MedicaidPrior AuthLow impact
Individual Placement and Support - MEDICAID - LOUISIANA (Revised)
Humana·LA · Psychiatry, General Practice, Family Medicine·Medicaid
Effective date
Jan 30, 2026
We identified it
Jun 24, 2026
Summary
Humana Louisiana Medicaid has updated their Individual Placement and Support (IPS) policy for members with mental health conditions seeking employment services. The policy establishes coverage criteria, prior authorization requirements, and exclusions for this supportive employment program effective January 30, 2026.
Action Required
Before January 30, 2026: Billing team should review IPS service billing procedures for Humana Louisiana Medicaid members. Ensure prior authorization is obtained for all IPS services and verify member eligibility criteria (21+ years old, mental health diagnosis, nursing facility transition/diversion). Update billing system to flag IPS services for prior auth requirements.