Louisiana Medicaid (Healthy Louisiana)

MedicaidLA

ABA billing requirements · Source: Louisiana Medicaid — ABA Services Provider Manual

High confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth duration6 months

Renewal auth durationN/A

Submission deadlineN/A

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validityN/A

Re-eval cadenceEvery 6 months

State licensure requiredBCBA state licensure required via LA Licensed Professional Counselors Board

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsClinical history, Direct observation, Review of records, DSM-5 diagnosis, Justification/rationale for referral, Recommendations for other treatment

Progress summary cadenceEvery 6 months

Policy Notes

ABA services are initially approved for no more than 180 days. Additional assessments are required every six months. MCOs cannot deny services due to an old CDE. Members can change providers every 180 days or for good cause.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Louisiana Medicaid (Healthy Louisiana).

Official policy source:Louisiana Medicaid — ABA Services Provider Manual

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Data last verified: 2026-03-01 · Confidence: High · See our methodology

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