MedicaidCoverageHigh impact
Limited Day Supply (Revised)
Humana·LA · Pain Management, Psychiatry, Family Medicine +3 more·Medicaid
Effective date
Oct 1, 2025
We identified it
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.
Action Required
By October 1, 2025: Billing 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. Providers must be notified that claims exceeding these limits will be rejected. Exception: Palliative care patients (ICD-10 Z51.5) bypass sedative hypnotic quantity limits.