MedicaidPrior AuthHigh impact
Chiropractic - In Lieu of Services (ILOS) - MEDICAID - LOUISIANA (New)
Humana·LA · Chiropractic·Medicaid
Effective date
Jan 7, 2026
We identified it
Jun 24, 2026
Summary
Humana Healthy Horizons in Louisiana is implementing a new chiropractic In Lieu of Services (ILOS) policy for Medicaid members 21+ years old, covering up to 18 visits without prior authorization. Visits beyond 18 require prior authorization, and specific documentation requirements apply for treatment plans and progress notes.
Action Required
Before January 7, 2026: Billing team must update systems to track chiropractic visit counts for Louisiana Medicaid members 21+ years old, implementing prior authorization requirements after 18 visits. Update encounter forms to ensure providers document required treatment plans for initial visits and progress notes for follow-ups. Configure system to limit coverage to maximum 2 non-manipulation treatments per date of service and spinal manipulation up to 5 regions. Claims exceeding visit limits without prior authorization will be denied.