Managed Care Document Library and Resources

These documents are related to the current system of managed care for specialized behavioral health services under Bayou Health, management of the Coordinated System of Care under Magellan, and historical document archives for the former Louisiana Behavioral Health Partnership and the Statewide Management Organization.  

LBHP SERVICES MANUAL (note that the current provider manual is located here:  http://www.lamedicaid.com/provweb1/providermanuals/BHS_Main.htm )

• LBHP Services Manual Introduction - 12/29/11 (Retired)
• LBHP Service Definitions Manual - Version 9 - Updated 8/15/2014 (Retired)
• LBHP Services Manual Codes -  Version 8.1 - Updated 4/24/2015 (Retired)
• Summary of Changes to Services Manual 
  Updated 12/26/2012

 LBHP SERVICE AUTHORIZATION CRITERIA - 03/01/2012

• LBHP Service Authorization Criteria - Version 5- Updated 06/18/2012
• Cumulative Changes to SAC - 06/18/2012
  

 Systems Companion Guide

2012 Redacted Statewide Management Organization (SMO) Proposals

Value Options Louisiana

• Part One
• Part Two
• Part Three
• Part Four

Cenpatico of Louisiana, Inc.

• Part One
• Part Two

Perform Care Behavioral Health Solutions, an AmeriHealth Company

• Part One
• Part Two

Merit Health Insurance Company, an affiliate of Magellan Health Service

• Part One
• Part Two
• Part Three
• Part Four

Click on the link below to see the SMO scoring summary.

• SMO Scoring Summary

Click below to see the Questions and Answers to the SMO Request for Proposals.

MS Excel

MS Word

WAIVERS

• 1915b Waiver
• 1915b Waiver Appendices
• 1915c HCBS Waiver

LBHP Glossary of Terms

• LBHP Glossary of Terms - New 01/12/2012

OBH SERVICES

• 1915i SPA Adult Behavioral Health Services Documents
• SPA TN 11-09
• SPA TN 11-10
• SPA TN 11-11
• SPA TN 11-12
• SPA TN 11-13
• SPA TN 14-0035
• Coordinated System of Care (CSoC) Program Description - Updated 09/01/2011
• OBH Adult Service Delivery
• OBH Addiction Services Programs
• OBH Child Service Delivery
• OBH Mental Health Services Programs
• School-based Services

AGENCY AND SERVICE PROVIDER CONTACTS

• Louisiana Behavioral Health Service Providers (PDF)
• Louisiana Behavioral Health Service Providers (Excel)
  

DATA

• Data Book

COMPLIANCE AND STRATEGY DOCUMENTS

• EQRO Technical Report
• Department of Education - Individual Health Care Plan Elements
• CSoC RFA
• EPSDT
• CSoC Quality Improvement Strategy - Updated May 2016
• Rate Setting Methodology
• State Plan Compliance
• Louisiana Register, Volume 21, No. 6, 6/20/1995

REQUESTS FOR PROPOSALS

• Statewide Management Organization (SMO) Request for Proposal - 8/15/2014
• RFP For External Quality Review of Statewide Managed Care Organization For The Louisiana Behavioral Health Partnership
• Statewide Management Organization (SMO) Request for Proposal - 7/8/2011

ASSESSMENT

• SMO Assessment Instrument

HOUSING

• Cooperative Endeavor Agreement with the Louisiana Public Housing Authority in Office of Community Development (OCD), Division of Administration
• Permanent Supportive Housing (PSH) Brief Program Description

MAPS

• Department of Children and Family Services Regional Map