MedicaidPrior AuthMedium impact
Crisis Intervention-Follow Up - MEDICAID - LOUISIANA (Revised)
Humana·LA · Psychiatry·Medicaid
Effective date
Jan 30, 2026
We identified it
Jun 24, 2026
Summary
This policy establishes coverage and prior authorization requirements for Crisis Intervention Follow-Up services under Louisiana Medicaid. Emergency crisis intervention is allowed without prior authorization, but additional units require prior authorization approval.
Action Required
Before January 30, 2026: Billing team must update system to identify when Crisis Intervention Follow-Up services are provided to Louisiana Medicaid members. Configure system to allow emergency crisis intervention billing without prior authorization, but require prior authorization for additional units. Train staff on LMHP supervision requirements and face-to-face billing protocols. Claims may be denied without proper authorization for additional units.