§ 46:450.5 — Chronic kidney disease; evaluation; classification; criteria; healthcare coverage

Louisiana § 46:450.5

• Jurisdiction: Louisiana
• Title 46: Public Welfare and Assistance

Text

§450.5. Chronic kidney disease; evaluation; classification; criteria; healthcare coverage
A. Any enrollee in Medicaid who is eligible for services and who has a diagnosis of
diabetes or hypertension, or who has a family history of kidney disease, shall be evaluated
for kidney disease through routine clinical laboratory assessments of kidney function.
B. Any enrollee in Medicaid who is eligible for services and who has been diagnosed
with diabetes or hypertension or who has a family history of kidney disease, and who has
received a diagnosis of kidney disease, shall be classified as a chronic kidney patient.
C. The diagnostic criteria that define chronic kidney disease should be generally
recognized clinical practice guidelines which identify chronic kidney disease or its
complications based on the presence of kidney damage and level of kidney function.
D. In keeping with the Medicaid disease management program of the Louisiana
Department of Health, patients receiving Medicaid benefits who are at risk for chronic
kidney disease will be tracked regarding appropriate diagnostic testing. Medicaid providers
will be educated and disease management strategies implemented in order to increase the rate
of evaluation and treatment for chronic kidney disease according to accepted practice
guidelines including:
(1) Managing risk factors, which may prolong kidney function or delay progression
to kidney replacement therapy.
(2) Managing risk factors for bone disease and cardiovascular disease associated with
chronic kidney disease.
(3) Improving the nutritional status of chronic kidney disease patients.
(4) Correcting anemia associated with chronic kidney disease.

Legislative History

Acts 2005, No. 124, §1; Acts 2022, No. 271, §5.