Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
HumanaMedicaid · Coverage · Medicaid · LA · Pain Management, Psychiatry, Family Medicine +3 moreHigh impact

Limited Day Supply (Revised)

Act
by Oct 1, 2025
Effective date
Oct 1, 2025
Identified
Jun 24, 2026

Summary

Humana Medicaid Louisiana has implemented strict day supply limits for controlled substances: specialty drugs, opioids, and benzodiazepines limited to 30-day supplies, while sedative hypnotics are limited to 7-day supplies for new users and 15-day supplies for chronic users within rolling 30-day periods.

Get alerts when payers change rules like this one

We check Humana and other payers every day and email you when a change matches your specialty and state.

Get Humana alertsPolicy Monitoring is free. No card required.

What to do

by Oct 1, 2025 · 3 steps
01Billing team must update pharmacy billing systems to enforce day supply limits - 30-day maximum for specialty drugs, opioids, and benzodiazepines; 7-day maximum for sedative hypnotics (naive users) and 15-day maximum for chronic users within rolling 30-day periods.
02Providers must be notified that claims exceeding these limits will be rejected.
03Exception: Palliative care patients (ICD-10 Z51.5) bypass sedative hypnotic quantity limits.

Codes mentioned

Z51.5

Original notice

Limited Day Supply (Revised)
mcp.humana.com · Always check the source before changing claims.
View original ↗

Related changes

See all Humana changes →
Limited Day Supply (New)HighEffective Oct 1, 2025 · MedicaidLimited Day Supply (Revised)MediumEffective Jan 1, 2019 · MedicaidOpioid Days Supply (Revised)HighEffective Oct 1, 2025 · MedicaidBrowse every Humana change in the policy list

Related policy hubs

Humana policiesLA policy changesPain ManagementPsychiatryFamily MedicineInternal MedicinePalliative CarePharmacyCode Z51.5

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account