Medicaid

BATON ROUGE – Today, Governor John Bel Edwards and Dr. Rebekah Gee, Secretary of the Department of Health and Hospitals, began a statewide tour to discuss Medicaid expansion in Louisiana. Gov. Edwards and Dr. Gee also announced that the Bayou Health program is being renamed Healthy Louisiana. The new program seeks to improve the health of those who are currently covered by Medicaid and those who will become eligible for coverage under Medicaid expansion. Gov. Edwards and Dr. Gee also unveiled a new website, www.healthy.la.gov, for enrollment information for qualified individuals.

The Louisiana Department of Health and Hospitals (DHH), Medicaid Management Information System (MMIS), is issuing a Request for Proposals (RFP) for qualified proposers to provide Third Party Liability (TPL) Services.

The Louisiana Department of Health and Hospitals (DHH), Bureau of Health Services Financing, is issuing a Request for Proposals (RFP) for qualified proposers to provide financial management and support brokerage services to Medicaid participants enrolled in an approved self-direction program, such as managing payroll, providing bill paying functions, and distributing funds contained in individual participant budgets.

Dr. Rebekah Gee, DHH secretary, will appear on Louisiana Public Square tomorrow night (Wednesday, February 24) at 7 p.m. on LPB HD and WLAE in New Orleans. She and her fellow panelists will discuss how expanding Medicaid will affect the lives of those who will now have access to health care, what expansion will mean for the cost of health care and insurance for everyone else in the state, how hospitals will be affected and more.

Baton Rouge, La. – A new independent study estimates that the Bayou Health program saved the state up to $437 million in Medicaid expenditures in 2015 when compared with what the state would have paid under the old fee-for-service model. The study, which was performed by Wakely Consulting Group for the Louisiana Association of Health Plans (LAHP), concludes that the managed care organizations are operating efficiently and producing significant savings when compared to the costs that DHH would have incurred under the old, fee-for-service program.

The Louisiana Department of Health and Hospitals (DHH), Bureau of Health Services Financing (BHSF) is issuing a Request for Proposals (RFP) for qualified proposers to provide Independent Verification & Validation (IV&V) services for Medicaid Enterprise solutions.

The Department is now evaluating two interim projects to help reduce fraud and improve billing processes. The fust project is a system to further ensure home-based services are not billed concurrently with center-based services, and the second will better integrate the Department's efforts with EVV mechanisms already in use by some providers.