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| Item Number | Policy/Procedure | Date Posted | Comment Period Closed | Status | Document Links |
|---|---|---|---|---|---|
| 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-2662 | MediTrans Provider Agreement_For Profit | 5/9/25 | 6/23/25 | Pending | MediTrans Provider Agreement_For Profit |
| 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 |
| 2025-UHC-247 | Negative Pressure Wound Therapy | 4/2/25 | 5/17/25 | Pending | Negative Pressure Wound Therapy |
| 2025-UHC-375 | Pneumatic Compression Devices | 4/2/25 | 5/17/25 | Pending | Pneumatic Compression Devices |
| 2025-UHC-474 | Rhinoplasty and Other Nasal Procedures | 4/2/25 | 5/17/25 | Pending | Rhinoplasty and Other Nasal Procedures |
| 2025-UHC-555 | Orthognathic (Jaw) Surgery | 4/2/25 | 5/17/25 | Pending | Orthognathic (Jaw) Surgery |
| 2025-UHC-580 | Embolization Ovarian Iliac Pelvic Congestion Syndrome | 4/2/25 | 5/17/25 | Pending | Embolization Ovarian Iliac Pelvic Congestion Syndrome |
| 2025-UHC-1170 | Prostate Surgeries and Interventions | 4/2/25 | 5/17/25 | Pending | Prostate Surgeries and Interventions |
| 2025-LHCC-1214 | Total Parenteral Nutrition and Intradialytic Parental Nutrition | 4/2/25 | 5/17/25 | Pending | Total Parenteral Nutrition and Intradialytic Parental Nutrition |
| 2025-LHCC-1216 | Bariatric Surgery | 4/2/25 | 5/17/25 | Pending | Bariatric Surgery |
| 2025-LHCC-1356 | Lung Transplantation | 4/2/25 | 5/17/25 | Pending | Lung Transplantation |
| 2025-LHCC-1358 | Pancreas Transplantation | 4/2/25 | 5/17/25 | Pending | Pancreas Transplantation |
| 2025-LHCC-1360 | Heart-Lung Transplant | 4/2/25 | 5/17/25 | Pending | Heart-Lung Transplant |
| 2025-LHCC-1362 | Nonmyeloablative allogeneric SCT | 4/2/25 | 5/17/25 | Pending | Nonmyeloablative allogeneric SCT |
| 2025-LHCC-1363 | Tandem Transplant | 4/2/25 | 5/17/25 | Pending | Tandem Transplant |
| 2025-LHCC-1385 | Implantable Wireless PAP Monitoring | 4/2/25 | 5/17/25 | Pending | Implantable Wireless PAP Monitoring |
| 2025-UHC-1523 | Facet Joint and Medial Branch Block Injections for Spinal Pain | 4/2/25 | 5/17/25 | Pending | Facet Joint and Medial Branch Block Injections for Spinal Pain |
| 2025-LHCC-1527 | Nerve Blocks and Neurolysis for Pain Management | 4/2/25 | 5/17/25 | Pending | Nerve Blocks and Neurolysis for Pain Management |
| 2025-LHCC-1703 | Pediatric Kidney Transplant | 4/2/25 | 5/17/25 | Pending | Pediatric Kidney Transplant |
| 2025-LHCC-1744 | Phototherapy for Neonatal Hyperbilirubinemia | 4/2/25 | 5/17/25 | Pending | Phototherapy for Neonatal Hyperbilirubinemia |
| 2025-LHCC-1745 | Donor Lymphocyte Infusion | 4/2/25 | 5/17/25 | Pending | Donor Lymphocyte Infusion |
| 2025-LHCC-1838 | Intensity-Modulated Radiotherapy | 4/2/25 | 5/17/25 | Pending | Intensity-Modulated Radiotherapy |
| 2025-LHCC-1934 | Experimental Technologies | 4/2/25 | 5/17/25 | Pending | Experimental Technologies |
| 2025-LHCC-1935 | Gastric Electrical Stimulation | 4/2/25 | 5/17/25 | Pending | Gastric Electrical Stimulation |
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