Medicaid Managed Care Program Transparency Report - State Fiscal Year 2019

This report is the eighth in a series produced by the Louisiana Department of Health (LDH) to satisfy statutory reporting requirements intended to ensure certain outcomes are being achieved by Medicaid Managed Care Programs as per La Revised Statute 40:1253.2

Medicaid Managed Care Program Transparency Report

List of Appendices

I. Total number of healthcare providers contracted (Section 4)
II. Primary care service providers (Section 5)
III. Contracted providers with closed panels (Section 6)
IV. Member satisfaction surveys (Section 9)
IV.1 ABH
IV.2 ACLA
IV.3 HB
IV.4 LHCC
IV.5 UHC
IV.6 MCNA
V. Medicaid managed care provider satisfaction survey 2018 (Section 9)
VI. Annual audited financial statements (Section 10)
VI.1 ABH
VI.2 ACLA
VI.3 HB
VI.4 LHCC
VI.5 UHC
VI.6 MCNA
VII. Number of enrollees who received services (Section 15)
VIII. Total number of denied claims (Section 20)
IX. Claims paid to out-of-network providers (Section 23)
X. Pharmacy benefits by month (Section 24)
XI. Pharmacy claims denied after authorization (Section 24)
XII. PBM and drug rebate – monthly data (Section 25)
XIII. Dental program (Section 26)
XIV. Adult expansion population (Sections 28-31)
XV. Meyers and Stauffer MCO survey instrument
XVI. Meyers and Stauffer MCNA survey instrument