As of 1/30/2015 Pre-Cert requirements are obsolete.
Phase 1
On November 16, 2009, Louisiana Medicaid updated the InterQual Guidelines and
the Thomson Reuters Length of Stay data in an effort to improve quality of
care, assist in insuring medical appropriateness for healthcare, improve
efficiencies and facilitate appropriate discharge planning. Louisiana Medicaid
with Molina Medicaid Solutions, implemented and is now utilizing the electronic versions of these
guidelines for all extension requests for Acute inpatient hospitalizations.
Providers should continue to monitor this webpage for the most up-to-date
information regarding Precertification of Acute Inpatient Hospital stays.
Thank you for tirelessly serving our State and our Louisiana Medicaid
population.
Click on the following link(s) for details:
Attention Hospital and Professional Providers: Discontinuation of Precert for Inpatient Hospitalization - January 22th, 2015
Provider Notice-Mother’s Medicaid Number Required for Initial Precert of Legacy Newborns-Effective December 14, 2012 - December 5th, 2012
Updated PCF-02 Form - July 3rd, 2012
ePrecertification User Manual - October 25th, 2011
ePrecertification Request Web Application Changes - October 14th, 2011
The Facts for Submitting Timely Precertification Requests - September 26th, 2011
New Changes to Retrospective Review Process for Private and State Acute Care Hospitals - July 13th, 2011
Hospital, Physician and Billing Providers Important Information Concerning Change in Precertification Requirement for Sterilizations - June 2nd, 2011
Hospital Process and Procedures Manual for Precertification Length of Stay - February 24th, 2011
Announcement: PRECERT INQUIRY Application to be released for Inpatient Hospitals and Physician Providers - January 13th, 2011
e-PRECERT Webinar Materials - December 7th, 2010
e-PRECERT Announcement for Inpatient Acute Hospitals - November 24th, 2010
Updated PCF0A Form - November 12th, 2010
Updated Provider Notice: Retrospective Review Process -November 12th, 2010
Provider Notice- Regarding Billing for OB-Deliveries -November 5th, 2010
Hospital and Physician Provider Notice Regarding Precertification of OB Care and Delivery -September 27th, 2010
FAQ related to Precert -September 1st, 2010
FAQ Related to Changes to the 24 Hour Deemed Inpatient Policy -September 1st, 2010
Customized Short Cervix Criteria and Length of Stay Guidelines -August 24th, 2010
New Hospital Precertification and Billing Processes for Deliveries -August 13th, 2010
Acute Pre-Cert: Policy Change to the Deemed Inpatient at 24 hours Policy -August 11th, 2010
Update to Precertification Policy Related to Inpatient Physician Claims - July 30th, 2010
Louisiana Medicaid Updates Inpatient Criteria Guidelines and Length of Stay Data - May 7th, 2010
Acute Care Hospitals – Changes in Extension Request Procedures - Feb 25th, 2010
Louisiana Medicaid Updates Current Acute Inpatient Criteria Guidelines - Feb 5th, 2010