MedicaidAdministrativeLow impact
Wound Care - MEDICAID - LOUISIANA (Revised)
Humana·LA · Wound Care, General Surgery, Internal Medicine +1 more·Medicaid
Effective date
Jul 20, 2026
We identified it
Jul 23, 2026
Summary
This is a routine annual review of Louisiana Medicaid's wound care policy with NO coverage changes. The policy reaffirms that wound care supplies require prior authorization (3-month periods with documented medical necessity), wound care systems (thermal or sealed suction) are covered for specific indications (Stage III/IV chronic wounds, post-surgical dehiscence, non-adhering grafts), and portable hyperbaric oxygen chambers remain non-covered. Billing teams should ensure they continue applying these existing requirements without workflow modifications.
Action Required
No immediate action required. This is an informational update confirming existing policy requirements are unchanged as of the October 7, 2025 annual review. Billing team should verify current processes already include: (1) Prior authorization submission for all wound care supplies and systems before service delivery, (2) Documentation collection per policy requirements (diagnostic info, wound measurements, drainage type/amount, tunneling/undermining details, pressure-reducing device use, prescribed regimen with frequency/duration), and (3) Denial protocols for portable hyperbaric oxygen chamber claims. File this policy in the Louisiana Medicaid reference library for future verification of coverage determinations. No system changes, form updates, or provider communications required at this time.