4/24/24 | 6/8/24 | PACE 35.11 - Grievances/Complaints |
| 2024-PACE-12 | Appendix B – Contact Information | 4/24/24 | 6/8/24 | PACE - Appendix B - Contact Information |
| 2024-PACE-13 | Appendix C – Forms/Links | 4/24/24 | 6/8/24 | PACE - Appendix C - Forms/Links |
| 2024-Professional Services-2 | Section 5.1 – Covered Services – Gynecology | 4/5/24 | 5/20/24 | Professional Services – Section 5.1 – Covered Services – Gynecology |
| 2024-BHS-3 | Section 2.3 - Outpatient Services – Outpatient Therapy by Licensed Practitioners | 3/26/24 | 5/10/24 | Outpatient Therapy by Licensed Practitioners |
| 2024-BHS-4 | Appendix E-11 – Evidence Based Practices (EBPs) – Dialectical Behavioral Therapy (DBT) | 3/26/24 | 5/10/24 | Dialectical Behavioral Therapy |
| 2024-Pharmacy Benefits Management Services-1 | Section 37.1 – Covered Services, Exclusions, and Limitations | 3/21/24 | 5/5/24 | Pharmacy – 37.1 – Covered Services |
| 2024-Pharmacy Benefits Management Services-2 | Section 37.3 – Reimbursement | 3/21/24 | 5/5/24 | Pharmacy – 37.3 – Reimbursement |
| 2024-ABA-1 | Section 4.1 – Covered Services | 3/6/24 | 4/20/24 | Chapter 4: Applied Behavior Analysis – Section 4.1 Covered Services |
| 2024-BHS-2 | Section 2.3 - Outpatient Services – Personal Care Services (PCS) | 2/28/24 | 4/13/24 | Outpatient Services – Personal Care Services |
| 2024-Professional Services-1 | Section 5.1 – Covered Services – Laboratory and Radiology Services | 2/16/24 | 4/1/24 | Professional Services 5.1 – Lab and Radiology Services |
| 2024–Children’s Choice (CC) Waiver-1 | Appendix E – Billing Codes | 2/16/24 | 4/1/24 | Chapter 14: Children's Choice – Appendix E Billing Codes |
| 2024-DME-2 | Section 18.2.10 – Specific Coverage Criteria – Breast Milk and Supplies | 2/1/24 | 3/17/24 | Section 18.2.10 – Specific Coverage Criteria – Breast Milk and Supplies |
| 2024-DME-1 | Section 18.2.20 – Specific Coverage Criteria – Diabetic Supplies and Equipment | 1/30/24 | 3/15/24 | Section 18.2.20 – Specific Coverage Criteria – Diabetic Supplies and Equipment |
| 2024-CCW-1 | Section 7.1 – Covered Services | 1/25/24 | 3/10/24 | Section 7.1 – Covered Services |
| 2024-CCW-2 | Section 7.5 – Service Access and Authorization | 1/25/24 | 3/10/24 | Section 7.5 – Service Access and Authorization |
| 2024-CCW-3 | Section 7.6 – Provider Requirements | 1/25/24 | 3/10/24 | Section 7.6 – Provider Requirements |
| 2024-CCW-4 | Section 7.7 – Record Keeping | 1/25/24 | 3/10/24 | Section 7.7 – Record Keeping |
| 2024-CCW-5 | Section 7.8 – Reimbursement | 1/25/24 | 3/10/24 | Section 7.8 – Reimbursement |
| 2024-BHS-1 | Appendix F – CSoC Wraparound Model | 1/9/24 | 2/23/24 | Appendix F – CSoC Wraparound Model |
| 2023-ROW-18 | Section 38.0 - Overview | 12/29/23 | 2/12/24 | Section 38.0 - Overview |
| 2023-ROW-19 | Section 38.1 – Covered Services | 12/29/23 | 2/12/24 | Section 38.1 – Covered Services |
| 2023-ROW-20 | Section 38.2 – Self-Direction Option | 12/29/23 | 2/12/24 | Section 38.2 – Self-Direction Option |
| 2023-ROW-21 | Section 38.6 – Provider Requirements | 12/29/23 | 2/12/24 | Section 38.6 – Provider Requirements |
| 2023-ROW-22 | Appendix E - Billing Codes | 12/29/23 | 2/12/24 | Appendix E - Billing Codes |
| 2023-NOW-8 | Section 32.1 – Covered Services | 12/22/23 | 2/5/24 | Section 32.1 – Covered Services |
| 2023-NOW-9 | Appendix E - Billing Codes | 12/22/23 | 2/5/24 | Appendix E - Billing Codes |
| 2023-BHS-21 | Section 2.3 – Outpatient Services – Crisis Response Services | 12/22/23 | 2/5/24 | Section 2.3 – Outpatient Services – Crisis Response Services |
| 2023-BHS-20 | Section 2.2 – Bed Based Services – Crisis Stabilization | 12/21/23 | 2/4/24 | Section 2.2 – Bed Based Services – Crisis Stabilization |
Medicaid Provider Manuals - Public Comment Archive (2024)
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 items previously posted for public comment:
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- Previously posted for public comment (2021 and prior)
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