Medicaid

Due to the COVID-19 public health emergency, the timeline for appealing Medicaid decisions has been extended. You may ask for a fair hearing up to 120 days from the date at the top of your decision letter.

The Louisiana Department of Health and Verisys Corporation have amicably agreed to cancel a contract for a Medicaid Provider Management Solution.

The Louisiana Department of Health has announced its intent to contract with two dental administrators for Medicaid following a state bid process that began in June 2019 when the Department issued a request for proposals.

To better assist Medicaid members in completing renewal documents, as of mid-January the Louisiana Department of Health has begun including pre-filled forms in renewal letters that are sent to members each month.

The Louisiana Department of Health has been selected as one of 10 states that have been awarded the Maternal Opioid Misuse (MOM) Model grant by the Centers for Medicare & Medicaid Services Innovation Center. The grant will allow the Department and its partner hospital, Woman’s Hospital in Baton Rouge, to address gaps in the care of pregnant and postpartum Medicaid members with opioid use disorder.

The Department of Health submits a detailed monthly report to the Legislature that provides a comprehensive overview of Medicaid spending. The reports include projections for future revenues and expenditures for the given state fiscal year.

– Louisiana Medicaid will be starting a new outreach effort on Monday that will include calling Medicaid members who have not yet completed their annual renewal and are at risk of losing their healthcare coverage.

A recent audit by the Louisiana Legislative Auditor makes recommendations, and has audit findings, that are inconsistent with the managed care model of health care.