MedicaidPrior AuthMedium impact
Intrathecal Baclofen Therapy - MEDICAID - LOUISIANA (Revised)
Humana·LA · Neurosurgery, Neurology, Orthopedics +2 more·Medicaid
Effective date
May 20, 2026
We identified it
Jun 24, 2026
Summary
This is a new Medicaid Louisiana policy for intrathecal baclofen therapy pump implantation for severe muscle spasticity, effective May 20, 2026. The policy requires prior authorization from a multidisciplinary team evaluation with specific documentation including Ashworth scores and functional assessments before pump implantation.
Action Required
Before May 20, 2026: For Louisiana Medicaid patients requiring intrathecal baclofen pump implantation, ensure multidisciplinary team evaluation is completed after screening trial but before implantation. Document prior authorization requirements in billing system including Ashworth scores, functional assessments, and team evaluation. Note that screening trial injections do not require prior auth, but chronic infusion does.