Medicaid Managed Care Policies & Procedures Archive

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.

Below are items previously posted for public comment:

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Item Number	Policy/Procedure	Date Posted	Comment Period Closed	Status	Document Links
2026-LHCC-281	Emergency Contract Deliverable - Credentialing Committee	5/1/26	6/15/26	Approved	Emergency Contract Deliverable - Credentialing Committee
2026-HBL-366	Out-of-Area, Out-of-Network Care	5/1/26	6/15/26	Approved	Out-of-Area, Out-of-Network Care
2026-LHCC-419	Provider Termination	5/1/26	6/15/26	Approved	Provider Termination
2026-ABH-2497	Louisiana Substance Use Disorder Treatment-Intensive Outpatient and Residential Levels of Care	5/1/26	6/15/26	Approved	Louisiana Substance Use Disorder Treatment-Intensive Outpatient and Residential Levels of Care
2026-LHCC-2854	Percutaneous Coronary Interventions	4/28/26	6/12/26	Approved	Percutaneous Coronary Interventions
2026-LHCC-2855	Interventions for Adults with Congenital Heart Defect	4/28/26	6/12/26	Approved	Interventions for Adults with Congenital Heart Defect
2026-LHCC-2856	Intra Cardiac Echocardiography (ICE)	4/28/26	6/12/26	Approved	Intra Cardiac Echocardiography (ICE)
2026-LHCC-2857	Introduction of Inferior Vena Cava Filter Device	4/28/26	6/12/26	Approved	Introduction of Inferior Vena Cava Filter Device
2026-LHCC-2858	Microvolt T-Wave Alternans	4/28/26	6/12/26	Approved	Microvolt T-Wave Alternans
2026-LHCC-2859	Mitral Valve Surgery	4/28/26	6/12/26	Approved	Mitral Valve Surgery
2026-LHCC-2860	Multiple Gated Acquisition Scan (MUGA)	4/28/26	6/12/26	Approved	Multiple Gated Acquisition Scan (MUGA)
2026-LHCC-2861	Percutaneous Closure of Patent Foramen Ovale (PFO)	4/28/26	6/12/26	Approved	Percutaneous Closure of Patent Foramen Ovale (PFO)
2026-LLHC-2862	Percutaneous Iliocaval Interventions	4/28/26	6/12/26	Approved	Percutaneous Iliocaval Interventions
2026-LHCC-2863	Percutaneous Left Atrial Appendage Closure	4/28/26	6/12/26	Approved	Percutaneous Left Atrial Appendage Closure
2026-LHCC-2864	Pericardial Disease Interventions	4/28/26	6/12/26	Approved	Pericardial Disease Interventions
2026-LHCC-2865	Peripheral Intravascular Arterial and Venous Ultrasound	4/28/26	6/12/26	Approved	Peripheral Intravascular Arterial and Venous Ultrasound
2026-LHCC-2866	Renal/Retroperitoneal Vascular Duplex Ultrasound	4/28/26	6/12/26	Approved	Renal/Retroperitoneal Vascular Duplex Ultrasound
2026-LHCC-2867	Standalone Right Heart Catheterization	4/28/26	6/12/26	Approved	Standalone Right Heart Catheterization
2026-LHCC-2868	Cardioversion of Atrial Fibrillation, Atrial Flutter and Atrial Tachycardia	4/28/26	6/12/26	Approved	Cardioversion of Atrial Fibrillation, Atrial Flutter and Atrial Tachycardia
2026-LHCC-2869	Temporal Artery Biopsy Evolent	4/28/26	6/12/26	Approved	Temporal Artery Biopsy Evolent
2026-LHCC-2870	Thoracentesis and Pleurodesis	4/28/26	6/12/26	Approved	Thoracentesis and Pleurodesis
2026-LHCC-2871	Tilt Table Testing	4/28/26	6/12/26	Approved	Tilt Table Testing
2026-LHCC-2872	Transcatheter Aortic Valve Replacement (TAVR)	4/28/26	6/12/26	Approved	Transcatheter Aortic Valve Replacement (TAVR)
2026-LHCC-2873	Transcatheter Edge to Edge Repair (TEER) of Mitral Valve	4/28/26	6/12/26	Approved	Transcatheter Edge to Edge Repair (TEER) of Mitral Valve
2026-LHCC-2874	Transthoracic Echocardiogram (TTE)	4/28/26	6/12/26	Approved	Transthoracic Echocardiogram (TTE)
2026-LHCC-2875	Tricuspid Valve Surgery	4/28/26	6/12/26	Approved	Tricuspid Valve Surgery
2026-LHCC-2831	Carotid Duplex	4/27/26	6/11/26	Approved	Carotid Duplex
2026-LHCC-2832	Carotid Endarterectomy	4/27/26	6/11/26	Approved	Carotid Endarterectomy
2026-LHCC-2833	Central  Venous Access Procedure	4/27/26	6/11/26	Approved	Central Venous Access Procedure
2026-LHCC-2834	Coronary Fractional Flow Reserve	4/27/26	6/11/26	Approved	Coronary Fractional Flow Reserve
2026-LHCC-2835	Coronary Intra Vascular Arterial Ultrasound	4/27/26	6/11/26	Approved	Coronary Intra Vascular Arterial Ultrasound
2026-LHCC-2836	Descending Thoracic Aortic Open or Endovascular Surgery	4/27/26	6/11/26	Approved	Descending Thoracic Aortic Open or Endovascular Surgery
2026-LHCC-2837	Duplex Scan of Hemodialysis Access	4/27/26	6/11/26	Approved	Duplex Scan of Hemodialysis Access
2026-LHCC-2838	Guideline Directed Medical Therapy-Heart Failure and Coronary Artery Disease	4/27/26	6/11/26	Approved	Guideline Directed Medical Therapy-Heart Failure and Coronary Artery Disease
2026-LHCC-2839	Atrial Fibrillation Ablation Evolent	4/27/26	6/11/26	Approved	Atrial Fibrillation Ablation Evolent
2026-LHCC-2840	Abdominal Aortography with Bilateral iliofemoral Lower Extremity Runoff	4/27/26	6/11/26	Approved	Abdominal Aortography with Bilateral iliofemoral Lower Extremity Runoff
2026-LHCC-2841	Catheter Ablation of Reentrant or Focal Tachydysrhythmias	4/27/26	6/11/26	Approved	Catheter Ablation of Reentrant or Focal Tachydysrhythmias
2026-LHCC-2842	Abdominal Aortic Aneurysm Repair	4/27/26	6/11/26	Approved	Abdominal Aortic Aneurysm Repair
2026-LHCC-2843	Endomyocardial Biopsy Evolent	4/27/26	6/11/26	Approved	Endomyocardial Biopsy Evolent
2026-LHCC-2844	Endovascular Femoropopliteal Interventions	4/27/26	6/11/26	Approved	Endovascular Femoropopliteal Interventions
2026-LHCC-2845	Endovascular Aortoiliac Interventions	4/27/26	6/11/26	Approved	Endovascular Aortoiliac Interventions
2026-LHCC-2846	Endovascular Infrapopliteal (Tibioperoneal) Interventions	4/27/26	6/11/26	Approved	Endovascular Infrapopliteal (Tibioperoneal) Interventions
2026-LHCC-2847	Catheter Based Carotid and Brachiocephalic Arteriography, Venography, and Intervention	4/27/26	6/11/26	Approved	Catheter Based Carotid and Brachiocephalic Arteriography, Venography, and Intervention
2026-LHCC-2848	Treatment of Varicose Veins	4/27/26	6/11/26	Approved	Treatment of Varicose Veins
2026-LHCC-2849	Enhanced External Counter Pulsation	4/27/26	6/11/26	Approved	Enhanced External Counter Pulsation
2026-LHCC-2850	Infrainguinal Open Arterial Vascular Surgery	4/27/26	6/11/26	Approved	Infrainguinal Open Arterial Vascular Surgery
2026-LHCC-2851	Fractional Flow Reserve Computed Tomography (CT)	4/27/26	6/11/26	Approved	Fractional Flow Reserve Computed Tomography (CT)
2026-LHCC-2852	Hemodialysis Access Creation	4/27/26	6/11/26	Approved	Hemodialysis Access Creation
2026-LHCC-2853	Hemodialysis Access Maintenance	4/27/26	6/11/26	Approved	Hemodialysis Access Maintenance
	Molecular Diagnostic Assays and Breath Testing for Transplant Rejection Clinical Coverage Policy	4/24/26	6/8/26	Approved	Molecular Diagnostic Assays and Breath Testing for Transplant Rejection Clinical Coverage Policy
	Wheelchair, Wheelchair repairs, Standing Frame, and Patient Lifts Clinical Coverage Policy	4/24/26	6/8/26	Approved	Wheelchair, Wheelchair repairs, Standing Frame, and Patient Lifts Clinical Coverage Policy
	Rapid Whole Genome Sequencing	4/24/26	6/8/26	Approved	Rapid Whole Genome Sequencing
	Concert Laboratory Payment Policy	4/24/26	6/8/26	Approved	Concert Laboratory Payment Policy
	Skin and Tissue Substitutes	4/24/26	6/8/26	Approved	Skin and Tissue Substitutes
	23 Hour BH Observation	4/24/26	6/8/26	Approved	23 Hour BH Observation
	Visions of Hope Community	4/24/26	6/8/26	Approved	Visions of Hope Community
	Policy and Procedure Visions of Hope Community Services	4/24/26	6/8/26	Approved	Policy and Procedure Visions of Hope Community Services
	Abdominal Aortic Ultrasound	4/24/26	6/8/26	Approved	Abdominal Aortic Ultrasound
	UM AROW CMBM A2026M5406	4/24/26	6/8/26	Approved	UM AROW CMBM A2026M5406
	Ambulatory Rhythm Monitoring	4/24/26	6/8/26	Approved	Ambulatory Rhythm Monitoring
	Brachial Index in Peripheral Artery Disease	4/24/26	6/8/26	Approved	Brachial Index in Peripheral Artery Disease
	Coronary Artery Bypass Graft	4/24/26	6/8/26	Approved	Coronary Artery Bypass Graft
	Renal Endarterectomy or Bypass Surgery	4/24/26	6/8/26	Approved	Renal Endarterectomy or Bypass Surgery
	Arterial Duplex in Peripheral Artery Disease	4/24/26	6/8/26	Approved	Arterial Duplex in Peripheral Artery Disease
	Device Interrogation and Programming	4/24/26	6/8/26	Approved	Device Interrogation and Programming
	Aortic Root, Ascending Aorta and Aortic Arch Surgery	4/24/26	6/8/26	Approved	Aortic Root, Ascending Aorta and Aortic Arch Surgery
	Automated Ambulatory Blood Pressure Monitoring	4/24/26	6/8/26	Approved	Automated Ambulatory Blood Pressure Monitoring
	Device (AICD, CRT and/or Pacemaker) Battery Replacement	4/24/26	6/8/26	Approved	Device (AICD, CRT and/or Pacemaker) Battery Replacement
	Diagnostic Electrophysiologic Testing	4/24/26	6/8/26	Approved	Diagnostic Electrophysiologic Testing
	Renal and Mesenteric Angiography and Intervention	4/24/26	6/8/26	Approved	Renal and Mesenteric Angiography and Intervention
	Carotid Artery Stenting	4/24/26	6/8/26	Approved	Carotid Artery Stenting
	Appropriate UM Professionals	4/20/26	6/4/26	Approved	Appropriate UM Professionals
	Fetal Surgery in Utero	4/20/26	6/4/26	Approved	Fetal Surgery in Utero
	Inpatient Consultation	4/20/26	6/4/26	Approved	Inpatient Consultation
	Temporary Limited Authorization Reviews	4/20/26	6/4/26	Approved	Temporary Limited Authorization Reviews
	Cochlear Implant Clinical Coverage Policy	4/20/26	6/4/26	Approved	Cochlear Implant Clinical Coverage Policy
	Care at Home, Clinic at Home	4/20/26	6/4/26	Approved	Care at Home, Clinic at Home
	Brain and Neck Computed Tomography Angiography (CTA)	4/20/26	6/4/26	Approved	Brain and Neck Computed Tomography Angiography (CTA)
	Additional State Specific Regulatory or Contractual Requirements	4/20/26	6/4/26	Approved	Additional State Specific Regulatory or Contractual Requirements
	Concert Genetics Oncology Cancer Screening	4/9/26	5/24/26	Approved	Concert Genetics Oncology Cancer Screening
	Concert Genetics Prenatal and Preconception Carrier Screening	4/9/26	5/24/26	Approved	Concert Genetics Prenatal and Preconception Carrier Screening
	Concert Genetics Non-invasive Prenatal Screening	4/9/26	5/24/26	Approved	Concert Genetics Non-invasive Prenatal Screening
	Concert Genetics Prenatal Diagnosis Pregnancy Loss	4/9/26	5/24/26	Approved	Concert Genetics Prenatal Diagnosis Pregnancy Loss
	Concert Genetics Multi-system Inherited Disorders	4/9/26	5/24/26	Approved	Concert Genetics Multi-system Inherited Disorders
	Genetic and Molecular Testing	4/9/26	5/24/26	Approved	Genetic and Molecular Testing
	Concert Genetics Hereditary Cancer Susceptibility	4/9/26	5/24/26	Approved	Concert Genetics Hereditary Cancer Susceptibility
	Concert Genetics Oncology Algorithmic Testing	4/9/26	5/24/26	Approved	Concert Genetics Oncology Algorithmic Testing
	Concert Genetics Oncology Molecular Analysis of Solid Tumors and Hematologic Malignancies	4/9/26	5/24/26	Approved	Concert Genetics Oncology Molecular Analysis of Solid Tumors and Hematologic Malignancies
	Concert Genetic Pharmacogenetics	4/9/26	5/24/26	Approved	Concert Genetic Pharmacogenetics
	Therapy Authorization Guidelines	4/9/26	5/24/26	Approved	Therapy Authorization Guidelines
	Follow-Up, Limited or Localized Computed Tomography (CT)	4/9/26	5/24/26	Approved	Follow-Up, Limited or Localized Computed Tomography (CT)
	CT (Virtual) Colonoscopy	4/9/26	5/24/26	Approved	CT (Virtual) Colonoscopy
	Brain (Head) MRS	4/9/26	5/24/26	Approved	Brain (Head) MRS
	Total Parenteral Nutrition and Intradialytic Parental Nutrition	4/9/26	5/24/26	Approved	Total Parenteral Nutrition and Intradialytic Parental Nutrition
	Pancreas Transplantation	4/9/26	5/24/26	Approved	Pancreas Transplantation
	Nonmyeloablative allogeneric SCT	4/9/26	5/24/26	Approved	Nonmyeloablative allogeneric SCT
	Tandem Transplant	4/9/26	5/24/26	Approved	Tandem Transplant
	Experimental Technologies	4/9/26	5/24/26	Approved	Experimental Technologies
	Gastric Electrical Stimulation	4/9/26	5/24/26	Approved	Gastric Electrical Stimulation
	Allogeneic Hematopoietic Progenitor Cell Therapy	4/9/26	5/24/26	Approved	Allogeneic Hematopoietic Progenitor Cell Therapy
	Concert Genetics Cardiac Disorders	4/9/26	5/24/26	Approved	Concert Genetics Cardiac Disorders
	Concert Genetics Eye Disorders	4/9/26	5/24/26	Approved	Concert Genetics Eye Disorders
	Concert Genetics Dermatologic Conditions	4/9/26	5/24/26	Approved	Concert Genetics Dermatologic Conditions
	Concert Genetics Epilepsy Neurodegenerative and Neuromuscular Conditions	4/9/26	5/24/26	Approved	Concert Genetics Epilepsy Neurodegenerative and Neuromuscular Conditions
	Concert Genetics Gastroenterologic Disorders non-cancerous	4/9/26	5/24/26	Approved	Concert Genetics Gastroenterologic Disorders non-cancerous
	Concert Genetics Hearing Loss	4/9/26	5/24/26	Approved	Concert Genetics Hearing Loss
	Concert Genetics Lung Disorders	4/9/26	5/24/26	Approved	Concert Genetics Lung Disorders
	Concert Genetics Kidney Disorders	4/9/26	5/24/26	Approved	Concert Genetics Kidney Disorders
	Concert Genetics Immune Autoimmune and Rheumatoid Disorders	4/9/26	5/24/26	Approved	Concert Genetics Immune Autoimmune and Rheumatoid Disorders
	Concert Genetics Hematologic Conditions non-cancerous	4/9/26	5/24/26	Approved	Concert Genetics Hematologic Conditions non-cancerous
	Concert Genetics Skeletal Dysplasia Rare Bone Disorders	4/9/26	5/24/26	Approved	Concert Genetics Skeletal Dysplasia Rare Bone Disorders
	Concert Genetics Preimplantation Genetic Testing	4/9/26	5/24/26	Approved	Concert Genetics Preimplantation Genetic Testing
	Pelvis MRI	4/1/26	5/16/26	Approved	Pelvis MRI
	Pelvis MRA	4/1/26	5/16/26	Approved	Pelvis MRA
	Pelvis CTAngiography	4/1/26	5/16/26	Approved	Pelvis CTAngiography
	Pelvis CT	4/1/26	5/16/26	Approved	Pelvis CT
	Neck MRA/MRV	4/1/26	5/16/26	Approved	Neck MRA/MRV
	Neck CTA	4/1/26	5/16/26	Approved	Neck CTA
	MUGA (Multiple Gated Acquisition) Scan	4/1/26	5/16/26	Approved	MUGA (Multiple Gated Acquisition) Scan
	Neck CT	4/1/26	5/16/26	Approved	Neck CT
	Lumbar Spine CT	4/1/26	5/16/26	Approved	Lumbar Spine CT
	Lumbar Spine MRI	4/1/26	5/16/26	Approved	Lumbar Spine MRI
	Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI)	4/1/26	5/16/26	Approved	Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI)
	Lower Extremity MRA/MRV	4/1/26	5/16/26	Approved	Lower Extremity MRA/MRV
	Heart MRI	4/1/26	5/16/26	Approved	Heart MRI
	CT Heart, CT Heart Congenital (Not including coronary arteries)	4/1/26	5/16/26	Approved	CT Heart, CT Heart Congenital (Not including coronary arteries)
	Upper Extremity MRA/MRV	4/1/26	5/16/26	Approved	Upper Extremity MRA/MRV
	Upper Extremity MRI	4/1/26	5/16/26	Approved	Upper Extremity MRI
	Upper Extremity CT	4/1/26	5/16/26	Approved	Upper Extremity CT
	Thoracic Spine MRI	4/1/26	5/16/26	Approved	Thoracic Spine MRI
	Lower Extremity CTA/CTV	4/1/26	5/16/26	Approved	Lower Extremity CTA/CTV
	Upper Extremity CTA/CTV	4/1/26	5/16/26	Approved	Upper Extremity CTA/CTV
	Thoracic Spine CT	4/1/26	5/16/26	Approved	Thoracic Spine CT
	Temporomandibular Joint (TMJ) MRI	4/1/26	5/16/26	Approved	Temporomandibular Joint (TMJ) MRI
	Spinal Canal MRA	4/1/26	5/16/26	Approved	Spinal Canal MRA
	Sinus & Maxillofacial CT Limited or Localized Follow Up Sinus CT	4/1/26	5/16/26	Approved	Sinus & Maxillofacial CT Limited or Localized Follow Up Sinus CT
	Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Canal CT	4/1/26	5/16/26	Approved	Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Canal CT
	Sinus Face Orbit MRI	4/1/26	5/16/26	Approved	Sinus Face Orbit MRI
	PET Scans	4/1/26	5/16/26	Approved	PET Scans
	Tumor Imaging PET-Any Site (Unlisted PET)	4/1/26	5/16/26	Approved	Tumor Imaging PET-Any Site (Unlisted PET)
	MCO Manual > Louisiana Department of Children and Family Services (DCFS)	3/25/26	5/9/26	Approved	MCO Manual – DCFS
	Sacroiliac Joint Fusion Evolent	3/20/26	5/4/26	Approved	Sacroiliac Joint Fusion Evolent
	Therapeutic Group Home	3/20/26	5/4/26	Approved	Therapeutic Group Home
	EPSDT	3/20/26	5/4/26	Approved	EPSDT
	Supporting Members in Crisis	3/20/26	5/4/26	Approved	Supporting Members in Crisis
	Crisis Stabilization for Adults	3/20/26	5/4/26	Approved	Crisis Stabilization for Adults
	Call Center Manual	3/20/26	5/4/26	Approved	Call Center Manual
	LA Provider Training	3/20/26	5/4/26	Approved	LA Provider Training
	Low Field MRI	3/13/26	4/27/26	Approved	Low Field MRI
	Lower Extremity CT	3/13/26	4/27/26	Approved	Lower Extremity CT
	Low Dose CT for Lung Cancer Screening	3/13/26	4/27/26	Approved	Low Dose CT for Lung Cancer Screening
	Functional Brain MRI	3/13/26	4/27/26	Approved	Functional Brain MRI
	Breast MRI	3/13/26	4/27/26	Approved	Breast MRI
	CT (Virtual) Colonoscopy	3/13/26	4/27/26	Approved	CT (Virtual) Colonoscopy
	Chest (Thorax) CT	3/13/26	4/27/26	Approved	Chest (Thorax) CT
	Chest CTA	3/13/26	4/27/26	Approved	Chest CTA
	Chest MRA	3/13/26	4/27/26	Approved	Chest MRA
	Chest (Thorax) MRI	3/13/26	4/27/26	Approved	Chest (Thorax) MRI
	Brain (Head) MRS	3/13/26	4/27/26	Approved	Brain (Head) MRS
	Cervical Spine MRI	3/13/26	4/27/26	Approved	Cervical Spine MRI
	Cervical Spine CT	3/13/26	4/27/26	Approved	Cervical Spine CT
	Brain (Head) MRI, Brain (Head) MRI with IAC (Internal Auditory Canal)	3/13/26	4/27/26	Approved	Brain (Head) MRI, Brain (Head) MRI with IAC (Internal Auditory Canal)
	Brain (Head) CT	3/13/26	4/27/26	Approved	Brain (Head) CT
	Brain (Head) MRA/MRV	3/13/26	4/27/26	Approved	Brain (Head) MRA/MRV
	Brain (Head) CTA	3/13/26	4/27/26	Approved	Brain (Head) CTA
	Bone Marrow MRI	3/13/26	4/27/26	Approved	Bone Marrow MRI
	Abdominal Arteries CTAngiography	3/13/26	4/27/26	Approved	Abdominal Arteries CTAngiography
	Abdomen/Pelvis CTA Combo	3/13/26	4/27/26	Approved	Abdomen/Pelvis CTA Combo
	Abdomen MRA (Angiography)	3/13/26	4/27/26	Approved	Abdomen MRA (Angiography)
	Abdomen/Pelvis CT Combo	3/13/26	4/27/26	Approved	Abdomen/Pelvis CT Combo
	Abdomen MRI, MRCP	3/13/26	4/27/26	Approved	Abdomen MRI, MRCP
	Abdomen CT	3/13/26	4/27/26	Approved	Abdomen CT
	Abdomen CTAngiography	3/13/26	4/27/26	Approved	Abdomen CTAngiography
	Behavioral Health Provider Quality Program	3/13/26	4/27/26	Approved	Behavioral Health Provider Quality Program
	Brain PET Scan	3/13/26	4/27/26	Approved	Brain PET Scan
	Assertive Community Treatment (ACT)	3/13/26	4/27/26	Approved	Assertive Community Treatment (ACT)
	MCO Manual > Part 4: Services > Professional Services > Obstetrics; effective date: 5/30/2026	3/9/26	4/23/26	Approved	MCO Manual - Doula Services
	MCO Manual > Part 4: Services > Pharmacy > Medication Therapy Management; effective date: 5/30/2026	3/9/26	4/23/26	Approved	MCO Manual - Cell and Gene Therapy Model
	MCO Manual > Part 4: Services > Medical Transportation; effective date: 5/30/2026	3/9/26	4/23/26	Approved	MCO Manual - Medical Transportation
	MCO Manual > Part 11: Enrollee Services > Grievances, Appeal and State Fair Hearing; effective date: 5/30/2026	3/9/26	4/23/26	Approved	MCO Manual - Grievances, Appeal and State Fair Hearing
	MCO Manual > Part 15: Program Integrity; effective date: 5/30/2026	3/9/26	4/23/26	Approved	MCO Manual - Program Integrity
	MCO Manual > Part 9: Provider Network > Credentialing and Re-Credentialing of Providers and Clinical Staff > Specialized Behavioral Health Providers; effective date: 5/30/2026	3/9/26	4/23/26	Approved	MCO Manual - Specialized Behavioral Health Providers
	MCO Manual > Part 4: Services > Professional Services > In Lieu of Services; effective date: 5/30/2026	3/9/26	4/23/26	Approved	MCO Manual - ILOS
	MCO Manual > Part 4: Services > Professional Services > Physician Adminstered Drugs; effective date: 5/30/2026	3/9/26	4/23/26	Approved	MCO Manual - Physician Administered Drugs
	Remote Patient Monitoring In Lieu of Service (ILOS)	3/9/26	4/23/26	Approved	Remote Patient Monitoring In Lieu of Service (ILOS)
	Prior Authorizations	3/9/26	4/23/26	Approved	Prior Authorizations
	Organizational Assessment and Reassessment	3/9/26	4/23/26	Approved	Organizational Assessment and Reassessment
	Benefit Exception Amendment	3/9/26	4/23/26	Approved	Benefit Exception Amendment
	PA Req Chngs-UM AROW CAID	3/9/26	4/23/26	Completed	PA Req Chngs-UM AROW CAID
	Pre-Adjudication of Provider Claims for Diagnosis Accuracy	3/9/26	4/23/26	Approved	Pre-Adjudication of Provider Claims for Diagnosis Accuracy
	Pharmacy Prior Authorization and Medical Necessity	2/27/26	4/13/26	Completed	Pharmacy Prior Authorization and Medical Necessity
	Timeliness of UM Decisions	2/27/26	4/13/26	Approved	Timeliness of UM Decisions
	UM Program Description	2/27/26	4/13/26	Approved	UM Program Description
	Peer Support Services	2/27/26	4/13/26	Approved	Peer Support Services
	Individual Placement and Support	2/27/26	4/13/26	Approved	Individual Placement and Support
	Utilization Management Timeliness Standards and Decision Notification Amendment	2/27/26	4/13/26	Approved	Utilization Management Timeliness Standards and Decision Notification Amendment
	Assertive Community Treatment (ACT)	2/27/26	4/13/26	Approved	Assertive Community Treatment (ACT)
	Genetic Tests One Per Life Comms	2/27/26	4/13/26	Approved	Genetic Tests One Per Life Comms
	EXPRESS ABA Claim Processing	2/20/26	4/6/26	Approved	EXPRESS ABA Claim Processing
	ACLA Prior Authorization Service List	2/20/26	4/6/26	Complete	ACLA Prior Authorization Service List
	Retroactive Reimbursement	2/20/26	4/6/26	Approved	Retroactive Reimbursement
	AMA XXXX Home Health and Extended Home Health	2/20/26	4/6/26	Approved	AMA XXXX Home Health and Extended Home Health
	Quality of Care	2/20/26	4/6/26	Approved	Quality of Care
	Member transition	2/13/26	3/30/26	Approved	Member transition
	Bariatric Surgery	2/13/26	3/30/26	Approved	Bariatric Surgery
	BRCA Genetic Testing and Counseling	2/13/26	3/30/26	Approved	BRCA Genetic Testing and Counseling
	CPT-9328	2/13/26	3/30/26	Approved	CPT-9328
	CPT-9327	2/13/26	3/30/26	Approved	CPT-9327
	Documentation Requirements for Hysterectomy and Sterilization	2/13/26	3/30/26	Approved	Documentation Requirements for Hysterectomy and Sterilization
	Correct Coding	2/13/26	3/30/26	Approved	Correct Coding
	Infusion Administration Facility Editing Update	2/13/26	3/30/26	Approved	Infusion Administration Facility Editing Update
	Adverse Determinations	2/13/26	3/30/26	Approved	Adverse Determinations
	Emergency Services Policy	2/13/26	3/30/26	Approved	Emergency Services Policy
	Peer Support Services	2/13/26	3/30/26	Approved	Peer Support Services
	Unlisted or Miscellaneous Codes	2/13/26	3/30/26	Approved	Unlisted or Miscellaneous Codes
	Genetics	2/13/26	3/30/26	Approved	Genetics
	CPT	2/13/26	3/30/26	Approved	CPT
	Transportation Policy	2/13/26	3/30/26	Approved	Transportation Policy
	LA MCD PAL A	2/13/26	3/30/26	Approved	LA MCD PAL A
	Durable Medical Equipment, Maintenance and Repair	2/13/26	3/30/26	Approved	Durable Medical Equipment, Maintenance and Repair
	Primary Care Provider (PCP) Selection and Change	2/12/26	3/29/26	Approved	Primary Care Provider (PCP) Selection and Change
	HBL Provider Manual	2/12/26	3/29/26	Approved	HBL Provider Manual
	Fraud, Waste, and Abuse Plan	2/12/26	3/29/26	Approved	Fraud, Waste, and Abuse Plan
	Crisis Intervention (CI) Services	2/12/26	3/29/26	Approved	Crisis Intervention (CI) Services
	Multi-Systemic Therapy (MST)	2/12/26	3/29/26	Approved	Multi-Systemic Therapy (MST)
	Functional Family Therapy (FFT)	2/12/26	3/29/26	Approved	Functional Family Therapy (FFT)
	Genetics	2/12/26	3/29/26	Approved	Genetics
	Correct Coding	2/12/26	3/29/26	Approved	Correct Coding
	Correct Coding	2/12/26	3/29/26	Approved	Correct Coding
	CPT - Lab/Pathology	2/12/26	3/29/26	Approved	CPT - Lab/Pathology
	Correct Coding	2/12/26	3/29/26	Approved	Correct Coding
	CPT-Medicine	2/12/26	3/29/26	Approved	CPT-Medicine
	Oxygen Concentrators	2/12/26	3/29/26	Approved	Oxygen Concentrators
	Provider Manual PP	2/12/26	3/29/26	Approved	Provider Manual PP
	Community Brief Crisis Support (CBCS)	2/12/26	3/29/26	Approved	Community Brief Crisis Support (CBCS)
	Personal Care Services (PCS) for Adults with Serious Mental Illness (SMI)	2/12/26	3/29/26	Approved	Personal Care Services (PCS) for Adults with Serious Mental Illness (SMI)
	Behavioral Health Crisis Care	2/12/26	3/29/26	Approved	Behavioral Health Crisis Care
	Multi-Systemic Therapy	2/12/26	3/29/26	Approved	Multi-Systemic Therapy
	Homebuilders	2/12/26	3/29/26	Approved	Homebuilders
	Therapeutic Group Homes	2/12/26	3/29/26	Approved	Therapeutic Group Homes
	Freestanding Psychiatric Hospital for Adults ILOS	2/12/26	3/29/26	Approved	Freestanding Psychiatric Hospital for Adults ILOS
	Policy Emergency Department Evaluation and Management, Facility	2/12/26	3/29/26	Approved	Policy Emergency Department Evaluation and Management, Facility
	Louisiana Visions of Hope Community Services Program	2/12/26	3/29/26	Approved	Louisiana Visions of Hope Community Services Program
	CT/MRI Guidance for Needle Placement-CT Guidance for Radiation Fields	2/10/26	3/27/26	Approved	CT/MRI Guidance for Needle Placement-CT Guidance for Radiation Fields
	Urgent/Emergent Criteria	2/10/26	3/27/26	Approved	Urgent/Emergent Criteria
	Fractional Flow Reserve CT	2/10/26	3/27/26	Approved	Fractional Flow Reserve CT
	Spinal Cord Stimulation	2/10/26	3/27/26	Approved	Spinal Cord Stimulation
	Ventricular Assist Devices	2/10/26	3/27/26	Approved	Ventricular Assist Devices
	Urinary Incontinence Devices and Treatments	2/10/26	3/27/26	Approved	Urinary Incontinence Devices and Treatments
	Implantable Hypoglossal Nerve Stimulation for OSA	2/10/26	3/27/26	Approved	Implantable Hypoglossal Nerve Stimulation for OSA
	Oxygen Use and Concentrators	2/10/26	3/27/26	Approved	Oxygen Use and Concentrators
	Louisiana UM Program Description	2/10/26	3/27/26	Completed	Louisiana UM Program Description
	Single Photon Emission Computed Tomography SPECT	2/10/26	3/27/26	Approved	Single Photon Emission Computed Tomography SPECT
	Burn Surgery	2/10/26	3/27/26	Approved	Burn Surgery
	Selective Dorsal Rhizotomy for Spasticity in CP	2/10/26	3/27/26	Approved	Selective Dorsal Rhizotomy for Spasticity in CP
	Mechanical Stretch devices	2/10/26	3/27/26	Approved	Mechanical Stretch devices
	Electric Tumor Treatment Fields	2/10/26	3/27/26	Approved	Electric Tumor Treatment Fields
	Proton and Neutron Beam Therapies	2/10/26	3/27/26	Approved	Proton and Neutron Beam Therapies
	Obstetrical Home Care Programs	2/10/26	3/27/26	Approved	Obstetrical Home Care Programs
	Transplant Service Documentation Requirements	2/10/26	3/27/26	Approved	Transplant Service Documentation Requirements
	Stereotactic Body Radiation Therapy	2/10/26	3/27/26	Approved	Stereotactic Body Radiation Therapy
	Facility-Based Sleep Studies for OSA	2/10/26	3/27/26	Approved	Facility-Based Sleep Studies for OSA
	Hyperhidrousis Treatments	2/10/26	3/27/26	Approved	Hyperhidrousis Treatments
	Implantable Intrathecal or Epidural Pain Pump	2/10/26	3/27/26	Approved	Implantable Intrathecal or Epidural Pain Pump
	Implantable Loop recorder	2/10/26	3/27/26	Approved	Implantable Loop recorder
	Clinical Trials	2/10/26	3/27/26	Approved	Clinical Trials
	EPSDT Personal Care Services (PCS)	2/10/26	3/27/26	Approved	EPSDT Personal Care Services (PCS)
	Chiropractic ILOS	2/10/26	3/27/26	Approved	Chiropractic ILOS
	Pediatric Day Health Care Clinical Coverage Policy	2/10/26	3/27/26	Approved	Pediatric Day Health Care Clinical Coverage Policy
	Wound Care Clinical Coverage policy	2/10/26	3/27/26	Approved	Wound Care Clinical Coverage policy
	Revenue Codes	2/10/26	3/27/26	Approved	Revenue Codes
	CPT Evaluation and Management Service	2/10/26	3/27/26	Approved	CPT Evaluation and Management Service
	Multiple Gestation	2/10/26	3/27/26	Approved	Multiple Gestation
	Skyrizi	2/10/26	3/27/26	Approved	Skyrizi
	Appeal of UM Decision	2/10/26	3/27/26	Approved	Appeal of UM Decision
	Notification of Pregnancy (NOP) Policy	2/10/26	3/27/26	Completed	Notification of Pregnancy (NOP) Policy
	MNC Policy for CPST and PSR	2/10/26	3/27/26	Approved	MNC Policy for CPST and PSR
	Outpatient Lactation Support ILOS	2/10/26	3/27/26	Approved	Outpatient Lactation Support ILOS
	Chiropractic Billing Guide	2/10/26	3/27/26	Approved	Chiropractic Billing Guide
	Home Delivered Meals	2/10/26	3/27/26	Approved	Home Delivered Meals
	EXPRESS CDE Chisholm ABA	2/10/26	3/27/26	Approved	EXPRESS CDE Chisholm ABA
	Provider Directory and Electronic Files from Portico	2/10/26	3/27/26	Approved	Provider Directory and Electronic Files from Portico
	Vendor Management, JOC Attendees	2/10/26	3/27/26	Completed	Vendor Management, JOC Attendees
	Grievance Process	2/10/26	3/27/26	Approved	Grievance Process
	Encounter Data	2/10/26	3/27/26	Approved	Encounter Data
	Provider Appointment Accessibility Standards	2/10/26	3/27/26	Approved	Provider Appointment Accessibility Standards
	Provider Directory for Members	2/10/26	3/27/26	Completed	Provider Directory for Members
	Specialty Pharmacy Program	2/10/26	3/27/26	Approved	Specialty Pharmacy Program
	Private Duty Nursing (PDN) and Extended Home Health (EhH)	2/10/26	3/27/26	Approved	Private Duty Nursing (PDN) and Extended Home Health (EhH)
	Interrater Reliability - Act 421	2/9/26	3/26/26	Completed	Interrater Reliability - Act 421
	CPT	2/9/26	3/26/26	Approved	CPT
	Correct Coding	2/9/26	3/26/26	Approved	Correct Coding
	CPT Evaluation and Management Services	2/9/26	3/26/26	Approved	CPT Evaluation and Management Services
	CPT Evaluation and Management Services	2/9/26	3/26/26	Approved	CPT Evaluation and Management Services
	CPT Evaluation and Management Services	2/9/26	3/26/26	Approved	CPT Evaluation and Management Services
	CPT Evaluation and Management Services	2/9/26	3/26/26	Approved	CPT Evaluation and Management Services
	Units	2/9/26	3/26/26	Approved	Units
	Drugs & Biologicals  HCPCS	2/9/26	3/26/26	Completed	Drugs & Biologicals  HCPCS
	Sinus & Maxillofacial CT limited or localized f/u Sinus CT	2/3/26	3/20/26	Approved	Sinus & Maxillofacial CT limited or localized f/u Sinus CT
	Spinal Canal MRA	2/3/26	3/20/26	Approved	Spinal Canal MRA
	Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Cancal CT	2/3/26	3/20/26	Approved	Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Cancal CT
	Temporomandibular Joint (TMJ) MRI	2/3/26	3/20/26	Approved	Temporomandibular Joint (TMJ) MRI
	Thoracic Spine CT	2/3/26	3/20/26	Approved	Thoracic Spine CT
	Thoracic Spine MRI	2/3/26	3/20/26	Approved	Thoracic Spine MRI
	Unlisted Studies	2/3/26	3/20/26	Approved	Unlisted Studies
	Upper Extremity CT (Hand, Wrist, Long bone, or Shoulder CT)	2/3/26	3/20/26	Approved	Upper Extremity CT (Hand, Wrist, Long bone, or Shoulder CT)
	Upper Extremity CT Angiography	2/3/26	3/20/26	Approved	Upper Extremity CT Angiography
	Upper Extremity MRA/MRV	2/3/26	3/20/26	Approved	Upper Extremity MRA/MRV
	Upper Extremity MRI (Hand, Wrist, Elbow, Long bone, or Shoulder MRI)	2/3/26	3/20/26	Approved	Upper Extremity MRI (Hand, Wrist, Elbow, Long bone, or Shoulder MRI)
	Cardiac Resynchronization Therapy (CRT)	2/3/26	3/20/26	Approved	Cardiac Resynchronization Therapy (CRT)
	Heart Catheterization	2/3/26	3/20/26	Approved	Heart Catheterization
	Implantable Cardioverter Defibrillator (ICD)	2/3/26	3/20/26	Approved	Implantable Cardioverter Defibrillator (ICD)
	Pacemaker	2/3/26	3/20/26	Approved	Pacemaker
	Stress Echocardiography	2/3/26	3/20/26	Approved	Stress Echocardiography
	Transesophageal (TEE) Echo	2/3/26	3/20/26	Approved	Transesophageal (TEE) Echo
	Transthoracic (TTE) Echo	2/3/26	3/20/26	Approved	Transthoracic (TTE) Echo
	Heart (Cardiac) PET with CT for Attenuation	2/3/26	3/20/26	Approved	Heart (Cardiac) PET with CT for Attenuation
	Heart (cardiac) PET	2/2/26	3/19/26	Approved	Heart (cardiac) PET
	Low Dose CT for Lung Cancer Screening	2/2/26	3/19/26	Approved	Low Dose CT for Lung Cancer Screening
	Lower Extremity CT (foot, ankle, leg or hip CT)	2/2/26	3/19/26	Approved	Lower Extremity CT (foot, ankle, leg or hip CT)
	Lower Extremity CT Angiography	2/2/26	3/19/26	Approved	Lower Extremity CT Angiography
	Lower Extremity MRA/MRV	2/2/26	3/19/26	Approved	Lower Extremity MRA/MRV
	Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI)	2/2/26	3/19/26	Approved	Lower Extremity MRI (foot, ankle, knee, leg, or hip MRI)
	Lumbar Spine CT	2/2/26	3/19/26	Approved	Lumbar Spine CT
	Lumbar Spine MRI	2/2/26	3/19/26	Approved	Lumbar Spine MRI
	Myocardial Perfusion Imaging (Nuclear Cardiac Imaging Study)	2/2/26	3/19/26	Approved	Myocardial Perfusion Imaging (Nuclear Cardiac Imaging Study)
	Low Field MRI	2/2/26	3/19/26	Approved	Low Field MRI
	MUGA (Multiple Gated Acquisition) Scan	2/2/26	3/19/26	Approved	MUGA (Multiple Gated Acquisition) Scan
	Neck CT (soft tissue)	2/2/26	3/19/26	Approved	Neck CT (soft tissue)
	Neck CTA	2/2/26	3/19/26	Approved	Neck CTA
	Neck MRA/MRV	2/2/26	3/19/26	Approved	Neck MRA/MRV
	Oncology PET Scans	2/2/26	3/19/26	Approved	Oncology PET Scans
	Pelvis CT	2/2/26	3/19/26	Approved	Pelvis CT
	Pelvis CT Angiography	2/2/26	3/19/26	Approved	Pelvis CT Angiography
	Pelvis MRA	2/2/26	3/19/26	Approved	Pelvis MRA
	Pelvis MRI	2/2/26	3/19/26	Approved	Pelvis MRI
	Orbit, Face, Neck, Sinus MRI	2/2/26	3/19/26	Approved	Orbit, Face, Neck, Sinus MRI
	Brain (Head) MRA/MRV	2/2/26	3/19/26	Approved	Brain (Head) MRA/MRV
	Brain (Head) MRI/Brain (Head) MRI w Internal Auditory Canal	2/2/26	3/19/26	Approved	Brain (Head) MRI/Brain (Head) MRI w Internal Auditory Canal
	Brain PET Scan	2/2/26	3/19/26	Approved	Brain PET Scan
	Breast MRI	2/2/26	3/19/26	Approved	Breast MRI
	CT Coronary Angiography (CCTA)	2/2/26	3/19/26	Approved	CT Coronary Angiography (CCTA)
	Cerebral Perfusion CT	2/2/26	3/19/26	Approved	Cerebral Perfusion CT
	Cervical Spine CT	2/2/26	3/19/26	Approved	Cervical Spine CT
	Cervical Spine MRI	2/2/26	3/19/26	Approved	Cervical Spine MRI
	Chest (Thorax) CT	2/2/26	3/19/26	Approved	Chest (Thorax) CT
	Chest (Thorax) MRI	2/2/26	3/19/26	Approved	Chest (Thorax) MRI
	Chest CTA	2/2/26	3/19/26	Approved	Chest CTA
	Chest MRA	2/2/26	3/19/26	Approved	Chest MRA
	CT (Virtual) Colonoscopy	2/2/26	3/19/26	Approved	CT (Virtual) Colonoscopy
	CT (Virtual) Colonoscopy	2/2/26	3/19/26	Approved	CT (Virtual) Colonoscopy
	CT Bone Density Study	2/2/26	3/19/26	Approved	CT Bone Density Study