Medicaid

The Louisiana Department of Health and Hospitals (DHH) is seeking information regarding vendors that are capable of providing full Disease Management services to a targeted high need, high cost population to assist Louisiana in improving outcomes and reducing costs for Medicaid recipients with chronic diseases.

The purpose of this Request for Proposals (RFP) is to solicit proposals from qualified Managed Care Organizations (MCOs) to provide healthcare services statewide to Medicaid enrollees participating in the Bayou Health program, utilizing the most cost effective manner and in accordance with the terms and conditions set forth herein.

DHH has identified paid claims associated with administration corrections of member linkages into Bayou Health Plans.

The Louisiana Department of Health and Hospitals’ Bureau of Health Services Financing is issuing a Request for Information (RFI) for the purpose of seeking information from Qualified Health Care Professionals (QHCP) regarding their willingness and availability to provide Comprehensive Diagnostic Evaluations (CD/DE), to Louisiana Medicaid enrollees under age 21. QHCPs should have sufficient qualification and experience to conduct and document the CDE/DE, and to develop initial recommendations for a multidisciplinary treatment plan, including recommendations relative to clinical indications for Applied Behavioral Analysis (ABA) and other evidence-based treatments for Autism Spectrum Disorder, related and comorbid disorders.

MCNA hosts statewide in-person training sessions and online webinars to discuss our program and other important information.

Late this afternoon, the Louisiana Department of Health and Hospitals (DHH) was notified by the federal Centers for Medicare and Medicaid Services (CMS) that the remaining state plan amendments (SPAs) for the public-private partnerships have been denied. This is an unprecedented step by the federal government that contradicts earlier approval actions by CMS. The Department will appeal the decision by CMS through an administrative appeal. There is no short-term budget impact as a result of the CMS decision.

The Louisiana Department of Health and Hospitals today announced that Managed Care of North America Dental (MCNA) is being recommended for the contract as the Dental Benefits Program Manager to provide dental services for 1.2 million Medicaid and LaCHIP enrollees.

The Department of Health and Hospitals (DHH) reminds the public that it is hosting a series of public meetings next week to gather input about its proposal to transition people receiving long-term supports and services through the Medicaid program to a model of managed care.