MedicaidPrior AuthMedium impact
Hospital Bed - MEDICAID - LOUISIANA (Revised)
Humana·LA·Medicaid
Effective date
Jan 16, 2026
We identified it
Jun 24, 2026
Summary
This is a revised Louisiana Medicaid policy for hospital bed coverage that establishes specific prior authorization criteria for different types of hospital beds including standard, semi-electric, total electric, heavy duty, and pediatric beds. The policy requires detailed medical documentation and specific conditions to be met for coverage approval.
Action Required
Before January 16, 2026: Billing team must update prior authorization procedures for all hospital bed requests (codes E0260-E0266, E0294-E0297, E0301-E0304, E0328-E0329) for Louisiana Medicaid patients. Update documentation templates to include required medical necessity criteria, positioning requirements, caregiver limitations, and weight specifications for heavy duty beds. Train staff on new criteria including 30-degree elevation requirements and failure of alternative methods. Claims without proper prior authorization and documentation will be denied.