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MedicaidCoverageMedium impact

Personal Care Services for Adults with Serious Mental Illness - MEDICAID - LOUISIANA (Revised)

Humana·LA · Psychiatry, General Practice, Internal Medicine·Medicaid
Effective date
Not stated
We identified it
Jul 16, 2026
Days to comply

Summary

Louisiana Medicaid has revised its Personal Care Services (PCS) policy for adults with serious mental illness. PCS now covers assistance and/or supervision necessary to help members accomplish routine tasks and live independently in their own homes. This is a definitional clarification for an existing benefit category.

Action Required

Action needed
Immediately: Billing team should review current PCS billing practices for Louisiana Medicaid mental health members to ensure alignment with this revised definition. Verify that all PCS claims being submitted include appropriate documentation demonstrating how services enable members to accomplish routine tasks and maintain independent living. Contact Humana Louisiana Medicaid for specific billing codes, prior authorization requirements, and documentation standards not included in this summary. Do not delay claims pending clarification—process according to current authorizations while awaiting detailed guidance. Update internal PCS training materials once full policy details are obtained from the source URL.