Louisiana: Start Here
Beginner guide for Louisiana—HealthCare.gov Marketplace, LDI external review, PA deadlines, and what to open next.
Read guideState playbook
Louisiana
State insurers, legislation, and appeal resources for patients and advocates in Louisiana.
4 guides
Louisiana Prior Authorization Law
RS 22:1260.44—2-day/5-day PA, 48-hour urgent add-on, cannot deny for lack of PA if late, uniform Rx PA form.
Read guideLouisiana Health Insurance Appeals and Grievances
RS 22:2401—internal process, 30-day exhaustion to IRO, expedited concurrent review, path to RS 22:2436.
Read guideLouisiana External Review (LDI / IRO)
Binding IRO review—4-month filing with issuer, 45-day standard, 72-hour expedited, RS 22:2436.
Read guidePrior auth & internal appeals
Match the plan on the member ID card. Use the denial letter for where to file appeals.
- Blue Cross Blue Shield of Louisiana
- UnitedHealthcare
- Ambetter / Louisiana Healthcare Connections
- CHRISTUS Health Plans
- Vantage Health Plan
- Humana Healthy Horizons (Medicaid)
- Aetna Better Health of Louisiana
- HealthCare.gov (Louisiana Marketplace)
- Healthy Louisiana / LDH
External appeals
After internal appeal, for eligible Louisiana fully insured plans only.
- LDI — External Review (IRO)
- Medicaid — State fair hearing (DAL)