Medicaid

The charge of Act 212 of the 2013 Regular Legislative Session was to provide transparency relative to Medicaid managed care programs. Within the Office of Behavioral Health (OBH), this involves the Louisiana Behavioral Health Partnership (LBHP) and its included Coordinated System of Care (CSoC). To manage the LBHP, inclusive of CSoC, Magellan Health Services of Louisiana, Inc. (Magellan) was selected to administer the program as the statewide management organization (SMO). This report outlines responses to the requests made by the legislature in Act 212 relative to Magellan's management of care within the LBHP and CSoC.

The Department of Health and Hospitals released today final External Quality Review Organization (EQRO) reports that show that the Bayou Health Plans collectively earned high marks for compliance with more than 4,000 state and federal requirements. Compliance with requirements from the U.S. Centers for Medicare and Medicaid Services is key to demonstrating that they Bayou Health Plans are effectively managing the health care of the more than 900,000 individuals enrolled in the State’s Medicaid managed care program. This is the first EQRO report to be issued for Bayou Health, which was implemented in by the Department of Health and Hospitals in 2012.

The Louisiana Department of Health and Hospitals (DHH) adopted an emergency rule, effective Dec. 1, to comply with federal regulations, and protect Medicaid enrollees' right to choose how they receive their healthcare.

The Department of Health and Hospitals (DHH) and Myers and Stauffer LC Hosted a Provider Education Seminar on the new Medicaid Recovery Audit Contractor (RAC) program mandated by the Centers for Medicare and Medicaid Services (CMS). Below are the recorded videos of that seminar.

BATON ROUGE, La. -- Governor Bobby Jindal announced today that Louisiana received final federal approval for the state's public-private partnership with Our Lady of the Lake Regional Medical Center, which took over operations of the former Earl K. Long Medical Center earlier this year.

The Louisiana Department of Health and Hospitals (DHH) has announced plans to renew its efforts to contract with a single Dental Benefits Manager (DBM), to be procured through a new competitive Request for Proposals (RFP) process, to provide dental healthcare benefits and services to Louisiana Medicaid and LaCHIP recipients statewide.

Today, the Louisiana Division of Administration and the Louisiana Department of Health and Hospitals outlined a plan to address funding reductions included by the Legislature in the state’s final operating budget for fiscal year 2014, which begins July 1. Without these actions, DHH projects that it would face an approximately $25.9 million state general fund shortfall at current operating levels.

Important information regarding Medicaid Provider Enrollment.