MedicaidCoverageMedium impact
Chiropractic - In Lieu of Services (ILOS) - MEDICAID - LOUISIANA (Revised)
Humana·LA · Chiropractic·Medicaid
We identified it
Jul 16, 2026
Summary
Louisiana Medicaid has revised its In Lieu of Services (ILOS) policy for chiropractic care, clarifying coverage for medically appropriate neuromusculoskeletal and spinal conditions for members 21 years and older. Members age 20 and younger are explicitly excluded from coverage under this policy. Billing teams must verify patient age and medical necessity documentation to ensure claim eligibility.
Action Required
Immediately: Billing team must implement age verification checks in the billing system to ensure all chiropractic claims submitted under Louisiana Medicaid ILOS are for members 21 years of age or older. Deny or do not submit claims for members age 20 and younger, as these will be automatically rejected. Update eligibility verification procedures to confirm age at time of service. Train front desk and billing staff to flag patient charts with members under 21 to prevent claim submission errors. Contact Humana Louisiana Medicaid at the source URL for specific effective date and any prior authorization requirements not detailed in this summary.