Louisiana HB1235 modifies health insurance coverage for prosthetic and custom orthotic devices and services.

Louisiana HB1235 modifies provisions of law regarding health insurance coverage of prosthetic and custom orthotic devices and services. The bill establishes criteria for medical necessity determinations, delineates coverage standards, and provides requirements for prior authorization and cost-sharing. It mandates coverage for an additional upper or lower extremity prosthetic or orthotic device when medically necessary for physical activity, bathing, showering, or whole-body health.

Louisiana HB1235 modifies health insurance coverage for prosthetic and custom orthotic devices and services.

Louisiana HB1235 modifies provisions of law regarding health insurance coverage of prosthetic and custom orthotic devices and services. The bill establishes criteria for medical necessity determinations, delineates coverage standards, and provides requirements for prior authorization and cost-sharing. It mandates coverage for an additional upper or lower extremity prosthetic or orthotic device when medically necessary for physical activity, bathing, showering, or whole-body health.