Louisiana Healthcare Connections Policies and Procedures Updates

Date: 09/25/24

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.24	Multiple Sleep Latency Testing	Non-Material
LA.CP.MP.58	Intestinal and Multivisceral Transplant	Material
LA.CP.MP.87	Therapeutic Utilization of Inhaled Nitric Oxide	Material
LA.CP.MP.114	Disc Decompression Procedures	Material
LA.CP.MP.115	Discography	Non-Material
LA.CP.MP.116	Lysis of Epidural Lesions	Material
LA.CP.MP.120	Pediatric Liver Transplant	Material
LA.CP.MP.126	Sacroiliac Joint Fusion	Material
LA.CP.MP.147	Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention	Non-Material
LA.CP.MP.210	Repair of Nasal Valve Compromise	Non-Material
LA.CP.MP.507c	Cochlear Implant Replacements	Non-Material
LA.CP.MP.48	Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES)	Material
LA.CP.MP.51c	Reduction Mammoplasty and Gynecomastia Surgery	Material
LA.CP.MP.94	Clinical Trials	Non-Material
LA.CP.MP.127	Total Artificial Heart	Non-Material
LA.CP.MP.129	Fetal Surgery in Utero for Prenatally Diagnosed Malformations	Material
LA.CP.MP.137	Fecal Incontinence Treatments	Non-Material
LA.CP.MP.164	Caudal or Interlaminar ESI	Material
LA.CP.MP.171	Facet Joint Interventions	Material
LA.CP.MP.249	Omisirge	Material
LA.CP.MP.508c	Personal Care Services (PCS)	Material
LA.CP.MP.505c	Peer Support Services	Non
LA.CP.MP.512c	Diabetes Self-Management Training (DSMT)	Material
LA.CP.MP.53	Ferriscan R2-MR	Retire