Health Plans

Resources

• Health Plan Advisories
• Managed Care Access Monitoring Framework
• Medicaid Services Chart
• Mercer Rate Certification Letters
• Medicaid State Plan
• Louisiana Medicaid Preferred Language Statewide (Updated 10.12.18)
• Quality Committee
• Louisiana Quality Management Strategy for the Louisiana Medicaid Managed Care Program (Posted 6.28.19)
• Louisiana Medicaid Executed Contracts
• Wells Settlement Resources
• Chisholm Compliance Guide

Companion Guides

• State Fair Hearing Companion Guide (Updated 6.25.14)
• Quality Companion Guide (Updated 6.28.19)
• System Companion Guide
  • MCO System Companion Guide for 2015 Contract (Updated 6.26.19)
  • Batch Pharmacy Encounter System Companion Guide (Updated 11.8.18)
• System Companion Guides from February 2012 to January 2015 Bayou Health Contracts
  • Shared Savings
  • Prepaid
• Medicaid 834 Benefit and Enrollment Transaction Set Companion Guide (Updated 5.20.19)
• Prepaid Inpatient Health Plan CSoC Systems Companion Guide (Updated January 2019)
• Justice-Involved Pre-Release Enrollment Program
• Provider Network Companion Guide

Managed Care Reporting

• Reporting Deliverable Templates
• Financial Reporting Requirements 

Archived materials

• RFP Documents and Procurement Libraries (2011)
• Bayou Health 2014 Request For Proposal