Medicaid Provider Services Manual

 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 services manual chapters.

Below are the changes to provider services manual chapters beginning August 1, 2019. To provide feedback, please complete this form.

Item Number Provider Manual Chapter Date Posted Comment Period Closed Document Links
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

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