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| Item Number | Policy/Procedure | Date Posted | Comment Period Closed | Status | Document Links |
|---|---|---|---|---|---|
| 2025-HUM-2708 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-HUM-2709 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-HUM-2710 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-HUM-2711 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-HUM-2712 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-HUM-2713 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-HUM-2716 | Revenue Codes | 5/21/25 | 7/5/25 | Pending | Revenue Codes |
| 2025-LHCC-2717 | Use of Out-of-Network Providers and Steerage | 5/21/25 | 7/5/25 | Pending | Use of Out-of-Network Providers and Steerage |
| 2025-ABH-1174 | Applied Behavior Analysis | 5/21/25 | 7/5/25 | Pending | Applied Behavior Analysis |
| 2025-LHCC-1388 | Code Edting Overview | 5/21/25 | 7/5/25 | Pending | Code Edting Overview |
| 2025-LHCC-1498 | Professional Component Modifier | 5/21/25 | 7/5/25 | Pending | Professional Component Modifier |
| 2025-LHCC-1505 | Moderate Conscious Sedation | 5/21/25 | 7/5/25 | Pending | Moderate Conscious Sedation |
| 2025-LHCC-1843 | Extended Home Health Services | 5/21/25 | 7/5/25 | Pending | Extended Home Health Services |
| 2025-HUM-1858 | 3-D Base Rendering | 5/21/25 | 7/5/25 | Pending | 3-D Base Rendering |
| 2025-LHCC-2184 | Organizational Assessment and Reassessment | 5/21/25 | 7/5/25 | Pending | Organizational Assessment and Reassessment |
| 2025-HUM-2368 | Tobacco Cessation CPT 7243 | 5/21/25 | 7/5/25 | Pending | Tobacco Cessation CPT 7243 |
| 2025-HUM-2677 | Outpatient Facility | 5/21/25 | 7/5/25 | Pending | Outpatient Facility |
| 2025-HUM-2678 | Correct Coding | 5/21/25 | 7/5/25 | Pending | Correct Coding |
| 2025-HUM-2680 | Correct Coding | 5/21/25 | 7/5/25 | Pending | Correct Coding |
| 2025-HUM-2681 | Correct Coding | 5/21/25 | 7/5/25 | Pending | Correct Coding |
| 2025-HUM-2682 | Modifiers | 5/21/25 | 7/5/25 | Pending | Modifiers |
| 2025-HUM-2683 | Modifiers | 5/21/25 | 7/5/25 | Pending | Modifiers |
| 2025-HUM-2684 | Diagnoses | 5/21/25 | 7/5/25 | Pending | Diagnoses |
| 2025-HUM-2685 | Ambulatory Surgical Center (ASC) | 5/21/25 | 7/5/25 | Pending | Ambulatory Surgical Center (ASC) |
| 2025-HUM-2687 | Evaluation and Management Services Louisiana Medicaid: injection, testosterone undecanoate | 5/21/25 | 7/5/25 | Pending | Evaluation and Management Services Louisiana Medicaid: injection, testosterone undecanoate |
| 2025-HUM-2699 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-HUM-2706 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-HUM-2707 | Drugs & Biologicals HCPCS | 5/21/25 | 7/5/25 | Pending | Drugs & Biologicals HCPCS |
| 2025-UHC-492 | Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins | 5/9/25 | 6/23/25 | Pending | Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins |
| 2025-UHC-585 | Chelation Therapy | 5/9/25 | 6/23/25 | Pending | Chelation Therapy |
| 2025-LHCC-1112 | Digital EEG Analysis | 5/9/25 | 6/23/25 | Pending | Digital EEG Analysis |
| 2025-UHC-1340 | Gynecomastia Surgery | 5/9/25 | 6/23/25 | Pending | Gynecomastia Surgery |
| 2025-LHCC-1386 | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins | 5/9/25 | 6/23/25 | Pending | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins |
| 2025-LHCC-1387 | Percutaneous LAAD Stroke Prevention | 5/9/25 | 6/23/25 | Pending | Percutaneous LAAD Stroke Prevention |
| 2025-LHCC-1509 | Clinical Validation of Modifier 25 | 5/9/25 | 6/23/25 | Pending | Clinical Validation of Modifier 25 |
| 2025-LHCC-1701 | Outpatient Testing for DOA (Drugs of Use) | 5/9/25 | 6/23/25 | Pending | Outpatient Testing for DOA (Drugs of Use) |
| 2025-LHCC-1705 | Invasive and Non-Invasive Home Ventilator | 5/9/25 | 6/23/25 | Pending | Invasive and Non-Invasive Home Ventilator |
| 2025-UHC-1817 | Proton Beam Radiation Therapy | 5/9/25 | 6/23/25 | Pending | Proton Beam Radiation Therapy |
| 2025-LHCC-1823 | Mechanical Stretch devices | 5/9/25 | 6/23/25 | Pending | Mechanical Stretch devices |
| 2025-LHCC-1834 | Enteral Nutrition | 5/9/25 | 6/23/25 | Pending | Enteral Nutrition |
| 2025-LHCC-1844 | Transplant Service Documentation Requirements | 5/9/25 | 6/23/25 | Pending | Transplant Service Documentation Requirements |
| 2025-ACLA-1951 | Sacral Nerve Modulation Stimulation | 5/9/25 | 6/23/25 | Pending | Sacral Nerve Modulation Stimulation |
| 2025-ACLA-2133 | Prior Authorization Services List | 5/9/25 | 6/23/25 | Pending | Prior Authorization Services List |
| 2025-UHC-2572 | Ocular Photo Screening | 5/9/25 | 6/23/25 | Pending | Ocular Photo Screening |
| 2025-LHCC-2658 | MediTrans Vendor Management Policy | 5/9/25 | 6/23/25 | Pending | MediTrans Vendor Management Policy |
| 2025-LHCC-2660 | MediTrans Member Non-Discrimination Policy | 5/9/25 | 6/23/25 | Pending | MediTrans Member Non-Discrimination Policy |
| 2025-LHCC-2665 | MediTrans Stale Check Policy | 5/9/25 | 6/23/25 | Pending | MediTrans Stale Check Policy |
| 2025-LHCC-2666 | MediTrans Gas Reimbursement Procedure | 5/9/25 | 6/23/25 | Pending | MediTrans Gas Reimbursement Procedure |
| 2025-UHC-311 | Transcatheter Heart Valve Procedures | 4/22/25 | 6/6/25 | Pending | Transcatheter Heart Valve Procedures |
| 2025-ABH-822 | ABH Provider Manual | 4/22/25 | 6/6/25 | Pending | ABH Provider Manual |
| 2025-LHCC-1416 | Transportation Policy | 4/22/25 | 6/6/25 | Pending | Transportation Policy |
| 2025-UHC-1432 | Pediatric Gait Trainers and Standing Systems | 4/22/25 | 6/6/25 | Pending | Pediatric Gait Trainers and Standing Systems |
| 2025-LHCC-1822 | Opioid Use Disorder (OUD) treatment in Opiod Treatment Programs | 4/22/25 | 6/6/25 | Pending | Opioid Use Disorder (OUD) treatment in Opiod Treatment Programs |
| 2025-LHCC-1947 | ADHD | 4/22/25 | 6/6/25 | Pending | ADHD |
| 2025-LHCC-1960 | Dually Diagnosed Continuous Improvement | 4/22/25 | 6/6/25 | Pending | Dually Diagnosed Continuous Improvement |
| 2025-HBL-2647 | Care at Home | 4/22/25 | 6/6/25 | Pending | Care at Home |
| 2025-LHCC-2651 | MediTrans - Inclement Weather | 4/22/25 | 6/6/25 | Pending | MediTrans - Inclement Weather |
| 2025-LHCC-2652 | MediTrans - Critical Incident | 4/22/25 | 6/6/25 | Pending | MediTrans - Critical Incident |
| 2025-LHCC-2653 | MediTrans - Fraud Payment Suspensions | 4/22/25 | 6/6/25 | Pending | MediTrans - Fraud Payment Suspensions |
| 2025-LHCC-2654 | MediTrans-Call Center Manual | 4/22/25 | 6/6/25 | Pending | MediTrans-Call Center Manual |
| 2025-LHCC-2655 | MediTrans -Claims Creation and Editing | 4/22/25 | 6/6/25 | Pending | MediTrans -Claims Creation and Editing |
| 2025-LHCC-2656 | MediTrans Disaster Recovery Manual | 4/22/25 | 6/6/25 | Pending | MediTrans Disaster Recovery Manual |
| 2025-LHCC-2657 | MediTrans NEMT Operations Manual | 4/22/25 | 6/6/25 | Pending | MediTrans NEMT Operations Manual |
| 2025-LHCC-2659 | MediTrans Transportation Provider Handbook | 4/22/25 | 6/6/25 | Pending | MediTrans Transportation Provider Handbook |
| 2025-LHCC-2670 | MediTrans -Out of State Trip Policy | 4/22/25 | 6/6/25 | Pending | MediTrans -Out of State Trip Policy |
| 2025-UHC-2674 | Chiropractic Services Policy | 4/22/25 | 6/6/25 | Pending | Chiropractic Services Policy |
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