Payer PolicyActive
23 Hour Behavioral Health Observation - In Lieu of Service - MEDICAID - LOUISIANA
HUMANA-23-HOUR-BEHAVIORAL-HEALTH-OBSERVATION-IN-LIEU-OF-SERVICE-LA-MEDICAID
Humana
Effective: December 8, 2025
Updated: December 12, 2025
Policy Summary
This Humana Healthy Horizons (LA Medicaid) policy covers 23-hour behavioral health observation (ILOS) as a medically appropriate, cost-effective substitute for inpatient psychiatric hospitalization for members aged 21 and older. It is intended for voluntary admissions for sub‑imminent crisis stabilization lasting less than 24 hours, requires no prior authorization, and may be subject to clinical claims review.
Coverage Criteria Preview
Key requirements from the full policy
"Coverage for 23-hour behavioral health observation bed services (23-hour crisis respite and observation in a secure setting)."
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