- A. The programming of the VNS stimulator shall be performed by the surgeon who performed the implant procedure or by a licensed neurologist or psychiatrist. Programming subsequent to the first three times may be subject to post authorization review for medical necessity prior to payment of the claim. Authorization for payment will only be considered when there is documented clinical evidence to show that the recipient has experienced seizures since previous programming attempts. Payment for the programming procedure will only be authorized when it is performed as an attempt to reduce or prevent future episodes of seizures.
Authority Note
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
Historical Note
HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 29:2800 (December 2003), amended by House Concurrent Resolution Number 1 of the 2006 Regular Legislative Session, LR 32:1535 (August 2006).