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MedicaidPrior AuthMedium impact

Community Brief Crisis Support (CBCS) - MEDICAID - LOUISIANA (New)

Humana·LA · Psychiatry·Medicaid
Effective date
Nov 17, 2024
We identified it
Jun 24, 2026
Days to comply

Summary

Humana has established a new Louisiana Medicaid policy for Community Brief Crisis Support (CBCS) services, which requires prior authorization and provides up to 15 days of ongoing crisis response for members 21+ following Mobile Crisis Response or Behavioral Health Crisis Care. This creates new billing opportunities for qualified mental health providers offering face-to-face crisis follow-up services.

Action Required

Action needed
By November 17, 2024: Louisiana behavioral health providers must update billing systems to require prior authorization for all Community Brief Crisis Support (CBCS) services. Ensure only Licensed Mental Health Professionals or physicians can authorize these services for members 21+ referred from Mobile Crisis Response or Behavioral Health Crisis Care. Verify eligibility criteria are met and document that services do not duplicate existing ACT, CPST, or PSR services. Update encounter forms to capture required medical necessity documentation and crisis resolution outcomes.