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Louisiana Healthcare Connections Policies and Procedures Updates

Date: 09/25/23

Louisiana Healthcare Connections is sharing with providers the below policies and procedures that were developed and/or revised; posted for public comment and approved by LDH in accordance with La. R.S. 46:460.54.  Non-material revisions do not require LDH approvals.

Please share this notice with other members of your practice and office staff as necessary.

These guidelines will be implemented 30 days from the date of this notice and will be posted on our Clinical & Payment Policies page.

Policy & Procedure #

Policy & Procedure Title

New, material revisions, non-material revisions

LA.CP.MP.510c

Community Brief Crisis Support

Material

LA.CP.MP.184c

Invasive and Non-Invasive Home Ventilators

Material

LA.CP.MP.50c

Outpatient Testing For DOA

Material

LA.PP.025

Pulse Oximetry with Office Visits

Material

LA.PP.051

EM Medical Decision Making

Material

LA.PP.032

Supplies billed on Same day as Surgery

Non-material

LA.PP.033

Multiple CPT Code Replacement

Non-material

LA.PP.034

Modifier DOS Validation

Non-material

LA.PP.038

Inpatient Consultation

Non-material

LA.PP.047

Transgender Related Services

Non-material

LA.PP.056

Urine Specimen Validity Testing

Non-material

LA.PP.060

Not Med Nec Inpatient Services

Non-material

LA.PHAR.591

Tofersen (BIIB067)

New

LA.PHAR.592

Beremagene Geperpavec (Vyjuvek)

New

LA.PHAR.600

Trofinetide (NNZ-2566)

New

LA.PHAR.433

Polatuzumab Vedotin-piiq (Polivy)

New

LA.PHAR.455

Enfortumab Vedotin-ejfv (Padcev)

New

LA.PHAR.465

Teprotumumab (Tepezza)

New

LA.PHAR.475

Sacituzumab govitecan-hziy (Trodelvy)

New

LA.PHAR.491

Setmelanotide (Imcivree)

New

LA.PHAR.503

Sutimlimab-jome (Enjaymo)

New

LA.PHAR.506

Antithymocyte Globulin (Atgam, Thymoglobulin)

New

LA.PHAR.581

Faricimab (Vabysmo)

New