Item Number | Provider Manual Chapter | Date Posted | Comment Period Closed | Document Links |
---|---|---|---|---|
2022-Home Health Services-1 | Section 23.5 – Prior Authorization | 11/30/22 | 1/14/23 | Section 23.5 – Prior Authorization |
2022-Home Health Services-2 | Section 23.2 – Service Limitations | 11/30/22 | 1/14/23 | Section 23.2 – Service Limitations |
2022-BHS-9 | Section 2.4 – Addiction Services | 11/10/22 | 12/25/22 | Section 2.4 – Addiction Services |
2022-DME-5 | Section 18.2 – Specific Coverage Criteria –Human Donor Milk | 10/31/22 | 12/15/22 | Section 18.2 – Specific Coverage Criteria –Human Donor Milk |
2022-ICF-IID-1 | Section 26.11 – Rate Determination | 10/13/22 | 11/27/22 | Section 26.11 – Rate Determination |
2022-BHS-7 | Appendix D - Approved Curriculum and Equivalency Standards | 10/7/22 | 11/21/22 | Appendix D - Approved Curriculum and Equivalency Standards |
2022-BHS-8 | Appendix G-2 – Employment Supports for Members Receiving Community Psychiatric Support and Treatment (CPST) and Psychological Rehabilitation (PSR) | 10/7/22 | 11/21/22 | Appendix G-2 – Employment Supports for Members Receiving Community Psychiatric Support and Treatment (CPST) and Psychological Rehabilitation (PSR) |
2022-BHS-5 | Section 2.2 - Bed Based Services – Crisis Stabilization for Youth | 9/28/22 | 11/12/22 | Section 2.2 - Bed Based Services – Crisis Stabilization for Youth |
2022-BHS-6 | Section 2.3 – Outpatient Services – Rehabilitation Services *Revisions to include Act 503 implementation contingent on CMS approval. | 9/28/22 | 11/12/22 | Section 2.3 – Outpatient Services – Rehabilitation Services |
2022-PDHC-1 | Section 45.3 – Provider Requirements | 9/26/22 | 11/10/22 | Section 45.3 – Provider Requirements |
2022-PDHC-2 | Section 45.4 – Staffing Requirements | 9/26/22 | 11/10/22 | Section 45.4 – Staffing Requirements |
2022-Vision-1 | Section 46.1 – Covered Services | 9/16/22 | 10/31/22 | Section 46.1 – Covered Services |
2022-EPSDT-PCS-1 | Section 30.14 – EPSDT-PCS Covered Services | 9/15/22 | 10/30/22 | Section 30.14 – EPSDT-PCS Covered Services |
2022-EPSDT-PCS-2 | Section 30.15 – EPSDT-PCS Recipient Requirements | 9/15/22 | 10/30/22 | Section 30.15 – EPSDT-PCS Recipient Requirements |
2022-EPSDT-PCS-3 | Section 30.18 – EPSDT-PCS Provider Requirements | 9/15/22 | 10/30/22 | Section 30.18 – EPSDT-PCS Provider Requirements |
2022-EPSDT-PCS-4 | Section 30.20 – EPSDT-PCS Record Keeping | 9/15/22 | 10/30/22 | Section 30.20 – EPSDT-PCS Record Keeping |
2022-EPSDT-PCS-5 | Section 30.21 – EPSDT-PCS Reimbursement | 9/15/22 | 10/30/22 | Section 30.21 – EPSDT-PCS Reimbursement |
2022-Professional Services-7 | Section 5.1 – Covered Services – Gynecology | 8/22/22 | 10/6/22 | Section 5.1 – Covered Services – Gynecology |
2022-Professional Services-6 | Section 5.1 – Covered Services – Anesthesia | 8/22/22 | 10/6/22 | Section 5.1 – Covered Services –Anesthesia |
2022-ICF-IID-1 | Section 26.12 – Cost Reports | 8/22/22 | 10/6/22 | Section 26.12 – Cost Reports |
2022-BHS-4 | Section 2.3 – Outpatient Services – Peer Support Services | 8/19/22 | 10/3/22 | Section 2.3 – Outpatient Services – Peer Support Services |
2022-BHS-3 | Section 2.5 – Coordinated System of Care (CSoC) | 8/19/22 | 10/3/22 | Section 2.5 – Coordinated System of Care (CSoC) |
2022-DME-4 | Section 18.2 – Specific Coverage Criteria –Portable Oxygen | 8/26/22 | 9/30/22 | Section 18.2 – Specific Coverage Criteria –Portable Oxygen |
2022-Professional Services-5 | Section 5.1 – Covered Services - Routine Care Provided to Beneficiaries Enrolled in Clinical Trials | 8/4/22 | 9/18/22 | Section 5.1 – Covered Services - Routine Care Provided to Beneficiaries Enrolled in Clinical Trials |
2022-Medical Transportation-4 | Section 10.3 – Provider Requirements | 8/2/22 | 9/8/22 | Section 10.3 – Provider Requirements |
2022-DME-3 | Section 18.2 – Specific Coverage Criteria | 7/19/22 | 9/2/22 | Section 18.2 – Specific Coverage Criteria |
2022-BHS-3 | Section 2.3 – Outpatient Services – Individual Placement and Support (IPS) | 7/1/22 | 8/15/22 | Section 2.3 – Outpatient Services – Individual Placement and Support (IPS) |
2022-Professional Services-4 | Section 5.1 – Covered Services – Immunizations | 5/24/22 | 7/8/22 | Section 5.1 – Covered Services – Immunizations |
2022-Medical Transportation-1 | Section 10.1 – Covered Services | 5/17/22 | 7/1/22 | Section 10.1 – Covered Services |
2022-Medical Transportation-2 | Section 10.3 – Provider Requirements | 5/17/22 | 7/1/22 | Section 10.3 – Provider Requirements |
2022-Medical Transportation-3 | Section 10.8 – Emergency Ambulance Transportation | 5/17/22 | 7/1/22 | Section 10.8 – Emergency Ambulance Transportation |
2022-BHS-2 | Section 2.3 – Outpatient Services – Outpatient Therapy by Licensed Practitioners | 5/17/22 | 7/1/22 | Section 2.3 – Outpatient Services – Outpatient Therapy by Licensed Practitioners |
2022-NOW-1 | Section 32.1 – Covered Services | 5/13/22 | 6/27/22 | Section 32.1 – Covered Services |
2022-SW-1 | Section 43.4 – Covered Services | 5/13/22 | 6/27/22 | Section 43.4 – Covered Services |
2022-ROW-1 | Section 38.1 – Covered Services | 5/13/22 | 6/27/22 | Section 38.1 – Covered Services |
2022–Hospice-1 | Section 24.3 – Covered Services | 5/12/22 | 6/26/22 | Section 24.3 – Covered Services |
2022–Hospice-2 | Section 24.5 – Provider Requirements | 5/12/22 | 6/26/22 | Section 24.5 – Provider Requirements |
2022–Hospice-3 | Section 24.10 – Claims Related Information | 5/12/22 | 6/26/22 | Section 24.10 – Claims Related Information |
2022-Professional Services-3 | Section 5.1 – Covered Services – Telemedicine/Telehealth | 5/12/22 | 6/26/22 | Section 5.1 – Covered Services – Telemedicine/Telehealth |
2022-PBMS-1 | Section 37.1 – Covered Services, Exclusions, and Limitations | 5/10/22 | 6/24/22 | Section 37.1 – Covered Services, Exclusions, and Limitations |
2022-BHS-1 | Section 2.3 – Outpatient Services – Crisis Response Services for Adults | 5/10/22 | 6/24/22 | Section 2.3 – Outpatient Services – Crisis Response Services for Adults |
2022–Professional Services-2 | Section 5.1 – Allergy Testing and Immunotherapy | 4/20/22 | 6/4/22 | Section 5.1 – Allergy Testing and Immunotherapy |
2022-DME-2 | Section 18.2 – Specific Coverage Criteria | 4/8/22 | 5/23/22 | Section 18.2 – Specific Coverage Criteria |
2022-Hospitals-1 | Section 25.3 – Outpatient Services | 3/21/22 | 5/5/22 | Section 25.3 – Outpatient Services |
2022-Professional Services-1 | Section 5.1 – Laboratory and Radiology Services | 3/21/22 | 5/5/22 | Section 5.1 – Laboratory and Radiology Services |
2022-DME-1 | Section 18.2 – Specific Coverage Criteria | 1/14/22 | 2/28/22 | Section 18.2 – Specific Coverage Criteria |
2022-BH-1 | Section 2.3 – Outpatient Services - IPS | 1/6/22 | 2/20/22 | Section 2.3 – Outpatient Services - IPS |
2022-BH-2 | Section 2.3 – Outpatient Services - PCS | 1/6/22 | 2/20/22 | Section 2.3 – Outpatient Services - PCS |
Medicaid Provider Manuals - Public Comment Archive (2022)
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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