Medicaid

Dr. Rebekah Gee, Louisiana Medicaid Medical Director, will host a teleconference on Wednesday, Oct. 15, to educate providers on DHH’s new family planning Medicaid program – Take Charge Plus.

Louisiana Department of Health and Hospitals (DHH) Secretary Kathy H. Kliebert joined officials from Blue Cross and Blue Shield of Louisiana, and other health care leaders today in announcing a payment reform that will help Louisiana newborns have a head start on a healthy life. Effective Sept. 1, 2014, Blue Cross and Louisiana Medicaid will no longer pay for elective, medically unnecessary births of infants before 39 weeks of gestation. The change is expected to reduce the number of early elective deliveries by providers across the state and to reduce the number of costly health complications that lead many infants to have preventable medical challenges.

DHH will no longer host weekly Dental provider Q & A calls on Wednesdays. If dental providers have any questions, please feel free to contact the MCNA provider line at 1-855-701-6262 or email the Medicaid staff at bayouhealth@la.gov.

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.