Informational Bulletins

 NOTE: Informational Bulletins that summarize policies and/or procedures of each Plan are intended for quick reference and are  accurate on the date they are issued. However, you should always check each Health Plan's Provider Manual--once it is finalized and posted on their website--as well as your actual contract as requirements may differ or change.

Informational Bulletin 19-14: Act 370 – Limitation on Hours of Community Psychiatric Support and Treatment and Psychosocial Rehabilitation Services

Informational Bulletin 19-13: Electronic Visit Verification for EPSDT Personal Care Services

Informational Bulletin 19-12: Extended Home Health Modifiers

Informational Bulletin 19-11: Telemedicine/Telehealth Billing Changes

Informational Bulletin 19-10: Oxygen Probe Coverage

Informational Bulletin 19-9: Definitive Drug Testing (Revised July 19, 2019)

Informational Bulletin 19-8: CLIA Number Information (Revised July 1, 2019)

Informational Bulletin 19-7: Behavioral Health Alternate Payment Methodology in FQHCs and RHCs

Informational Bulletin 19-6: Member Reassignment Policy Core Elements

Informational Bulletin 19-5: Breast Pump Coverage – Attestation and Equipment Requirements

Informational Bulletin 19-4: 2019 HCPCS and Physician-Administered Drug Reimbursement Updates

Informational Bulletin 19-3: Medicaid Managed Care Provider Issue Resolution (Revised October 7, 2019)

Informational Bulletin 19-2: EPSDT Personal Care Services – Administration of Medicine

Informational Bulletin 19-1: Reimbursement for Lynch Syndrome and Familial Adenomatous Polyposis Genetic Testing

Informational Bulletin 18-22: Non-Invasive Prenatal Testing

Informational Bulletin 18-21: Immunization Coverage Update – Hepatitis B Adult 2 Dose Vaccine

Informational Bulletin 18-20: New Applied Behavior Analysis (ABA) Codes

Informational Bulletin 18-19: Durable Medical Equipment Coverage of Electric Breast Pumps

Informational Bulletin 18-18: Reimbursement for Continuous Glucose Monitoring Devices

Informational Bulletin 18-17: Physician Requirements for Ordering Home Health Services: Face-to-Face Encounter Documentation

Informational Bulletin 18-16: Home Health Program: Federal and State Changes

Informational Bulletin 18-15: Preventive Medicine Visits for Women

Informational Bulletin 18-14: Act 582 – Providers of Community Psychiatric Support and Treatment or Psychosocial Rehabilitation Services 

Informational Bulletin 18-13: Hospice Fee Schedule Federal Fiscal Year 2019

Informational Bulletin 18-12: Non-Emergency Ambulance Program to Non-ER Provider Sites

Informational Bulletin 18-11: Physician Administered Drugs Reimbursement Changes - Revised Oct. 8, 2018

Informational Bulletin 18-10: Increased Security Measures for Provider Portal Login, MEVS Access

Informational Bulletin 18-9: Home Health Program – Federal and State Changes (Retired)

Informational Bulletin 18-8: Hospice Fee Schedule

Informational Bulletin 18-7: Common Observation Policy

Informational Bulletin 18-6: Portable Oxygen Coverage and Reimbursement

Informational Bulletin 18-5: Rehabilitation Therapy Services - Revised Feb. 12, 2019

Informational Bulletin 18-4: 2018 Louisiana Medicaid EPSDT Periodicity Schedule

Informational Bulletin 18-3: Open Enrollment for Healthy Louisiana Plans

Informational Bulletin 18-2: Standardized Assessment for Members Receiving CPST and PSR

Informational Bulletin 18-1: 2018 HCPCS and Fee Schedule Updates

Informational Bulletin 17-14: Neonatal/Pediatric Critical Care Billing

Informational Bulletin 17-13: Clarification of Louisiana Medicaid Policy Regarding Pediatric Moderate Conscious Sedation

Informational Bulletin 17-12: Applied Behavior Analysis Services

Informational Bulletin 17-11: Changes to Pharmacy Services due to Tropical Storm Nate (Retired effective Oct. 9, 2017 at 11:59 p.m.)

Informational Bulletin 17-10: Changes to Durable Medical Equipment due to Tropical Storm Nate (Retired effective Oct. 9, 2017 at 11:59 p.m.)

Informational Bulletin 17-9: Managed Care Organization (MCO) Pharmacy Reimbursement and Appeals

Informational Bulletin 17-8: Louisiana Healthcare Connections Pharmacy Claims Processor Change - Revised Sept. 6, 2017

Informational Bulletin 17-7: Hurricane Harvey Provider Assistance FAQs - Revised Nov. 22, 2017

Informational Bulletin 17-6: Influenza Virus Vaccine (CPT Code 90686) Age Revision

Informational Bulletin 17-5: Admissions for Post-Acute Care (Retired)

Informational Bulletin 17-4: Amerigroup Name Change

Informational Bulletin 17-3: Open Enrollment for Healthy Louisiana Plans

Informational Bulletin 17-2: Opioid Epidemic

Informational Bulletin 17-1: Naloxone Standing Order 

Informational Bulletin 16-24: VFC Coverage of Human Papilloma Virus (HPV) Vaccine, CPT Code 90651

Informational Bulletin 16-23: Papanicolaou Test (Pap Test) Age Criteria (Revised Sept. 22, 2017)

Informational Bulletin 16-22: Billing Immunization Adminstration Code 90472

Informational Bulletin 16-21: Global Maternity Procedure Codes (Revised June 16, 2017)

Informational Bulletin 16-20: Open Enrollment for Healthy Louisiana Plans

Informational Bulletin 16-19: Breast Reconstruction Post Mastectomy

Informational Bulletin 16-18: Medicaid Policy: Genetic Testing for Breast and Ovarian Cancer (BRCA)

Informational Bulletin 16:17: Prevention of Unintended Pregnancy and Risks Associated with Zika

Informational Bulletin 16-16: Emergency Contraception Preferred Products as a Medicaid MCO Outpatient Pharmacy Benefit (Revised Sept. 1, 2017)

Informational Bulletin 16-15: Private Third Party Liability (TPL) and Medicare Advantage Plan Update Request Change (Revised Sept. 1, 2017)

Informational Bulletin 16-14: Common Treatment Plan Elements for Specialized Mental Health and Substance Use Services

Informational Bulletin 16-13: Request for Consideration of Medical & Dental Benefit Coverage for Louisiana Medicaid

Informational Bulletin 16-12: Prevention of Zika Virus in Louisiana (Revised August 11, 2016)

Informational Bulletin 16-11: Billing and Ordering Guidance for Long Acting Reversible Contraceptives (LARCs): Intrauterine Devices (IUD) and Implants (Revised July 20, 2018)

Informational Bulletin 16-10: Billing for Specialized Mental Health and Substance Use Services for Members with Commercial Insurance and Medicaid (Revised Sept. 1, 2017)

Informational Bulletin 16-9: 340B Policy Clarification  (Revised July 31, 2019)

Informational Bulletin 16-8: Managing Third Party Liability (TPL) Updates for Medicaid Enrollees (Revised Sept. 1, 2017)

Informational Bulletin 16-7: Professional Services Fluoride Varnish Program Policy (Revised June 27, 2017)

Informational Bulletin 16-6: Billing/Claims Submission Processes for Specialized Behavioral Health Services for Members Enrolled in One or More of The Following: Healthy Louisiana, Magellan or fee for service Medicaid 

Informational Bulletin 16-5: Managed Care Plan Progesterone Billing and Ordering Guide (Revised September 12, 2018)

Informational Bulletin 16-4: Pre-Admission Screening and Resident Review (PASRR) Process for Nursing Home Placement

Informational Bulletin 16-3: Billing for Behavioral Health Services for Non-CSoC Healthy Louisiana Members (Revised Sept. 1, 2017)

Informational Bulletin 16-2: Claims Processing Edits for Provider Taxonomy (Retired) 

Informational Bulletin 16-1: Billing for Rehabilitation Services (Revised Sept. 1, 2017)

Informational Bulletin 15-21: Behavioral Health Service Provider Licensing Rule (Revised Nov. 18, 2015) 

Informational Bulletin 15-20: Non-Emergency Ambulance Transportation for Nursing Home Residents (Revised Sept. 1, 2017)

Informational Bulletin 15-19: Authorization of IOP, Detox, TGH and Inpatient Specialized Behavioral Health Services - Effective Dec. 1, 2015 (Revised Nov. 9, 2015)

Informational Bulletin 15-18: Authorization of Specialized Behavioral Health Outpatient Services - Effective Dec. 1, 2015

Informational Bulletin 15-17: Billing for Specialized Mental Health and Substance Use Services for Dual Eligibles (Revised May 11, 2016) 

Informational Bulletin 15-16: Medicaid Transportation Coverage - Revised Oct.23, 2018

Informational Bulletin 15-15: Completion of Assessment for Certain Specialized Mental Health Services Available Only Through 1915(i) Program Prior to 12/1/15

Informational Bulletin 15-14: Timely Notification Requirements for Specialized Behavioral Health Inpatient Admission (Revised Sept. 1, 2017)

Informational Bulletin 15-13: Identification of Louisiana Medicaid Enrollees' Current Bayou Health Plan for Specialized Behavioral Health Services and NEMT (Revised Sept. 1, 2017)

Informational Bulletin 15-12: Open Enrollment for Managed Care Plans

Informational Bulletin 15-11: Behavioral Health Provider Next Steps Toward Integration (Retired)  

Informational Bulletin 15-10: Applied Behavior Analysis

Informational Bulletin 15-9: Shared Savings Close Out Notice

Informational Bulletin 15-8: Certification of Behavioral Health Providers

Informational Bulletin 15-7: Billing for Behavioral Health Services for Managed Care Members (Revised Sept. 1, 2017)

Informational Bulletin 15-6: MCO CPT/CPCS Update (Revised Sept. 1, 2017)

Informational Bulletin 15-5: Retrospective Eligibility Requests for Precertification (Revised Sept. 1, 2017)

Informational Bulletin 15-4: Medicaid Recipient Insurance Updates

Informational Bulletin 15-3: Covered and Non-Covered Inpatient Hospital Days

Informational Bulletin 15-2: EPSDT Personal Care Services (PCS)

Informational Bulletin 15-1: Elective Deliveries

Informational Bulletin 14-3: Non-OB Anesthesia Services and Claims

Informational Bulletin 14-2: Bayou Health Pharmacy Prior Authorization Request and Appeals Process

Informational Bulletin 14-1: Bayou Health ICD-10 Provider Testing

Informational Bulletin 13-3: Dispensing Prescription Medication In the Event of an Emergency

Informational Bulletin 13-2: Health Plan Provider Claims Disputes and Resolution (Retired Feb. 1, 2019; See IB 19-3)

Informational Bulletin 13-1: National Correct Coding Initiative

Informational Bulletin 12-31: Bayou Health Members and Plan Choice vs Provider Steering (Revised April 25, 2018)

Informational Bulletin 12-30: Pharmacy Benefit and Out of Network Policies

Informational Bulletin 12-29: Pharmacy Benefit and Protocols for Synagis

Informational Bulletin 12-28: General Provider Information for Concurrent Review

Informational Bulletin 12-27: Provider Issue Escalation and Resolution (Retired Feb. 1, 2019; See IB 19-3)

Informational Bulletin 12-26: Billing Bayou Health Members 

Informational Bulletin 12-25: Hospital Claims Payment for Dental Services by an Oral Surgeon (Revised Nov. 24, 2015)

Informational Bulletin 12-24: Bayou Health and Home Health Nursing Services

Informational Bulletin 12-23: Effective Date of Health Plan Enrollment

Informational Bulletin 12-22: NICU Precert/Authorization of Days and Concurrent Review

Informational Bulletin 12-21: OB Admit/Birth Notification

Informational Bulletin 12-20: Situational Fax Numbers for Hospitals to Submit Clinical Information and/or Prior Authorization Requests

Informational Bulletin 12-19: Hospital Observation Hours (Retired)

Informational Bulletin 12-18: Billing for Behavioral Health Services for Bayou Health Members

Informational Bulletin 12-17: Provider Registry and Provider Directories (Revised Sept. 1, 2017)

Informational Bulletin 12-16: Algorithm for Auto Assignment to a Health Plan (Revised Sept. 1, 2017)

Informational Bulletin 12-15: Referral and Prior Authorization Policies (Revised Sept. 1, 2017)

Informational Bulletin 12-14: Administrative Support to PCPs for EPSDT Screenings (Revised Sept. 1, 2017)

Informational Bulletin 12-13: Provider Reimbursement and Cash Flow (Revised April 1, 2015) 

Informational Bulletin 12-12: Bayou Health Enrollees Who Move to an Area Where Bayou Health is Not Yet Implemented (Retired)

Informational Bulletin 12-11: Vision Services for Bayou Health Members (Retired) 

Informational Bulletin 12-9: How Bayou Health Will Affect EPSDT and General Claim Submission (Retired)

Informational Bulletin 12-8: How to Schedule Non-Emergency Transportation Services (NEMT) for Healthy Louisiana Members (Revised Feb. 25, 2019)

Informational Bulletin 12-7: Reimbursement for Emergency Care

Informational Bulletin 12-6: Provider Relations 24/7 Contact Information, Emergency Prior Authorization Requests and Hospital Admissions (Revised Sept. 1, 2017)

Informational Bulletin 12-5: Newborn Enrollment (Revised March 4, 2015)

Informational Bulletin 12-4: Continuity of Care for Pregnant Women

Informational Bulletin 12-3: Member ID Cards (Revised Sept. 1, 2017)

Informational Bulletin 12-2: Referrals Issued Prior to Go Live (Retired) 

Informational Bulletin 12-1: Members Assigned to "Wrong" Health Plan or "Wrong" PCP & Health Plan's Policies and Procedures for Payment In-Network and Out-of-Network 


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