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| Item Number | Policy/Procedure | Date Posted | Comment Period Closed | Status | Document Links |
|---|---|---|---|---|---|
| 2025-LHCC-754 | Sinus & Maxillofacial CT limited or localized f/u Sinus CT | 2/3/26 | 3/20/26 | Pending | Sinus & Maxillofacial CT limited or localized f/u Sinus CT |
| 2025-LHCC-755 | Spinal Canal MRA | 2/3/26 | 3/20/26 | Pending | Spinal Canal MRA |
| 2025-LHCC-756 | Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Cancal CT | 2/3/26 | 3/20/26 | Pending | Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Cancal CT |
| 2025-LHCC-757 | Temporomandibular Joint (TMJ) MRI | 2/3/26 | 3/20/26 | Pending | Temporomandibular Joint (TMJ) MRI |
| 2025-LHCC-758 | Thoracic Spine CT | 2/3/26 | 3/20/26 | Pending | Thoracic Spine CT |
| 2025-LHCC-759 | Thoracic Spine MRI | 2/3/26 | 3/20/26 | Pending | Thoracic Spine MRI |
| 2025-LHCC-763 | Unlisted Studies | 2/3/26 | 3/20/26 | Pending | Unlisted Studies |
| 2025-LHCC-764 | Upper Extremity CT (Hand, Wrist, Long bone, or Shoulder CT) | 2/3/26 | 3/20/26 | Pending | Upper Extremity CT (Hand, Wrist, Long bone, or Shoulder CT) |
| 2025-LHCC-765 | Upper Extremity CT Angiography | 2/3/26 | 3/20/26 | Pending | Upper Extremity CT Angiography |
| 2025-LHCC-766 | Upper Extremity MRA/MRV | 2/3/26 | 3/20/26 | Pending | Upper Extremity MRA/MRV |
| 2025-LHCC-767 | Upper Extremity MRI (Hand, Wrist, Elbow, Long bone, or Shoulder MRI) | 2/3/26 | 3/20/26 | Pending | Upper Extremity MRI (Hand, Wrist, Elbow, Long bone, or Shoulder MRI) |
| 2025-LHCC-769 | Cardiac Resynchonization Terapy (CRT) | 2/3/26 | 3/20/26 | Pending | Cardiac Resynchonization Terapy (CRT) |
| 2025-LHCC-771 | Heart Catheterization | 2/3/26 | 3/20/26 | Pending | Heart Catheterization |
| 2025-LHCC-772 | Implantable Cardioverter Defibrillator (ICD) | 2/3/26 | 3/20/26 | Pending | Implantable Cardioverter Defibrillator (ICD) |
| 2025-LHCC-773 | Pacemaker | 2/3/26 | 3/20/26 | Pending | Pacemaker |
| 2025-LHCC-775 | Stress Echocardiography | 2/3/26 | 3/20/26 | Pending | Stress Echocardiography |
| 2025-LHCC-776 | Transesophageal (TEE) Echo | 2/3/26 | 3/20/26 | Pending | Transesophageal (TEE) Echo |
| 2025-LHCC-778 | Transthoracic (TTE) Echo | 2/3/26 | 3/20/26 | Pending | Transthoracic (TTE) Echo |
| 2025-LHCC-852 | Heart (Cardiac) PET with CT for Attenuation | 2/3/26 | 3/20/26 | Pending | Heart (Cardiac) PET with CT for Attenuation |
| 2025-LHCC-732 | Heart (cardiac) PET | 2/2/26 | 3/19/26 | Pending | Heart (cardiac) PET |
| 2025-LHCC-735 | Low Dose CT for Lung Cancer Screening | 2/2/26 | 3/19/26 | Pending | Low Dose CT for Lung Cancer Screening |
| 2025-LHCC-736 | Lower Extremity CT (foot, ankle, leg or hip CT) | 2/2/26 | 3/19/26 | Pending | Lower Extremity CT (foot, ankle, leg or hip CT) |
| 2025-LHCC-737 | Lower Extremity CT Angiography | 2/2/26 | 3/19/26 | Pending | Lower Extremity CT Angiography |
| 2025-LHCC-738 | Lower Extremity MRA/MRV | 2/2/26 | 3/19/26 | Pending | Lower Extremity MRA/MRV |
| 2025-LHCC-739 | Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI) | 2/2/26 | 3/19/26 | Pending | Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI) |
| 2025-LHCC-740 | Lumbar Spine CT | 2/2/26 | 3/19/26 | Pending | Lumbar Spine CT |
| 2025-LHCC-741 | Lumbar Spine MRI | 2/2/26 | 3/19/26 | Pending | Lumbar Spine MRI |
| 2025-LHCC-742 | Myocardial Perfusion Imaging (Nuclear Cardiac Imaging Study) | 2/2/26 | 3/19/26 | Pending | Myocardial Perfusion Imaging (Nuclear Cardiac Imaging Study) |
| 2025-LHCC-743 | Low Field MRI | 2/2/26 | 3/19/26 | Pending | Low Field MRI |
| 2025-LHCC-744 | MUGA (Multiple Gated Acquisition) Scan | 2/2/26 | 3/19/26 | Pending | MUGA (Multiple Gated Acquisition) Scan |
| 2025-LHCC-745 | Neck CT (soft tissue) | 2/2/26 | 3/19/26 | Pending | Neck CT (soft tissue) |
| 2025-LHCC-746 | Neck CTA | 2/2/26 | 3/19/26 | Pending | Neck CTA |
| 2025_LHCC-747 | Neck MRA/MRV | 2/2/26 | 3/19/26 | Pending | Neck MRA/MRV |
| 2025-LHCC-748 | Oncology PET Scans | 2/2/26 | 3/19/26 | Pending | Oncology PET Scans |
| 2025-LHCC-749 | Pelvis CT | 2/2/26 | 3/19/26 | Pending | Pelvis CT |
| 2025-LHCC-750 | Pelvis CT Angiography | 2/2/26 | 3/19/26 | Pending | Pelvis CT Angiography |
| 2025-LHCC-751 | Pelvis MRA | 2/2/26 | 3/19/26 | Pending | Pelvis MRA |
| 2025-LHCC-752 | Pelvis MRI | 2/2/26 | 3/19/26 | Pending | Pelvis MRI |
| 2025-LHCC-753 | Orbit, Face, Neck, Sinus MRI | 2/2/26 | 3/19/26 | Pending | Orbit, Face, Neck, Sinus MRI |
| 2025-LHCC-706 | Brain (Head) MRA/MRV | 2/2/26 | 3/19/26 | Pending | Brain (Head) MRA/MRV |
| 2025-LHCC-707 | Brain (Head) MRI/Brain (Head) MRI w Internal Auditory Canal | 2/2/26 | 3/19/26 | Pending | Brain (Head) MRI/Brain (Head) MRI w Internal Auditory Canal |
| 2025-LHCC-709 | Brain PET Scan | 2/2/26 | 3/19/26 | Pending | Brain PET Scan |
| 2025-LHCC-711 | Breast MRI | 2/2/26 | 3/19/26 | Pending | Breast MRI |
| 2025-LHCC-712 | CT Coronary Angiography (CCTA) | 2/2/26 | 3/19/26 | Pending | CT Coronary Angiography (CCTA) |
| 2025-LHCC-713 | Cerebral Perfusion CT | 2/2/26 | 3/19/26 | Pending | Cerebral Perfusion CT |
| 2025-LHCC-715 | Cervical Spine CT | 2/2/26 | 3/19/26 | Pending | Cervical Spine CT |
| 2025-LHCC-716 | Cervical Spine MRI | 2/2/26 | 3/19/26 | Pending | Cervical Spine MRI |
| 2025-LHCC-717 | Chest (Thorax) CT | 2/2/26 | 3/19/26 | Pending | Chest (Thorax) CT |
| 2025-LHCC-718 | Chest (Thorax) MRI | 2/2/26 | 3/19/26 | Pending | Chest (Thorax) MRI |
| 2025-LHCC-719 | Chest CTA | 2/2/26 | 3/19/26 | Pending | Chest CTA |
| 2025-LHCC-720 | Chest MRA | 2/2/26 | 3/19/26 | Pending | Chest MRA |
| 2025-LHCC-721 | CT (Virtual) Colonoscopy | 2/2/26 | 3/19/26 | Pending | CT (Virtual) Colonoscopy |
| 2025-LHCC-722 | CT (Virtual) Colonoscopy | 2/2/26 | 3/19/26 | Pending | CT (Virtual) Colonoscopy |
| 2025-LHCC-723 | CT Bone Density Study | 2/2/26 | 3/19/26 | Pending | CT Bone Density Study |
| 2025-LHCC-726 | Coronary Artery Calcium Scoring by: EBCT or Non-Contrast CCT | 2/2/26 | 3/19/26 | Pending | Coronary Artery Calcium Scoring by: EBCT or Non-Contrast CCT |
| 2025-LHCC-727 | Fetal MRI | 2/2/26 | 3/19/26 | Pending | Fetal MRI |
| 2025-LHCC-728 | Functional Brain MRI | 2/2/26 | 3/19/26 | Pending | Functional Brain MRI |
| 2025-LHCC-729 | CT Heart CT heart Congenital | 2/2/26 | 3/19/26 | Pending | CT Heart CT heart Congenital |
| 2025-LHCC-730 | Heart MRI | 2/2/26 | 3/19/26 | Pending | Heart MRI |
| 2025-ACLA-1954 | Cochlear Implants | 1/29/26 | 3/15/26 | Pending | Cochlear Implants |
| 2025-ACLA-2313 | Microwave Thermotherapy Lung Kidney Tumors | 1/29/26 | 3/15/26 | Pending | Microwave Thermotherapy Lung Kidney Tumors |
| 2025-ACLA-2314 | Prostatic Urethral Lift UroLift Benign Prostatic Hypertrophy | 1/29/26 | 3/15/26 | Pending | Prostatic Urethral Lift UroLift Benign Prostatic Hypertrophy |
| 2025-ACLA-2319 | Opioid Treatment | 1/29/26 | 3/15/26 | Pending | Opioid Treatment |
| 2025-LHCC-695 | Abdomen CT | 1/27/26 | 3/13/26 | Pending | Abdomen CT |
| 2025-LHCC-696 | Abdomen CT Angiography | 1/27/26 | 3/13/26 | Pending | Abdomen CT Angiography |
| 2025-LHCC-697 | Abdomen MRA (Angiography) | 1/27/26 | 3/13/26 | Pending | Abdomen MRA (Angiography) |
| 2025-LHCC-698 | Abdomen MRI | 1/27/26 | 3/13/26 | Pending | Abdomen MRI |
| 2025-LHCC-699 | Abdomen/Pelvis CT Combo | 1/27/26 | 3/13/26 | Pending | Abdomen/Pelvis CT Combo |
| 2025-LHCC-700 | Abdomen/Pelvis CTA | 1/27/26 | 3/13/26 | Pending | Abdomen/Pelvis CTA |
| 2025-LHCC-701 | CTA Aortogram with Runoff | 1/27/26 | 3/13/26 | Pending | CTA Aortogram with Runoff |
| 2025-LHCC-703 | Bone Marrow MRI | 1/27/26 | 3/13/26 | Pending | Bone Marrow MRI |
| 2025-LHCC-704 | Brain (Head) CT | 1/27/26 | 3/13/26 | Pending | Brain (Head) CT |
| 2025-LHCC-705 | Brain (Head) CTA | 1/27/26 | 3/13/26 | Pending | Brain (Head) CTA |
| 2025-LHCC-708 | 708-Brain (Head) MRS | 1/27/26 | 3/13/26 | Pending | Brain (Head) MRS |
| 2025-UHC-826 | Surgery of the Elbow | 1/9/26 | 2/23/26 | Pending | Surgery of the Elbow |
| 2025-UHC-1830 | Hysterectomy | 1/9/26 | 2/23/26 | Pending | Hysterectomy |
| 2025-UHC-510 | Collagen Crosslinks and Biochemical Markers of Bone Turnover | 12/23/25 | 2/6/26 | Pending | Collagen Crosslinks and Biochemical Markers of Bone Turnover |
| 2025-UHC-827 | Prolotherapy and Platelet Rich Plasma Therapies | 12/23/25 | 2/6/26 | Pending | Prolotherapy and Platelet Rich Plasma Therapies |
| 2025-UHC-948 | Catheter Ablation for Atrial Fibrillation | 12/23/25 | 2/6/26 | Pending | Catheter Ablation for Atrial Fibrillation |
| 2025-UHC-961 | Elective Inpatient Services | 12/23/25 | 2/6/26 | Pending | Elective Inpatient Services |
| 2025-UHC-1120 | Percutaneous Patent Foramen Ovale (PFO) Closure | 12/23/25 | 2/6/26 | Pending | Percutaneous Patent Foramen Ovale (PFO) Closure |
| 2025-UHC-1785 | Plagiocephaly and Craniosynostosis Treatment | 12/23/25 | 2/6/26 | Pending | Plagiocephaly and Craniosynostosis Treatment |
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