Medium impact
Pediatric Day Health Care - MEDICAID - LOUISIANA (Revised)
Humana·Effective Jul 20, 2026
This is a revised Pediatric Day Health Care (PDHC) policy for Louisiana Medicaid that clarifies coverage criteria, prior authorization requirements, and plan of care documentation standards for complex medical children aged birth to 21. The policy reaffirms that ALL PDHC services require prior authorization (up to 7 days/week, 12 hours/day, certified for max 90 days) and specifies that face-to-face physician evaluations must occur every 90 days for renewal, with an option to extend to 180 days in exceptional circumstances. Key exclusions include respite care, child care, education services, and infant formula.