MedicaidBilling CodesMedium impact
2025 HCPCS and Physician-Administered Drug Reimbursement
Louisiana Medicaid·LA·Pharmacy
Effective date
Jan 1, 2025
We identified it
Jun 18, 2026
Summary
Louisiana Medicaid has updated its fee-for-service system with new 2025 HCPCS codes and revised reimbursement rates for physician-administered drugs, effective January 1, 2025. Claims previously denied due to new codes will be automatically reprocessed, and no provider action is required.
Action Required
No action required from providers. Louisiana Medicaid will automatically reprocess previously denied claims and adjust reimbursement rates for physician-administered drugs. Monitor remittance advice starting May 20, 2025 for updated processing. Contact Gainwell Technologies at (800) 473-2783 for fee-for-service questions or respective MCO for managed care claims.