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LSU Enhanced Professional Service Fee Schedule Update Effective 1/1/2025 (IB 25-10)

Date: 04/11/25

Louisiana Healthcare Connections is sharing with providers a update to the LSU Enhanced Professional Service Fee Schedule (IB 25-10) published on April 11, 2025.

Effective for dates of service on or after January 1, 2025, LSU professional service providers will receive an enhanced fee for certain procedures. The only codes that are to be paid at these enhanced rates are those specific codes and specific types of service combinations that are listed on this enhanced fee schedule.

If the code and the type of service code are not listed on this enhanced fee schedule, then the rate paid to these LSU providers would be paid from the regular existing fee schedule.

There are two different LSU payment groups:

Group 1: LSU Essential Provider ̶Shreveport
This group includes providers:

  • #2430769, NPI 1013374222, TAX ID 364774713
  • #1948705, NPI 1992888101, TAX ID 721365685
  • #1174173, NPI 1144265976, TAX ID 352756292

Group 2: LSU Essential Provider – New Orleans
This group includes providers:

  • #1038296, NPI 1992975775, TAX ID 261531455
  • #1940046, NPI 1558303420, TAX ID 726000749
  • #1167347, NPI 1477582526, TAX ID 721304948
  • #1169269, NPI 1477582526, TAX ID 721304948
  • #1177130, NPI 1932492626, TAX ID 452297609
  • #1945846, NPI 1477582526, TAX ID 721304948
  • #2436473, NPI 1275984973, TAX ID 812574422
  • #2518755, NPI 1285285510, TAX ID 841945250
  • #1444944, NPI 1477582526, TAX ID 721304948

Each payment group has its own assigned payment, which is outlined on the fee schedules that are posted on lamedicaid.com.

Effective for dates of service January 1, 2025 and forward, claims submitted by professional service providers are to be paid according to the new published rates. Each managed care organization shall revise its reimbursement rates for these services within 30 days of the publishing of the Medicaid fee schedule changes (per Section 17.2.7.3 of the contract) and recycle any claims that were not paid in accordance with the updated rates within 30 days (per Section 17.2.7.3.1 of the contract).