LBHP - Bayou Health Transition

Integrated Health Care

In November 2014, the Louisiana Department of Health (LDH) announced a plan to integrate all behavioral health care services into its existing Medicaid managed care system called Bayou Health. LDH is working with families, stakeholders, health care providers and legislators on this integration, which was scheduled for implementation on Dec. 1, 2015.

"I am so proud of the work that the Department has done over the last three years to better serve individuals with behavioral health needs in Louisiana," said LDH Secretary Kathy H. Kliebert. "It is important that we build upon those improvements and look ahead to the future of how care should be provided. One of our primary goals with Bayou Health is to create better coordination of care and we've long known that integrating behavioral health services with other acute care services was the right direction for our recipients."

How Care is Provided Now

The Louisiana Behavioral Health Partnership (LBHP) was designed to better coordinate care provided to individuals in need of specialized behavioral health services. Often mental health needs and addictive disorder needs are co-occurring, meaning individuals with one need also often have the other. Before the creation of the LBHP more than three years ago, fewer doctors, inpatient facilities and service providers were available to Louisiana residents whose services are reimbursed through Medicaid. The LBHP expanded access to providers by more than double - from approximately 800, to 1,700 providers. There has also been an 87 percent increase in available adult inpatient beds since the LBHP was implemented.

Rather than accept a bid for a new three year LBHP contract that would have begun March 1, 2015, LDH is fully integrating specialized behavioral health services into Bayou Health effective Dec. 1, 2015. LDH is negotiating a shorter-term contract with the current incumbent, Magellan Health, Inc. That contract is expected to last for nine months while the transition occurs.

Other new services and provider types available since the implementation of the LBHP, include:

  • Psychiatric residential treatment facilities;
  • Therapeutic group homes;
  • New crisis intervention providers;
  • Providers of independent living skills;
  • Addiction disorder services, including all levels of residential care, counseling and intensive outpatient;
  • New outpatient therapy provider types such as family counselors and other licensed mental health professionals;
  • Evidence-based programs for youth such as functional family therapy and homebuilders;
  • Behavioral health services provided by schools and school systems;
  • Wraparound services for youth at risk of out-of-home placement in the Coordinated System of Care (CSoC);
  • Family support for youth in the CSoC; and
  • Youth support for youth in the CSoC.