MedicaidPrior AuthMedium impact
Early Periodic Screening Diagnostic Treatment (EPSDT) Personal Care Services (PCS) - MEDICAID - LOUISIANA (New)
Humana·LA · Pediatrics, Family Medicine·Medicaid
Effective date
Jan 20, 2025
We identified it
Jun 24, 2026
Summary
Humana Louisiana Medicaid has established a new policy for EPSDT Personal Care Services (PCS) for members birth through age 20, effective January 20, 2025. The policy outlines specific coverage criteria, documentation requirements, and prior authorization processes for personal care services including assistance with daily living activities.
Action Required
By January 20, 2025: Billing team must implement new prior authorization requirements for EPSDT Personal Care Services for Humana Louisiana Medicaid members ages birth through 20. Update billing system to require completed Request for Prior Authorization EPSDT PCS form, Request for EPSDT PCS form, EPSDT PCS POC form, EPSDT PCS Daily Schedule form, and EPSDT PCS Social Assessment form. Services are billed in 15-minute units with no service limits. Download required forms from Humana's Provider Documents portal. Claims will be denied without proper prior authorization.