MedicaidReimbursementMedium impact
Retiring EPSDT Preventive Services Fee Schedule
Louisiana Medicaid·LA · Pediatrics, Family Medicine·Claims & Billing
Effective date
Oct 20, 2025
We identified it
Jun 18, 2026
Summary
Louisiana Medicaid is retiring the EPSDT Preventive Services Fee Schedule (TOS 21) effective October 20, 2025, and moving all affected services to the Professional Services Fee Schedule. Providers must begin referencing the Professional Services Fee Schedule for procedure codes and reimbursement rates for EPSDT services.
Action Required
Before October 20, 2025: Billing team must update billing system configuration to reference the Professional Services Fee Schedule instead of TOS 21 EPSDT Preventive Services Fee Schedule for all EPSDT services. Update fee schedule references in billing software and train staff on the new Professional Services Fee Schedule structure. Monitor LA Medicaid website at www.lamedicaid.com for updated fee schedule information.