Louisiana
highLA Proserv LAB XRAY RAD ASC
Run Date and Time
Apr 15, 2026
3m 10s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Louisiana Medicaid / LA_PROSERV_LAB_XRAY_RAD_ASC identified 5 changed documents and 1 newly discovered documents. 1 item(s) are high priority. 1 newly discovered item(s) appear current or upcoming.
High Impact (1)
feesched_legend_04-06-26.xlsx
The document outlines a professional services fee schedule effective November 17, 2025, detailing reimbursement rates and conditions for various provider types and services.
Highlights
- •Effective date: November 17, 2025
- •Reimbursement rates for nurse practitioners, clinical nurse specialists, certified nurse midwives, and physician assistants set at 80% of the fee
- •Certified nurse midwives receive 95% reimbursement for pregnancy and childbirth services compared to licensed physicians
- •Age restrictions for procedure codes are specified, with claims denied if outside the age range
Reason
The document includes specific reimbursement rates and an effective date that impacts billing and claims processing soon.
Watch items
Medium Impact (0)
No documents in this severity group.
Low Impact (5)
radfee.xlsx
The document update involves a change in the date of the fee schedule for Louisiana Medicaid portable radiology/EKG services, moving from March 27, 2026, to April 10, 2026. The effective date for services remains January 1, 2026.
Highlights
- •Date change from March 27, 2026, to April 10, 2026.
- •Effective date for services remains January 1, 2026.
- •Applies to Louisiana Medicaid portable radiology/EKG fee schedule.
Reason
The change is administrative, involving only a date update without impacting reimbursement or policy.
ascfee.xlsx
The document update reflects a change in the date of the fee schedule for ambulatory surgical centers from March 27, 2026, to April 10, 2026, with no changes to rates or policies noted.
Highlights
- •Date change from 03/27/26 to 04/10/26
- •Applies to ambulatory surgical centers fee schedule
- •Effective for dates of service on and after January 01, 2026
Reason
The change is administrative, involving only a date update with no impact on rates or policies.
feesched_legend.xlsx
Summary generation failed; see evidence.
Reason
Error code: 429 - {'error': {'message': 'Rate limit reached for gpt-4o-2024-08-06 (for limit gpt-4o) in organization org-oGw27zaT64OwfECVoLRZqhqf on tokens per min (TPM): Limit 30000, Used 26759, Requested 3887. Please try again in 1.292s. Visit https://platform.openai.com/account/rate-limits to learn more.', 'type': 'tokens', 'param': None, 'code': 'rate_limit_exceeded'}}
feesched.xlsx
The document update reflects a change in the fee schedule sheet date from 03/27/26 to 04/10/26 for the Louisiana Medicaid Professional Services Fee Schedule, effective January 1, 2026.
Highlights
- •Change in fee schedule sheet date from 03/27/26 to 04/10/26.
- •Effective date remains January 1, 2026.
- •No changes in CPT codes or fees noted.
Reason
The change is administrative, involving only the sheet date, with no impact on rates or policies.
labfee.xlsx
The document update involves a change in the date on the Louisiana Medicaid laboratory and radiology fee schedule, but the effective date for services remains January 1, 2026.
Highlights
- •Change in document date from 03/27/26 to 04/10/26.
- •Effective date for services remains January 1, 2026.
- •No changes in fees or CPT codes noted.
Reason
The change is administrative with no impact on reimbursement or policy.