MedicaidCoverageMedium impact
Homebuilders Clinical Coverage Policy - MEDICAID - LOUISIANA (New)
Humana·LA · Psychiatry, Pediatrics, Family Medicine·Medicaid
Effective date
Apr 14, 2025
We identified it
Jun 24, 2026
Summary
Humana has established a new clinical coverage policy for Homebuilders, an in-home service program for families with children aged 0-18 who are at risk of out-of-home placement. This policy defines medical necessity criteria and treatment requirements for this evidence-based behavioral health intervention program.
Action Required
Before April 14, 2025: Billing team must familiarize themselves with the new Homebuilders program coverage criteria for Louisiana Medicaid members. Ensure providers document that children meet at least one medical necessity criterion (returning from placement or at risk of placement) and that treatment plans include therapeutic goals for improving parenting skills and family functioning. Claims without proper documentation of eligibility criteria will likely be denied.