MedicaidCoverageMedium impact
Eyebrow & Eyelid Repair - MEDICAID - LOUISIANA (New)
Humana·LA · Ophthalmology, Plastic Surgery·Medicaid
Effective date
Jan 1, 2025
We identified it
Jun 24, 2026
Summary
Humana Louisiana Medicaid has established a new policy defining coverage criteria for eyebrow and eyelid repair procedures, requiring specific documentation and medical necessity criteria to be met for coverage approval.
Action Required
By January 1, 2025: Providers must ensure proper documentation including frontal photographs showing brow drooping, measurement of pseudo margin reflex distance (2.0 mm or less), and evidence of functional visual impairment before submitting claims for eyebrow and eyelid repair procedures. Update pre-authorization processes to include required clinical criteria and photographic documentation for Louisiana Medicaid patients.