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Louisiana Healthcare Connections Policies and Procedures Updates

Date: 01/28/25

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.PP.503c

Respiratory Viral Panels

New

LA.CP.MP.248

Facility Based Sleep Studies for Obstructive Sleep Apnea

Material

LA.CP.MP.100

Allergy Testing and Therapy

Material

LA.CP.MP.134

Evoked Potential Testing

Non-Material

LA.CP.MP.152

Measurement of serum 1.25 Vit D

Non-Material

LA.CP.MP.154

Thyroid Insulin Tests in Ped

Non-Material

LA.CP.MP.155

EEG Headache

Non-Material

LA.CP.MP.156

Cardiac Biomarker Testing

Non-Material

LA.CP.MP.157

Vitamin D Testing Peds

Non-Material

LA.CP.MP.38c

Ultrasound in Pregnancy

Non-Material

LA.CP.MP.143

Wireless Motility Capsule

Material

LA.CP.MP.22

Stereotactic Body Radiation Therapy

Material

LA.CP.MP.144

Mechanical Stretch Devices for Joint Stiffness and Contracture

Non-Material

LA.CP.MP.145

Electric Tumor Treating Fields

Material

LA.CP.MP.247

Transplant Service Documentation Requirements

Non-Material

LA.CP.MP.107c

Durable Medical Equipment and Orthotics and Prosthetics Guidelines

Material

LA.CP.BH.521c

Multi-Systemic Therapy (MST)

Material

LA.PHAR.184

Aflibercept (Eylea)

Material

LA.PHAR.58

Denosumab (Xgeva)

Material

LA.PHAR.322

Pembrolizumab (Keytruda)

Material

LA.PHAR.456

Fam-trastuzumab deruxtecan-nxki (Enhertu)

Material

LA.PHAR.384

Lutetium Lu 177 Dotatate (Lutathera)

Material

LA.PHAR.310

Daratumumab Daratumumab-Hyaluronidase-fihj (Darzalex, Darzalex, Faspro)

Material

LA.PHAR.533

Ciltacabtagene Autoleucel (Carvykti)

Material

LA.PHAR.338

Cerliponase alfa (Brineura)

Material

LA.PHAR.526

Fibrinogen concentrate (human) (Fibryga, RiaSTAP)

Material

LA.PHAR.176

Paclitaxel protein-bound (Abraxane)

Material

LA.PHAR.612

Tremelimumab-actl (Imjudo)

Material

LA.PHAR.461

Nadofaragene Firadenovec-vncg (Adstiladrin)

Material

LA.PHAR.536

Ophthalmic Riboflavin (Photrexa, Photrexa Viscous)

Material

LA.PHAR.186

Ranibizumab (Lucentis, Susvimo), Lucentis Biosimilars

Material

LA.PHAR.588

Nivolumab and Relatlimab (Opdualag)

Material

LA.PHAR.544

Amivantamab-vmjw (Rybrevant)

Material

LA.PHAR.303

Brentuximab Vedotin (Adcetris)

Material

LA.PHAR.608

Furosemide (Furoscix)

Material

LA.PHAR.550

Vutrisiran (Amvuttra)

Material

LA.PHAR.582

Lutetium Lu 177 vipivotide tetraxetan (Pluvicto)

Material

LA.PHAR.482

Isatuximab-irfc (Sarclisa)

Material

LA.PHAR.149

Baclofen (Fleqsuvy, Gablofen, Lioresal, Lyvispah, Ozobax)

Material

LA.PHAR.439

Valrubicin (Valstar)

Material

LA.PHAR.508

Tafasitamab-cxix (Monjuvi)

Material

LA.PHAR.139

Mogamulizumab-kpkc (Poteligeo)

Material

LA.PHAR.214

Desmopressin Acetate (DDAVP)

Material

LA.PHAR.304

Irinotecan Liposome (Onivyde)

Material

LA.PHAR.611

Teclistamab-cqyv (Tecvayli)

Material

LA.PHAR.535

Melphalan Flufenamide (Pepaxto)

Material

LA.PHAR.151

Levoleucovorin (Fusilev, Khapzory)

Material

LA.PHAR.05

Hyaluronate Derivatives

Material

LA.PHAR.617

Mirvetuximab soravatansine-gynx (Elahere)

Non-Material

LA.PHAR.212

Clinical Policy: Dornase Alfa (Pulmozyme)

Non-Material

LA.PHAR.306

Ofatumumab (Arzerra)

Non-Material

LA.PHAR.425

Metreleptin (Myalept)

Non-Material

LA.PHAR.434

Bremelanotide (Vyleesi)

Non-Material

LA.PHAR.469

Belantamab Mafodotin-blmf (Blenrep)

Non-Material

LA.PHAR.495

Mitomycin for Pyelocalyceal Solution (Jelmyto)

Non-Material

LA.PHAR.575

Tebentafusp-tebn (Kimmtrak)

Non-Material

LA.PHAR.613

LFecal Microbiota, Live-jslm (Rebyota)

Non-Material

LA.PMN.177

Glycopyrronium (Qbrexza)

Non-Material

LA.PHAR.691

Axatilimab-csfr (Niktimvo)

New

LA.PHAR.693

Denileukin Diftitox-cxdl (Lymphir)

New

LA.PHAR.696

Palopegteriparatide (Yorvipath)

New