MedicaidCoverageLow impact
Homebuilders - MEDICAID - LOUISIANA (Revised)
Humana·LA · Psychiatry, Pediatrics·Medicaid
Effective date
Jul 20, 2026
We identified it
Jul 16, 2026
Summary
This is a recent Humana Medicaid policy (2 weeks old) for Louisiana that establishes coverage criteria for Homebuilders, an in-home behavioral health service program for children aged 0-18 at risk of out-of-home placement. The policy defines eligibility requirements, service intensity (8-10 hours/week for 4-6 weeks), and mandates that providers must be approved Homebuilders providers in Louisiana. No billing codes are specified in the policy, and there are no changes to prior policies—this is a routine annual review with no coverage changes.
Action Required
No immediate action required for billing workflows. This policy is informational and establishes coverage criteria rather than changing billing processes. If your practice provides or bills for Homebuilders services in Louisiana, verify that your provider agency is registered as an approved Homebuilders provider with Humana Healthy Horizons Louisiana. Ensure clinical documentation for referrals includes evidence that members meet at least one of the stated eligibility criteria (returning from or at risk of placement) AND have documented therapeutic goals aligned with the policy requirements.