Medicaid Managed Care Policies & Procedures Archive (2023)

"Policy or procedure" 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
2023-LHCC-329	Adverse Determinations	12/27/23	2/10/24	Approved	Adverse Determinations
2023-UHC-510	Collagen Crosslinks and Biochemical Markers of Bone Turnover	12/21/23	2/4/24	Approved	Collagen Crosslinks and Biochemical Markers of Bone Turnover
2023-UHC-781	Deep Brain Cortical Stimulation	12/21/23	2/4/24	Approved	Deep Brain Cortical Stimulation
2023-UHC-782	Discogenic Pain Treatment	12/21/23	2/4/24	Approved	Discogenic Pain Treatment
2023-UHC-948	Catheter Ablation for Atrial Fibrillation	12/21/23	2/4/24	Approved	Catheter Ablation for Atrial Fibrillation
2023-HBL-1061	Venous Angio w or w/out Stent Placement or Venous Stent Alone	12/21/23	2/4/24	Approved	Venous Angio w or w/out Stent Placement or Venous Stent Alone
2023-ACLA-1954	Cochlear Implants	12/21/23	2/4/24	Approved	Cochlear Implants
2023-UHC-2275	ID and Strat of Mbrs for CM	12/21/23	2/4/24	Approved	ID and Strat of Mbrs for CM
2023-HBL-2284	Septoplasty	12/21/23	2/4/24	Approved	Septoplasty
2023-HUM-2286	Code Removal – VADs	12/21/23	2/4/24	Completed	Code Removal – VADs
2023-HUM-2287	Code Removal – Transplant	12/21/23	2/4/24	Completed	Code Removal – Transplant
2023-LHCC-2282	Provider Preventable Conditions	12/21/23	2/4/24	Approved	Provider Preventable Conditions
2023-LHCC-1515	Temporary Limited Authorization Reviews	12/21/23	2/4/24	Completed	Temporary Limited Authorization Reviews
2023-LDH-17	MCO Manual > Part 4: Services > In Lieu of Services > Physical Health Services > Outpatient Lactation Support (Proposed effective date = 1/1/2024)	12/8/23	1/22/24	Pending	Outpatient Lactation Support
2023-UHC-201	Aphersis	12/7/23	1/21/24	Approved	Aphersis
2023-UHC-205	Computed Tomographic Colonography	12/7/23	1/21/24	Approved	Computed Tomographic Colonography
2023-UHC-218	Pharmacogenetic Testing	12/7/23	1/21/24	Approved	Pharmacogenetic Testing
2023-UHC-223	Vagus and External Trigeminal Nerve Stimulation	12/7/23	1/21/24	Approved	Vagus and External Trigeminal Nerve Stimulation
2023-UHC-224	Visual Information Processing Evaluation and Orthoptic and Vision Therapy	12/7/23	1/21/24	Approved	Visual Information Processing Evaluation and Orthoptic and Vision Therapy
2023-UHC-248	Vertebral Tethering for Scoliosis	12/7/23	1/21/24	Approved	Vertebral Tethering for Scoliosis
2023-UHC-310	Total Artificial Disc Replacement Spine – Revised	12/7/23	1/21/24	Approved	Total Artificial Disc Replacement Spine – Revised
2023-UHC-478	Obstructive and Central Sleep Apnea Treatment	12/7/23	1/21/24	Approved	Obstructive and Central Sleep Apnea Treatment
2023-UHC-486	Abnormal Uterine Bleeding and Uterine Fibroids	12/7/23	1/21/24	Approved	Abnormal Uterine Bleeding and Uterine Fibroids
2023-UHC-791	Neurophysiologic Testing	12/7/23	1/21/24	Approved	Neurophysiologic Testing
2023-UHC-1063	Temporomandibular Joint Disorder	12/7/23	1/21/24	Approved	Temporomandibular Joint Disorder
2023-LHCC-1217	Ultrasound in Pregnancy	12/7/23	1/21/24	Approved	Ultrasound in Pregnancy
2023-LHCC-1273	Orthognathic Surgery	12/7/23	1/21/24	Approved	Orthognathic Surgery
2023-LHCC-1277	Panniculectomy	12/7/23	1/21/24	Approved	Panniculectomy
2023-LHCC-1361	Pediatric Heart Transplant	12/7/23	1/21/24	Approved	Pediatric Heart Transplant
2023-UHC-1461	Unicondylar Spacer Devices for Treatment of Pain or Disability	12/7/23	1/21/24	Approved	Unicondylar Spacer Devices for Treatment of Pain or Disability
2023-LHCC-1710	Maternal Child Health Program Description	12/7/23	1/21/24	Completed	Maternal Child Health Program Description
2023-LHCC-1741	AHCT for Sickle Cell Anemia and Thalassemia	12/7/23	1/21/24	Approved	AHCT for Sickle Cell Anemia and Thalassemia
2023-LHCC-1742	Ferriscan R2 MRI	12/7/23	1/21/24	Approved	Ferriscan R2 MRI
2023-LHCC-1744	Phototherapy for Neonatal Hyperbilirubinemia	12/7/23	1/21/24	Approved	Phototherapy for Neonatal Hyperbilirubinemia
2023-LHCC-1745	Donor Lymphocyte Infusion	12/7/23	1/21/24	Approved	Donor Lymphocyte Infusion
2023-UHC-1760	Radiation Therapy	12/7/23	1/21/24	Approved	Radiation Therapy
2023-UHC-1762	Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery	12/7/23	1/21/24	Approved	Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery
2023-LHCC-1834	Enteral Nutrition	12/7/23	1/21/24	Approved	Enteral Nutrition
2023-LHCC-1842	Cosmetic and Reconstructive Procedures	12/7/23	1/21/24	Approved	Cosmetic and Reconstructive Procedures
2023-ACLA-2276	Level 3.7 Adolescent CCP.4047	12/7/23	1/21/24	Approved	Level 3.7 Adolescent CCP.4047
2023-LHCC-140	Timeliness of UM Decisions	11/20/23	1/4/24	Approved	Timeliness of UM Decisions
2023-UHC-483	Genetic Testing for Hereditary Cancer	11/20/23	1/4/24	Approved	Genetic Testing for Hereditary Cancer
2023-LHCC-502	Clinical Information and Documentation Policy	11/20/23	1/4/24	Approved	Clinical Information and Documentation Policy
2023-LHCC-694	Record Keeping and Documentation Standards	11/20/23	1/4/24	Approved	Record Keeping and Documentation Standards
2023-ABH-822	ABH Provider Manual	11/20/23	1/4/24	Approved	ABH Provider Manual
2023-HBL-1060	Level of Care - Specialty Pharmaceuticals	11/20/23	1/4/24	Approved	Level of Care - Specialty Pharmaceuticals
2023-HBL-1149	Colonoscopy	11/20/23	1/4/24	Approved	Colonoscopy
2023-ACLA-1442	ACLA Prior Authorization Service List	11/20/23	1/4/24	Completed	ACLA Prior Authorization Service List
2023-LHCC-1478	Visits on Same Day as Surgery	11/20/23	1/4/24	Approved	Visits on Same Day as Surgery
2023-LHCC-1480	Pre-operative Visits	11/20/23	1/4/24	Approved	Pre-operative Visits
2023-LHCC-1481	Outpatient Consultation	11/20/23	1/4/24	Approved	Outpatient Consultation
2023-LHCC-1485	Unbundled Surgical Procedures	11/20/23	1/4/24	Approved	Unbundled Surgical Procedures
2023-LHCC-1486	Post-operative Visits	11/20/23	1/4/24	Approved	Post-operative Visits
2023-LHCC-1488	Unbundled Professional Services	11/20/23	1/4/24	Approved	Unbundled Professional Services
2023-LHCC-1513	Continuity and Coordination of Services	11/20/23	1/4/24	Approved	Continuity and Coordination of Services
2023-HBL-2258	Claims Sub-Professional	11/20/23	1/4/24	Approved	Claims Sub-Professional
2023-HBL-2259	Gender Affirming Prior Authorization Changes	11/20/23	1/4/24	Completed	Gender Affirming Prior Authorization Changes
2023-HBL-2270	Provider and Member Bill of Rights	11/20/23	1/4/24	Approved	Provider and Member Bill of Rights
2023-HBL-2271	Provider Network and Management	11/20/23	1/4/24	Approved	Provider Network and Management
2023-HUM-1826	Revenue Codes for Outpatient Services	12/21/23	2/4/24	Denied	Revenue Codes for Outpatient Services
2023-LHCC-1111	Thyroid Insulin Test in Ped	11/9/23	12/24/23	Approved	Thyroid Insulin Test in Ped
2023-LHCC-1112	Digital EEG Analysis	11/9/23	12/24/23	Approved	Digital EEG Analysis
2023-LHCC-1113	Cardiac Biomarker Testing	11/9/23	12/24/23	Approved	Cardiac Biomarker Testing
2023-LHCC-1115	Vitamin D Testing in Peds	11/9/23	12/24/23	Approved	Vitamin D Testing in Peds
2023-LHCC-1168	Allergy Testing & Therapy	11/9/23	12/24/23	Approved	Allergy Testing & Therapy
2023-HBL-1197	Angiographic Evaluation and Endovascular Intervention for Dialysis Access Circuit Dysfunction	11/9/23	12/24/23	Approved	Angiographic Evaluation and Endovascular Intervention for Dialysis Access Circuit Dysfunction
2023-HBL-1249	Penile Prosthesis Implantation	11/9/23	12/24/23	Approved	Penile Prosthesis Implantation
2023-LHCC-1278	Evoked Potential Testing	11/9/23	12/24/23	Approved	Evoked Potential Testing
2023-LHCC-1279	Measure Serum 1.25 Vit D	11/9/23	12/24/23	Approved	Measure Serum 1.25 Vit D
2023-LHCC-1280	EEG headache	11/9/23	12/24/23	Approved	EEG headache
2023-LHCC-1359	Testing for Select Genitourinary Conditions	11/9/23	12/24/23	Approved	Testing for Select Genitourinary Conditions
2023-LHCC-1386	Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins	11/9/23	12/24/23	Approved	Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins
2023-LHCC-1417	Adult Crisis Stabilization	11/9/23	12/24/23	Approved	Adult Crisis Stabilization
2023-HBL-1431	Cryosurgical, Radiofrequency or Laser Ablation to Treat Solid Tumors Outside the Liver	11/9/23	12/24/23	Approved	Cryosurgical, Radiofrequency or Laser Ablation to Treat Solid Tumors Outside the Liver
2023-LHCC-1702	Holter Monitor	11/9/23	12/24/23	Approved	Holter Monitor
2023-LHCC-1704	Helicobacter Pylori Serology Testing	11/9/23	12/24/23	Approved	Helicobacter Pylori Serology Testing
2023-LHCC-1706	Wireless Motility Capsule	11/9/23	12/24/23	Approved	Wireless Motility Capsule
2023-UHC-1733	Coordination, Continuity and Transition of Behavioral Health Care	11/9/23	12/24/23	Approved	Coordination, Continuity and Transition of Behavioral Health Care
2023-UHC-2250	Device and Skin Substitute Policy	11/9/23	12/24/23	Approved	Device and Skin Substitute Policy
2023-HBL-2264	Moderate to Deep Anesthesia Services for Dental Surgery in the Facility Setting	11/9/23	12/24/23	Approved	Moderate to Deep Anesthesia Services for Dental Surgery in the Facility Setting
2023-LHCC-2269	Concert Genetics Hereditary Cancer Susceptibility	11/9/23	12/24/23	Pending	Concert Genetics Hereditary Cancer Susceptibility
2023-HBL-258	Health Care Management Denial	11/1/23	12/16/23	Approved	Health Care Management Denial
2023-LHCC-336	Care Management Program Description	11/1/23	12/16/23	Approved	Care Management Program Description
2023-UHC-579	Surgery of the Hip	11/1/23	12/16/23	Approved	Surgery of the Hip
2023-UHC-789	Minimally Invasive Procedures for Gastric and Esophageal Diseases	11/1/23	12/16/23	Approved	Minimally Invasive Procedures for Gastric and Esophageal Diseases
2023-UHC-827	Prolotherapy and Platelet Rich Plasma Therapies	11/1/23	12/16/23	Approved	Prolotherapy and Platelet Rich Plasma Therapies
2023-LHCC-896	Physician Incentive Plan	11/1/23	12/16/23	Approved	Physician Incentive Plan
2023-UHC-1589	Surgical Treatment of Lymphedema	11/1/23	12/16/23	Approved	Surgical Treatment of Lymphedema
2023-UHC-1719	Louisiana BH Supplemental Clinical Care	11/1/23	12/16/23	Approved	Louisiana BH Supplemental Clinical Care
2023-UHC-1785	Plagiocephaly and Craniosynostosis Treatment	11/1/23	12/16/23	Approved	Plagiocephaly and Craniosynostosis Treatment
2023-UHC-2260	Mobility Devices, Options and Accessories	11/1/23	12/16/23	Approved	Mobility Devices, Options and Accessories
2023-UHC-443	Ambulance Services	11/9/23	12/24/23	Denied	Ambulance Services
2023-LDH-16	MCO Manual > Part 4: Services > Professional Services > Tobacco Cessation Counseling Services (Effective date = 6/20/2023)	10/26/23	12/10/23	Pending	Tobacco Cessation Counseling Services
2023-ABH-1007	BH Provider Monitoring Strategy	10/24/23	12/8/23	Approved	BH Provider Monitoring Strategy
2023-LHCC-1477	Duplicate Primary Code Billing	10/23/23	12/7/23	Approved	Duplicate Primary Code Billing
2023-LHCC-1484	Status B Bundled Services	10/23/23	12/7/23	Approved	Status B Bundled Services
2023-LHCC-1492	New Patient	10/23/23	12/7/23	Approved	New Patient
2023-HBL-1717	Utilization Management	10/23/23	12/7/23	Completed	Utilization Management
2023-UHC-1737	Computer-Assisted Surgical Navigation for Musculoskeletal Procedures	10/23/23	12/7/23	Approved	Computer-Assisted Surgical Navigation for Musculoskeletal Procedures
2023-LHCC-1752	Epidural Spine Injections	10/23/23	12/7/23	Approved	Epidural Spine Injections
2023-LHCC-1880	Hip Arthroplasty	10/23/23	12/7/23	Approved	Hip Arthroplasty
2023-LHCC-1881	Hip Arthroscopy	10/23/23	12/7/23	Approved	Hip Arthroscopy
2023-LHCC-1960	Dually Diagnosed Continuous Improvement	10/23/23	12/7/23	Approved	Dually Diagnosed Continuous Improvement
2023-HUM-2212	80305, 80306, 80307 Limit Reimbursement for Presumptive Drug Testing to 24 per Year	10/23/23	12/7/23	Approved	80305, 80306, 80307 Limit Reimbursement for Presumptive Drug Testing to 24 per Year
2023-UHC-2252	Hospital Services: Observation and Inpatient	10/23/23	12/7/23	Approved	Hospital Services: Observation and Inpatient
2023-ABH-2253	Utilization Management Timeliness Standards and Decision Notification Amendment	10/23/23	12/7/23	Completed	Utilization Management Timeliness Standards and Decision Notification Amendment
2023-ABH-2254	Benefit Exception Amendment	10/23/23	12/7/23	Completed	Benefit Exception Amendment
2023-ABH-2255	Decision Making Criteria Notification Amendment	10/23/23	12/7/23	Completed	Decision Making Criteria Notification Amendment
2023-HBL-2223	Provider Quality Monitoring Strategy	10/23/23	12/7/23	Approved	Provider Quality Monitoring Strategy
2023-UHC-206	Electric Tumor Treatment Field Therapy	10/23/23	12/7/23	Approved	Electric Tumor Treatment Field Therapy
2023-UHC-378	Surgery of the Shoulder	10/23/23	12/7/23	Approved	Surgery of the Shoulder
2023-UHC-474	Rhinoplasty and Other Nasal Procedures	10/23/23	12/7/23	Approved	Rhinoplasty and Other Nasal Procedures
2023-LHCC-682	Active Procedures in Physical Medicine	10/23/23	12/7/23	Approved	Active Procedures in Physical Medicine
2023-LHCC-685	Experimental, Unproven, or Investigational Services	10/23/23	12/7/23	Approved	Experimental, Unproven, or Investigational Services
2023-LHCC-732	Heart (cardiac) PET	10/23/23	12/7/23	Approved	Heart (cardiac) PET
2023-LHCC-770	Fractional Flow Reserve CT	10/23/23	12/7/23	Approved	Fractional Flow Reserve CT
2023-LHCC-776	Transeophageal (TEE) Echo	10/23/23	12/7/23	Approved	Transeophageal (TEE) Echo
2023-UHC-780	Core Decompression Avascular Necrosis	10/23/23	12/7/23	Approved	Core Decompression Avascular Necrosis
2023-UHC-787	Lithotripsy Salivary Stones	10/23/23	12/7/23	Approved	Lithotripsy Salivary Stones
2023-UHC-793	Virtual Upper Gastrointestinal Endoscopy	10/23/23	12/7/23	Approved	Virtual Upper Gastrointestinal Endoscopy
2023-UHC-826	Surgery of the Elbow	10/23/23	12/7/23	Approved	Surgery of the Elbow
2023-UHC-1122	Percutaneous Vertebroplasty and Kyphoplasty	10/23/23	12/7/23	Approved	Percutaneous Vertebroplasty and Kyphoplasty
2023-LHCC-1167	DME Clinical Policy	10/23/23	12/7/23	Approved	DME Clinical Policy
2023-LHCC-1268	Bone-Anchored Hearing Aid	10/23/23	12/7/23	Approved	Bone-Anchored Hearing Aid
2023-UHC-1404	Breast Imaging for Screening and Diagnosing Cancer	10/23/23	12/7/23	Approved	Breast Imaging for Screening and Diagnosing Cancer
2023-UHC-1418	Autologous Cellular Therapy	10/23/23	12/7/23	Approved	Autologous Cellular Therapy
2023-UHC-1424	Intraoperative Hyperthermic Intraperitoneal Chemotherapy	10/23/23	12/7/23	Approved	Intraoperative Hyperthermic Intraperitoneal Chemotherapy
2023-UHC-1458	Hepatitis Screening	10/23/23	12/7/23	Approved	Hepatitis Screening
2023-LHCC-1476	Status P Bundled Service	10/23/23	12/7/23	Approved	Status P Bundled Service
2023-LDH-15	MCO Manual > Part 4: Services > Pharmacy > Behavioral Health Specific Pharmacy Policies and Procedures (Proposed effective date = 12/1/2023)	10/18/23	12/2/23	Completed	Behavioral Health Specific Pharmacy Policies and Procedures
2023-ACLA-873	CT Bone Density Study	10/18/23	12/2/23	Approved	CT Bone Density Study
2023-ACLA-874	CT (Virtual) Colonoscopy	10/18/23	12/2/23	Approved	CT (Virtual) Colonoscopy
2023-ACLA-875	Chest (Thorax) CT	10/18/23	12/2/23	Approved	Chest (Thorax) CT
2023-ACLA-876	Chest CTA	10/18/23	12/2/23	Approved	Chest CTA
2023-ACLA-877	Chest MRA	10/18/23	12/2/23	Approved	Chest MRA
2023-ACLA-878	Chest (Thorax) MRI	10/18/23	12/2/23	Approved	Chest (Thorax) MRI
2023-ACLA-879	Brain (Head) MRS	10/18/23	12/2/23	Approved	Brain (Head) MRS
2023-ACLA-880	Cervical Spine MRI	10/18/23	12/2/23	Approved	Cervical Spine MRI
2023-ACLA-881	Cervical Spine CT	10/18/23	12/2/23	Approved	Cervical Spine CT
2023-ACLA-882	Brain (Head) MRI, Brain (Head) MRI with IAC (Internal Auditory Canal)	10/18/23	12/2/23	Approved	Brain (Head) MRI, Brain (Head) MRI with IAC (Internal Auditory Canal)
2023-ACLA-884	Brain (Head) MRA/MRV	10/18/23	12/2/23	Approved	Brain (Head) MRA/MRV
2023-ACLA-887	CTA Aortogram with Runoff	10/18/23	12/2/23	Approved	CTA Aortogram with Runoff
2023-ACLA-1147	Brain PET Scan	10/18/23	12/2/23	Approved	Brain PET Scan
2023-ACLA-1148	Unlisted Studies	10/18/23	12/2/23	Approved	Unlisted Studies
2023-ACLA-1448	Pet Scans	10/18/23	12/2/23	Approved	Pet Scans
2023-ACLA-2249	Tumor Imaging PET-Any Site (Unlisted PET)	10/18/23	12/2/23	Approved	Tumor Imaging PET-Any Site (Unlisted PET)
2023-ACLA-852	Heart (Cardiac) PET with CT for Attenuation	10/17/23	12/1/23	Approved	Heart (Cardiac) PET with CT for Attenuation
2023-ACLA-853	Heart MRI	10/17/23	12/1/23	Approved	Heart MRI
2023-ACLA-854	Electron-Beam Tomography (EBCT) or Non-Contrast Coronary Computed Tomography (Non-contrast CCT)	10/17/23	12/1/23	Approved	Electron-Beam Tomography (EBCT) or Non-Contrast Coronary Computed Tomography (Non-contrast CCT)
2023-ACLA-855	Heart (cardiac) PET	10/17/23	12/1/23	Approved	Heart (cardiac) PET
2023-ACLA-856	Functional Brain MRI	10/17/23	12/1/23	Approved	Functional Brain MRI
2023-ACLA-857	CT Heart, CT Heart Congenital (Not including coronary arteries)	10/17/23	12/1/23	Approved	CT Heart, CT Heart Congenital (Not including coronary arteries)
2023-ACLA-858	Upper Extremity MRA/MRV	10/17/23	12/1/23	Approved	Upper Extremity MRA/MRV
2023-ACLA-859	Upper Extremity MRI	10/17/23	12/1/23	Approved	Upper Extremity MRI
2023-ACLA-861	Breast MRI	10/17/23	12/1/23	Approved	Breast MRI
2023-ACLA-862	Upper Extremity CT	10/17/23	12/1/23	Approved	Upper Extremity CT
2023-ACLA-863	Thoracic Spine MRI	10/17/23	12/1/23	Approved	Thoracic Spine MRI
2023-ACLA-864	Lower Extremity CTA/CTV	10/17/23	12/1/23	Approved	Lower Extremity CTA/CTV
2023-ACLA-865	Upper Extremity CTA/CTV	10/17/23	12/1/23	Approved	Upper Extremity CTA/CTV
2023-ACLA-866	Thoracic Spine CT	10/17/23	12/1/23	Approved	Thoracic Spine CT
2023-ACLA-867	Temporomandibular Joint (TMJ) MRI	10/17/23	12/1/23	Approved	Temporomandibular Joint (TMJ) MRI
2023-ACLA-868	Spinal Canal MRA	10/17/23	12/1/23	Approved	Spinal Canal MRA
2023-ACLA-869	Sinus & Maxillofacial CT Limited or Localized Follow Up Sinus CT	10/17/23	12/1/23	Approved	Sinus & Maxillofacial CT Limited or Localized Follow Up Sinus CT
2023-ACLA-870	Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Canal CT	10/17/23	12/1/23	Approved	Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Canal CT
2023-ACLA-871	Sinus Face Orbit MRI	10/17/23	12/1/23	Approved	Sinus Face Orbit MRI
2023-ACLA-872	CT Coronary Angiography (CCTA)	10/17/23	12/1/23	Approved	CT Coronary Angiography (CCTA)
2023-LHCC-687	Measurable Progressive Improvement	10/17/23	12/1/23	Approved	Measurable Progressive Improvement
2023-LHCC-689	Outpatient Habilitative PT and OT Therapy	10/17/23	12/1/23	Approved	Outpatient Habilitative PT and OT Therapy
2023-LHCC-690	Outpatient Habilitative and Rehabilitative Speech Therapy	10/17/23	12/1/23	Approved	Outpatient Habilitative and Rehabilitative Speech Therapy
2023-LHCC-691	Passive Treatment	10/17/23	12/1/23	Approved	Passive Treatment
2023-ACLA-836	Pelvis MRI	10/17/23	12/1/23	Approved	Pelvis MRI
2023-ACLA-837	Pelvis MRA	10/17/23	12/1/23	Approved	Pelvis MRA
2023-ACLA-838	Pelvis CT Angiography	10/17/23	12/1/23	Approved	Pelvis CT Angiography
2023-ACLA-839	Pelvis CT	10/17/23	12/1/23	Approved	Pelvis CT
2023-ACLA-840	Neck MRA/MRV	10/17/23	12/1/23	Approved	Neck MRA/MRV
2023-ACLA-841	Neck CTA	10/17/23	12/1/23	Approved	Neck CTA
2023-ACLA-842	MUGA (Multiple Gated Acquisition) Scan	10/17/23	12/1/23	Approved	MUGA (Multiple Gated Acquisition) Scan
2023-ACLA-843	Neck CT	10/17/23	12/1/23	Approved	Neck CT
2023-ACLA-844	Low Field MRI	10/17/23	12/1/23	Approved	Low Field MRI
2023-ACLA-845	MPI - Myocardial Perfusion Imaging	10/17/23	12/1/23	Approved	MPI - Myocardial Perfusion Imaging
2023-ACLA-846	Lumbar Spine CT	10/17/23	12/1/23	Approved	Lumbar Spine CT
2023-ACLA-847	Lumbar Spine MRI	10/17/23	12/1/23	Approved	Lumbar Spine MRI
2023-ACLA-848	Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI)	10/17/23	12/1/23	Approved	Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI)
2023-ACLA-849	Lower Extremity MRA/MRV	10/17/23	12/1/23	Approved	Lower Extremity MRA/MRV
2023-ACLA-850	Lower Extremity CT	10/17/23	12/1/23	Approved	Lower Extremity CT
2023-ACLA-851	Low Dose CT for Lung Cancer Screening	10/17/23	12/1/23	Approved	Low Dose CT for Lung Cancer Screening
2023-LHCC-769	Cardiac Resynchronization Therapy (CRT)	10/16/23	11/30/23	Approved	Cardiac Resynchronization Therapy (CRT)
2023-LHCC-771	Heart Catheterization	10/16/23	11/30/23	Approved	Heart Catheterization
2023-LHCC-775	Stress Echocardiography	10/16/23	11/30/23	Approved	Stress Echocardiography
2023-LHCC-778	Transthoracic (TTE) Echo	10/16/23	11/30/23	Approved	Transthoracic (TTE) Echo
2023-ACLA-883	Brain {Head} CT	10/16/23	11/30/23	Approved	Brain {Head} CT
2023-ACLA-885	Brain (Head) CTA	10/16/23	11/30/23	Approved	Brain (Head) CTA
2023-ACLA-886	Bone Marrow MRI	10/16/23	11/30/23	Approved	Bone Marrow MRI
2023-ACLA-888	Abdomen/Pelvis CTA Combo	10/16/23	11/30/23	Approved	Abdomen/Pelvis CTA Combo
2023-ACLA-889	Abdomen MRA (Angiography}	10/16/23	11/30/23	Approved	Abdomen MRA (Angiography}
2023-ACLA-890	Abdomen/Pelvis CT Combo	10/16/23	11/30/23	Approved	Abdomen/Pelvis CT Combo
2023-ACLA-891	Abdomen MRI, MRCP	10/16/23	11/30/23	Approved	Abdomen MRI, MRCP
2023-ACLA-892	Abdomen CT	10/16/23	11/30/23	Approved	Abdomen CT
2023-ACLA-893	Abdomen CT Angiography	10/16/23	11/30/23	Approved	Abdomen CT Angiography
2023-LHCC-1429	Heart PET with CT Attenuation	10/16/23	11/30/23	Approved	Heart PET with CT Attenuation
2023-LHCC-1711	Sympathetic Nerve Block	10/16/23	11/30/23	Approved	Sympathetic Nerve Block
2023-LHCC-1750	Sacroiliac Joint Injections-NIA	10/16/23	11/30/23	Approved	Sacroiliac Joint Injections-NIA
2023-LHCC-1751	Spinal Cord Stimulation-NIA	10/16/23	11/30/23	Approved	Spinal Cord Stimulation-NIA
2023-LHCC-1756	Facet Joint Denervation	10/16/23	11/30/23	Approved	Facet Joint Denervation
2023-LHCC-1764	Single Photon Emission Computed Tomography SPECT	10/16/23	11/30/23	Approved	Single Photon Emission Computed Tomography SPECT
2023-HBL-2158	Human Chorionic Gonadotrophin Testing	10/16/23	11/30/23	Approved	Human Chorionic Gonadotrophin Testing
2023-LHCC-745	Neck CT (soft tissue)	10/16/23	11/30/23	Approved	Neck CT (soft tissue)
2023-LHCC-746	Neck CTA	10/16/23	11/30/23	Approved	Neck CTA
2023-LHCC-747	Neck MRA/MRV	10/16/23	11/30/23	Approved	Neck MRA/MRV
2023-LHCC-748	Oncology PET Scans	10/16/23	11/30/23	Approved	Oncology PET Scans
2023-LHCC-749	Pelvis CT	10/16/23	11/30/23	Approved	Pelvis CT
2023-LHCC-750	Pelvis CT Angiography	10/16/23	11/30/23	Approved	Pelvis CT Angiography
2023-LHCC-751	Pelvis MRA	10/16/23	11/30/23	Approved	Pelvis MRA
2023-LHCC-752	Pelvis MRI	10/16/23	11/30/23	Approved	Pelvis MRI
2023-LHCC-753	Orbit, Face, Neck, Sinus MRI	10/16/23	11/30/23	Approved	Orbit, Face, Neck, Sinus MRI
2023-LHCC-754	Sinus & Maxillofacial CT limited or localized f/u Sinus CT	10/16/23	11/30/23	Approved	Sinus & Maxillofacial CT limited or localized f/u Sinus CT
2023-LHCC-755	Spinal Canal MRA	10/16/23	11/30/23	Approved	Spinal Canal MRA
2023-LHCC-756	Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Canal CT	10/16/23	11/30/23	Approved	Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Canal CT
2023-LHCC-757	Temporomandibular Joint (TMJ) MRI	10/16/23	11/30/23	Approved	Temporomandibular Joint (TMJ) MRI
2023-LHCC-758	Thoracic Spine CT	10/16/23	11/30/23	Approved	Thoracic Spine CT
2023-LHCC-759	Thoracic Spine MRI	10/16/23	11/30/23	Approved	Thoracic Spine MRI
2023-LHCC-763	Unlisted Studies	10/16/23	11/30/23	Approved	Unlisted Studies
2023-LHCC-764	Upper Extremity CT (Hand, Wrist, Long bone, or Shoulder CT)	10/16/23	11/30/23	Approved	Upper Extremity CT (Hand, Wrist, Long bone, or Shoulder CT)
2023-LHCC-765	Upper Extremity CT Angiography	10/16/23	11/30/23	Approved	Upper Extremity CT Angiography
2023-LHCC-766	Upper Extremity MRA/MRV	10/16/23	11/30/23	Approved	Upper Extremity MRA/MRV
2023-LHCC-767	Upper Extremity MRI (Hand, Wrist, Elbow, Long bone, or Shoulder MRI)	10/16/23	11/30/23	Approved	Upper Extremity MRI (Hand, Wrist, Elbow, Long bone, or Shoulder MRI)
2023-LHCC-718	Chest (Thorax) MRI	10/16/23	11/30/23	Approved	Chest (Thorax) MRI
2023-LHCC-719	Chest CTA	10/16/23	11/30/23	Approved	Chest CTA
2023-LHCC-720	Chest MRA	10/16/23	11/30/23	Approved	Chest MRA
2023-LHCC-721	CT (Virtual) Colonoscopy -1	10/16/23	11/30/23	Approved	CT (Virtual) Colonoscopy -1
2023-LHCC-722	CT (Virtual) Colonoscopy -2	10/16/23	11/30/23	Approved	CT (Virtual) Colonoscopy -2
2023-LHCC-723	CT Bone Density Study	10/16/23	11/30/23	Approved	CT Bone Density Study
2023-LHCC-726	Coronary Artery Calcium Scoring by: EBCT or Non-Contrast CCT	10/16/23	11/30/23	Approved	Coronary Artery Calcium Scoring by: EBCT or Non-Contrast CCT
2023-LHCC-727	Fetal MRI	10/16/23	11/30/23	Approved	Fetal MRI
2023-LHCC-728	Functional Brain MRI	10/16/23	11/30/23	Approved	Functional Brain MRI
2023-LHCC-729	CT Heart CT heart Congenital	10/16/23	11/30/23	Approved	CT Heart CT heart Congenital
2023-LHCC-730	Heart MRI	10/16/23	11/30/23	Approved	Heart MRI
2023-LHCC-735	Low Dose CT for Lung Cancer Screening	10/16/23	11/30/23	Approved	Low Dose CT for Lung Cancer Screening
2023-LHCC-736	Lower Extremity CT (foot, ankle, leg or hip CT)	10/16/23	11/30/23	Approved	Lower Extremity CT (foot, ankle, leg or hip CT)
2023-LHCC-737	Lower Extremity CT Angiography	10/16/23	11/30/23	Approved	Lower Extremity CT Angiography
2023-LHCC-738	Lower Extremity MRA/MRV	10/16/23	11/30/23	Approved	Lower Extremity MRA/MRV
2023-LHCC-739	Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI)	10/16/23	11/30/23	Approved	Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI)
2023-LHCC-740	Lumbar Spine CT	10/16/23	11/30/23	Approved	Lumbar Spine CT
2023-LHCC-741	Lumbar Spine MRI	10/16/23	11/30/23	Approved	Lumbar Spine MRI
2023-LHCC-742	Myocardial Perfusion Imaging (Nuclear Cardiac Imaging Study)	10/16/23	11/30/23	Approved	Myocardial Perfusion Imaging (Nuclear Cardiac Imaging Study)
2023-LHCC-744	MUGA (Multiple Gated Acquisition) Scan	10/16/23	11/30/23	Approved	MUGA (Multiple Gated Acquisition) Scan
2023-LHCC-695	Abdomen CT	10/13/23	11/27/23	Approved	Abdomen CT
2023-LHCC-696	Abdomen CT Angiography	10/13/23	11/27/23	Approved	Abdomen CT Angiography
2023-LHCC-697	Abdomen MRA (Angiography)	10/13/23	11/27/23	Approved	Abdomen MRA (Angiography)
2023-LHCC-698	Abdomen MRI	10/13/23	11/27/23	Approved	Abdomen MRI
2023-LHCC-699	Abdomen/Pelvis CT Combo	10/13/23	11/27/23	Approved	Abdomen/Pelvis CT Combo
2023-LHCC-700	Abdomen/Pelvis CTA	10/13/23	11/27/23	Approved	Abdomen/Pelvis CTA
2023-LHCC-701	CTA Aortogram with Runoff	10/13/23	11/27/23	Approved	CTA Aortogram with Runoff
2023-LHCC-703	Bone Marrow MRI	10/13/23	11/27/23	Approved	Bone Marrow MRI
2023-LHCC-704	Brain (Head) CT	10/13/23	11/27/23	Approved	Brain (Head) CT
2023-LHCC-705	Brain (Head) CTA	10/13/23	11/27/23	Approved	Brain (Head) CTA
2023-LHCC-706	Brain (Head) MRA/MRV	10/13/23	11/27/23	Approved	Brain (Head) MRA/MRV
2023-LHCC-707	Brain (Head) MRI/Brain (Head) MRI w Internal Auditory Canal	10/13/23	11/27/23	Approved	Brain (Head) MRI/Brain (Head) MRI w Internal Auditory Canal
2023-LHCC-708	Brain (Head) MRS	10/13/23	11/27/23	Approved	Brain (Head) MRS
2023-LHCC-709	Brain PET Scan	10/13/23	11/27/23	Approved	Brain PET Scan
2023-LHCC-711	Breast MRI	10/13/23	11/27/23	Approved	Breast MRI
2023-LHCC-712	CT Coronary Angiography (CCTA)	10/13/23	11/27/23	Approved	CT Coronary Angiography (CCTA)
2023-LHCC-713	Cerebral Perfusion CT	10/13/23	11/27/23	Approved	Cerebral Perfusion CT
2023-LHCC-715	Cervical Spine CT	10/13/23	11/27/23	Approved	Cervical Spine CT
2023-LHCC-716	Cervical Spine MRI	10/13/23	11/27/23	Approved	Cervical Spine MRI
2023-LHCC-717	Chest (Thorax) CT	10/13/23	11/27/23	Approved	Chest (Thorax) CT
2023-LHCC-1753	Implantable Infusion Pump Insertion	10/11/23	11/25/23	Approved	Implantable Infusion Pump Insertion
2023-LHCC-1754	Epidural Spine Injection Trial Intrathecal Hybrid	10/11/23	11/25/23	Approved	Epidural Spine Injection Trial Intrathecal Hybrid
2023-LHCC-1755	Paravertebral Facet Joint injections or blocks	10/11/23	11/25/23	Approved	Paravertebral Facet Joint injections or blocks
2023-LHCC-1889	Shoulder Arthroscopy	10/11/23	11/25/23	Approved	Shoulder Arthroscopy
2023-LHCC-2231	Concert Genetics Gastroenterologic Disorders non-cancerous	10/11/23	11/25/23	Approved	Concert Genetics Gastroenterologic Disorders non-cancerous
2023-LHCC-2232	Concert Genetics General Approach to Genetic Testing	10/11/23	11/25/23	Approved	Concert Genetics General Approach to Genetic Testing
2023-LHCC-2233	Concert Genetics Hearing Loss	10/11/23	11/25/23	Approved	Concert Genetics Hearing Loss
2023-LHCC-2234	Concert Genetics Lung Disorders	10/11/23	11/25/23	Approved	Concert Genetics Lung Disorders
2023-LHCC-2235	Concert Genetics Kidney Disorders	10/11/23	11/25/23	Approved	Concert Genetics Kidney Disorders
2023-LHCC-2236	Concert Genetics Immune Autoimmune and Rheumatoid Disorders	10/11/23	11/25/23	Approved	Concert Genetics Immune Autoimmune and Rheumatoid Disorders
2023-LHCC-2237	Concert Genetics Hematologic Conditions non-cancerous	10/11/23	11/25/23	Approved	Concert Genetics Hematologic Conditions non-cancerous
2023-LHCC-2238	Concert Genetics Skeletal Dysplasia Rare Bone Disorders	10/11/23	11/25/23	Approved	Concert Genetics Skeletal Dysplasia Rare Bone Disorders
2023-LHCC-2239	Concert Genetics Oncology Cytogenetic Testing	10/11/23	11/25/23	Approved	Concert Genetics Oncology Cytogenetic Testing
2023-LHCC-2240	Concert Genetics Preimplantation Genetic Testing	10/11/23	11/25/23	Approved	Concert Genetics Preimplantation Genetic Testing
2023-LHCC-2241	Concert Genetics Oncology Cancer Screening	10/11/23	11/25/23	Approved	Concert Genetics Oncology Cancer Screening
2023-LHCC-2242	Concert Genetics Prenatal and Preconception Carrier Screening	10/11/23	11/25/23	Approved	Concert Genetics Prenatal and Preconception Carrier Screening
2023-LHCC-2243	Concert Genetics Non-invasive Prenatal Screening	10/11/23	11/25/23	Approved	Concert Genetics Non-invasive Prenatal Screening
2023-LHCC-2244	Concert Genetics Prenatal Diagnosis Pregnancy Loss	10/11/23	11/25/23	Approved	Concert Genetics Prenatal Diagnosis Pregnancy Loss
2023-LHCC-2245	Concert Genetics Multi-system Inherited Disorders	10/11/23	11/25/23	Approved	Concert Genetics Multi-system Inherited Disorders
2023-LHCC-2246	Concert Genetics Metabolic Endocrine Mitochondrial Disorder	10/11/23	11/25/23	Approved	Concert Genetics Metabolic Endocrine Mitochondrial Disorder
2023-LHCC-1703	Pediatric Kidney Transplant	10/11/23	11/25/23	Approved	Pediatric Kidney Transplant
2023-LHCC-1745	Donor Lymphocyte Infusion	10/11/23	11/25/23	Approved	Donor Lymphocyte Infusion
2023-LHCC-1838	Intensity-Modulated Radiotherapy	10/11/23	11/25/23	Approved	Intensity-Modulated Radiotherapy
2023-LHCC-1882	Knee Arthroplasty	10/11/23	11/25/23	Approved	Knee Arthroplasty
2023-LHCC-1883	Lumbar Artificial Disc Replacement	10/11/23	11/25/23	Approved	Lumbar Artificial Disc Replacement
2023-LHCC-1884	Lumbar Spine Surgery	10/11/23	11/25/23	Approved	Lumbar Spine Surgery
2023-LHCC-1885	Knee Arthroscopy	10/11/23	11/25/23	Approved	Knee Arthroscopy
2023-LHCC-1886	Sacroiliac Joint Infusion	10/11/23	11/25/23	Approved	Sacroiliac Joint Infusion
2023-LHCC-1887	Shoulder Arthroplasty	10/11/23	11/25/23	Approved	Shoulder Arthroplasty
2023-LHCC-1906	Facility-Based Sleep Studies for OSA	10/11/23	11/25/23	Approved	Facility-Based Sleep Studies for OSA
2023-HUM-2199	Air Ambulance policy	10/11/23	11/25/23	Approved	Air Ambulance policy
2023-ACLA-2221	Provider Quality Monitoring Strategy	10/11/23	11/25/23	Approved	Provider Quality Monitoring Strategy
2023-UHC-2222	Provider Quality Monitoring Strategy	10/11/23	11/25/23	Approved	Provider Quality Monitoring Strategy
2023-HUM-2224	Provider Quality Monitoring Strategy	10/11/23	11/25/23	Approved	Provider Quality Monitoring Strategy
2023-LHCC-2225	Lantidra (donislecel) Allogeneic Pancreatic Islet Cellular Therapy	10/11/23	11/25/23	Approved	Lantidra (donislecel) Allogeneic Pancreatic Islet Cellular Therapy
2023-LHCC-2226	Concert Genetics Aortopathies and Connective Tissue Disorders	10/11/23	11/25/23	Approved	Concert Genetics Aortopathies and Connective Tissue Disorders
2023-LHCC-2227	Concert Genetics Cardiac Disorders	10/11/23	11/25/23	Approved	Concert Genetics Cardiac Disorders
2023-LHCC-2228	Concert Genetics Eye Disorders	10/11/23	11/25/23	Approved	Concert Genetics Eye Disorders
2023-LHCC-2229	Concert Genetics Dermatologic Conditions	10/11/23	11/25/23	Approved	Concert Genetics Dermatologic Conditions
2023-LHCC-2230	Concert Genetics Epilepsy Neurodegenerative and Neuromuscular Conditions	10/11/23	11/25/23	Approved	Concert Genetics Epilepsy Neurodegenerative and Neuromuscular Conditions
2023-UHC-486	Abnormal Uterine Bleeding and Uterine Fibroids	10/11/23	11/25/23	Approved	Abnormal Uterine Bleeding and Uterine Fibroids
2023-UHC-562	Balloon Sinus Ostial Dilation	10/11/23	11/25/23	Approved	Balloon Sinus Ostial Dilation
2023-UHC-788	Mechanical Stretching Devices	10/11/23	11/25/23	Approved	Mechanical Stretching Devices
2023-UHC-790	Nerve Graft to restore Erectile Function during Radical Prostatectomy	10/11/23	11/25/23	Approved	Nerve Graft to restore Erectile Function during Radical Prostatectomy
2023-LHCC-934	Behavioral Health Provider Quality Program	10/11/23	11/25/23	Approved	Behavioral Health Provider Quality Program
2023-LHCC-1109	Diaphragmatic/Phrenic Nerve Stimulation	10/11/23	11/25/23	Approved	Diaphragmatic/Phrenic Nerve Stimulation
2023-LHCC-1228	Sacroiliac Joint Interventions for Pain Management	10/11/23	11/25/23	Approved	Sacroiliac Joint Interventions for Pain Management
2023-LHCC-1265	Vagus Nerve Stimulation	10/11/23	11/25/23	Approved	Vagus Nerve Stimulation
2023-LHCC-1269	Gender Affirming Procedures	10/11/23	11/25/23	Approved	Gender Affirming Procedures
2023-LHCC-1274	Osteogenic Stimulation	10/11/23	11/25/23	Approved	Osteogenic Stimulation
2023-LHCC-1356	Lung Transplantation	10/11/23	11/25/23	Approved	Lung Transplantation
2023-LHCC-1358	Pancreas Transplantation	10/11/23	11/25/23	Approved	Pancreas Transplantation
2023-LHCC-1411	Medical Necessity Criteria	10/11/23	11/25/23	Approved	Medical Necessity Criteria
2023-UHC-1423	Total Artificial Heart and Ventricular Assist Devices	10/11/23	11/25/23	Approved	Total Artificial Heart and Ventricular Assist Devices
2023-UHC-1425	Neuropsychological Testing under the Medical Benefit	10/11/23	11/25/23	Approved	Neuropsychological Testing under the Medical Benefit
2023-HUM-1428	Preauthorization and Notification List	10/11/23	11/25/23	Completed	Preauthorization and Notification List
2023-LHCC-1524	Posterior Tibial Nerve Stimulation for Voiding Dysfunction	10/11/23	11/25/23	Approved	Posterior Tibial Nerve Stimulation for Voiding Dysfunction
2023-LHCC-1525	Intradiscal Steroid Injections for Pain Management	10/11/23	11/25/23	Approved	Intradiscal Steroid Injections for Pain Management
2023-LHCC-1526	Trigger Point Injections	10/11/23	11/25/23	Approved	Trigger Point Injections
2023-LHCC-1527	Nerve Blocks and Neurolysis for Pain Management	10/11/23	11/25/23	Approved	Nerve Blocks and Neurolysis for Pain Management
2023-HBL-2263	Claims Interest Policy	11/9/23	12/24/23	Under LDH Review	Claims Interest Policy
2023-HBL-98	Claim Submission: Required Information for Facilities	9/19/23	11/3/23	Approved	Claim Submission: Required Information for Facilities
2023-UHC-215	Spinal Fusion and Bone Healing Enhancement Products	9/19/23	11/3/23	Approved	Spinal Fusion and Bone Healing Enhancement Products
2023-LHCC-1416	Transportation Policy	9/19/23	11/3/23	Approved	Transportation Policy
2023-HUM-1606	Louisiana UM Program Description	9/19/23	11/3/23	Completed	Louisiana UM Program Description
2023-HBL-2220	Provider Digital Correspondence Initiative	9/19/23	11/3/23	Pending	Provider Digital Correspondence Initiative
2023-LHCC-329	Adverse Determinations	9/18/23	11/2/23	Completed	Adverse Determinations
2023-LHCC-532	Appropriate UM Professionals	9/18/23	11/2/23	Completed	Appropriate UM Professionals
2023-LHCC-991	Concurrent Review	9/18/23	11/2/23	Completed	Concurrent Review
2023-UHC-1761	Home Health	9/18/23	11/2/23	Approved	Home Health
2023-HBL-1778	Outpatient Glycated Hemoglobin and Protein Testing	9/18/23	11/2/23	Approved	Outpatient Glycated Hemoglobin and Protein Testing
2023-HBL-1783	Mechanical Embolectomy for Treatment of Stroke	9/18/23	11/2/23	Approved	Mechanical Embolectomy for Treatment of Stroke
2023-HUM-2210	J7300 - prevention of pregnancy	9/18/23	11/2/23	Approved	J7300 - prevention of pregnancy
2023-HUM-2211	G0480 & G0481 Limit Definitive Drug Testing to 12 Per Year	9/18/23	11/2/23	Approved	G0480 & G0481 Limit Definitive Drug Testing to 12 Per Year
2023-HBL-2215	Gamma Glutamyl Transferase Testing	9/18/23	11/2/23	Approved	Gamma Glutamyl Transferase Testing
2023-HBL-2216	Outpatient Laboratory-based Blood Glucose Testing	9/18/23	11/2/23	Approved	Outpatient Laboratory-based Blood Glucose Testing
2023-HBL-2217	Cryopreservation of Oocytes or Ovarian Tissue	9/18/23	11/2/23	Approved	Cryopreservation of Oocytes or Ovarian Tissue
2023-HBL-2218	Dynamic Low-Load Prolonged-Duration Stretch Devices	9/18/23	11/2/23	Approved	Dynamic Low-Load Prolonged-Duration Stretch Devices

---

---

---

---

 

---

---

---

---