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| Item Number | Policy/Procedure | Date Posted | Comment Period Closed | Status | Document Links |
|---|---|---|---|---|---|
| 2025-UHC-201 | Apheresis | 12/4/25 | 1/18/25 | Pending | Apheresis |
| 2025-UHC-521 | Gastrointestinal Motility Disorders Diagnosis and Treatment | 12/4/25 | 1/18/25 | Pending | Gastrointestinal Motility Disorders Diagnosis and Treatment |
| 2025-UHC-789 | Minimally Invasive Procedures GERD | 12/4/25 | 1/18/25 | Pending | Minimally Invasive Procedures GERD |
| 2025-HBL-1061 | Venous Angio w or w/out Stent Placement or Venous Stent Alone | 12/4/25 | 1/18/25 | Pending | Venous Angio w or w/out Stent Placement or Venous Stent Alone |
| 2025-HBL-1151 | Intracytoplasmic Sperm Injection | 12/4/25 | 1/18/25 | Pending | Intracytoplasmic Sperm Injection |
| 2025-LHCC-1216 | Bariatric Surgery | 12/4/25 | 1/18/25 | Pending | Bariatric Surgery |
| 2025-HUM-1643 | Bariatric Surgery Clinical Coverage Policy | 12/4/25 | 1/18/25 | Pending | Bariatric Surgery Clinical Coverage Policy |
| 2025-HUM-1645 | Breast Surgery Clinical Coverage Policy | 12/4/25 | 1/18/25 | Pending | Breast Surgery Clinical Coverage Policy |
| 2025-HUM-1647 | Continuous Subcutaneous Insulin External Infusion Pump Clinical Coverage Policy | 12/4/25 | 1/18/25 | Pending | Continuous Subcutaneous Insulin External Infusion Pump Clinical Coverage Policy |
| 2025-HUM-1652 | Genetic Testing for Breast and Ovarian Cancer, FAP, and Lynch Syndrome Clinical Coverage Policy | 12/4/25 | 1/18/25 | Pending | Genetic Testing for Breast and Ovarian Cancer, FAP, and Lynch Syndrome Clinical Coverage Policy |
| 2025-HUM-1653 | Hearing Aids Clinical Policy | 12/4/25 | 1/18/25 | Pending | Hearing Aids Clinical Policy |
| 2025-HUM-1654 | High Frequency Chest Wall Oscillation Devices Clinical Coverage Policy | 12/4/25 | 1/18/25 | Pending | High Frequency Chest Wall Oscillation Devices Clinical Coverage Policy |
| 2025-HUM-1659 | Inhaled Nitric Oxide Clinical Coverage Policy | 12/4/25 | 1/18/25 | Pending | Inhaled Nitric Oxide Clinical Coverage Policy |
| 2025-HUM-1660 | Intrathecal Baclofen Therapy Clinical Coverage Policy | 12/4/25 | 1/18/25 | Pending | Intrathecal Baclofen Therapy Clinical Coverage Policy |
| 2025-HUM-1662 | Osteogenic Bone Growth Stimulators | 12/4/25 | 1/18/25 | Pending | Osteogenic Bone Growth Stimulators |
| 2025-UHC-1737 | Computer-Assisted Surgical Navigation for Musculoskeletal Procedures | 12/4/25 | 1/18/25 | Pending | Computer-Assisted Surgical Navigation for Musculoskeletal Procedures |
| 2025-UHC-1846 | Interspinous Fusion and Decompression Devices | 12/4/25 | 1/18/25 | Pending | Interspinous Fusion and Decompression Devices |
| 2025-HBL-2191 | Digital Therapy Devices for Treatment of Amblyopia | 12/4/25 | 1/18/25 | Pending | Digital Therapy Devices for Treatment of Amblyopia |
| 2025-UHC-2301 | Molecular Oncology Companion Diagnostic Testing | 12/4/25 | 1/18/25 | Pending | Molecular Oncology Companion Diagnostic Testing |
| 2025-HUM-2601 | Transcranial Magnetic Stimulation (TMS) | 12/4/25 | 1/18/25 | Pending | Transcranial Magnetic Stimulation (TMS) |
| 2025-LHCC-2742 | ILOS LA.FINC. | 12/4/25 | 1/18/25 | Pending | ILOS LA.FINC. |
| 2025-HUM-2770 | Tecelra (afamitresgene autoleucel) | 12/4/25 | 1/18/25 | Pending | Tecelra (afamitresgene autoleucel) |
| 2025-HUM-2771 | Zevaskyn (prademagene zamikeracel) | 12/4/25 | 1/18/25 | Pending | Zevaskyn (prademagene zamikeracel) |
| 2025-HUM-2772 | Rethymic (allogeneic processed thymus tissue-agdc) | 12/4/25 | 1/18/25 | Pending | Rethymic (allogeneic processed thymus tissue-agdc) |
| 2025-HBL-2776 | Outpatient Intravenous Insulin Therapy | 12/4/25 | 1/18/25 | Pending | Outpatient Intravenous Insulin Therapy |
| 2025-HBL-2777 | Home Video-Assisted Robotic Rehabilitation Systems | 12/4/25 | 1/18/25 | Pending | Home Video-Assisted Robotic Rehabilitation Systems |
| 2025-HUM-2779 | Allograft Nerve Repair | 12/4/25 | 1/18/25 | Pending | Allograft Nerve Repair |
| 2025-HBL-2780 | Genicular Procedures for Treatment of Knee Pain | 12/4/25 | 1/18/25 | Pending | Genicular Procedures for Treatment of Knee Pain |
| 2025-LHCC-427 | Doula Services (ILO) | 12/4/25 | 1/18/25 | Pending | Doula Services (ILO) |
| 2025-ABH-2351 | AMA XXXX Continuous Positive Airway Pressure | 12/4/25 | 1/18/25 | Pending | AMA XXXX Continuous Positive Airway Pressure |
| 2025-HUM-2737 | Modifiers | 12/4/25 | 1/18/25 | Pending | Modifiers |
| 2025-HUM-2759 | Correct coding | 12/4/25 | 1/18/25 | Pending | Correct coding |
| 2025-HUM-2760 | HCPCS | 12/4/25 | 1/18/25 | Pending | HCPCS |
| 2025-UHC-377 | Implanted Electrical Stimulator for Spinal Cord | 10/31/25 | 12/15/25 | Pending | Implanted Electrical Stimulator for Spinal Cord |
| 2025-UHC-788 | Mechanical Stretching Devices | 10/31/25 | 12/15/25 | Pending | Mechanical Stretching Devices |
| 2025-UHC-790 | Nerve Graft to restore Erectile Function during Radical Prostatectomy | 10/31/25 | 12/15/25 | Pending | Nerve Graft to restore Erectile Function during Radical Prostatectomy |
| 2025-UHC-1815 | Sacral Nerve Stimulation for Urinary and Fecal Indications | 10/31/25 | 12/15/25 | Pending | Sacral Nerve Stimulation for Urinary and Fecal Indications |
| 2025-UHC-2294 | Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment Decisions | 10/31/25 | 12/15/25 | Pending | Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment Decisions |
| 2025-LHCC-430 | Covered Benefits and Services | 10/24/25 | 12/8/25 | Pending | Covered Benefits and Services |
| 2025-HUM-1593 | Provider Manual | 10/24/25 | 12/8/25 | Pending | Provider Manual |
| 2025-LHCC-1875 | Ongoing Monitoring of Sanctions & Complaints | 10/24/25 | 12/8/25 | Completed | Ongoing Monitoring of Sanctions & Complaints |
| 2025-ABH-2253 | Utilization Management Timeliness Standards and Decision Notification Amendment | 10/24/25 | 12/8/25 | Pending | Utilization Management Timeliness Standards and Decision Notification Amendment |
| 2025-UHC-215 | Spinal Fusion and Bone Healing Enhancement Products | 10/24/25 | 12/8/25 | Pending | Spinal Fusion and Bone Healing Enhancement Products |
| 2025-UHC-217 | Omnibus Codes | 10/24/25 | 12/8/25 | Pending | Omnibus Codes |
| 2025-UHC-786 | Light and Laser Therapy | 10/24/25 | 12/8/25 | Pending | Light and Laser Therapy |
| 2025-UHC-1404 | Breast Imaging for Screening and Diagnosing Cancer | 10/24/25 | 12/8/25 | Pending | Breast Imaging for Screening and Diagnosing Cancer |
| 2025-ACLA-1442 | ACLA Prior Authorization Service List | 10/24/25 | 12/8/25 | Pending | ACLA Prior Authorization Service List |
| 2025-LHCC-1918 | Diabetes Self-Management Training | 10/24/25 | 12/8/25 | Pending | Diabetes Self-Management Training |
| 2025-UHC-2757 | Inhaled Nitric Oxide Therapy | 10/24/25 | 12/8/25 | Pending | Inhaled Nitric Oxide Therapy |
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