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| Item Number | Policy/Procedure | Date Posted | Comment Period Closed | Status | Document Links |
|---|---|---|---|---|---|
| 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 | Pending | 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 |
| 2025-LHCC-966 | Cultural and Linguistic Policy | 10/15/25 | 11/29/25 | Pending | Cultural and Linguistic Policy |
| 2025-HUM-1460 | Doula Services (ILO) | 10/15/25 | 11/29/25 | Pending | Doula Services (ILO) |
| 2025-ABH-2363 | AMA XXXX Hospice | 10/15/25 | 11/29/25 | Pending | AMA XXXX Hospice |
| 2025-HBL-2748 | Carelon Trans to Vsclr Emblztn-Occlsn Prcdrs | 10/15/25 | 11/29/25 | Pending | Carelon Trans to Vsclr Emblztn-Occlsn Prcdrs |
| 2025-HBL-1033 | Therapeutic Apheresis | 10/10/25 | 11/24/25 | Pending | Therapeutic Apheresis |
| 2025-UHC-1123 | Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Wounds | 10/10/25 | 11/24/25 | Pending | Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Wounds |
| 2025-UHC-1589 | Surgical Treatment of Lymphedema | 10/10/25 | 11/24/25 | Pending | Surgical Treatment of Lymphedema |
| 2025-UHC-1762 | Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery | 10/10/25 | 11/24/25 | Pending | Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery |
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