Louisiana State Seal
Department of Health and Hospitals logo
Secretary
Dr. Courtney N. Phillips
Back to LDH
Behavioral Health
Louisiana.gov > LDH > Office of Behavioral Health
  • About Us
  • OBH Leadership
  • Addictive Disorders
  • Behavioral Health Managed Care
  • Mental Health
  • CSoC
  • Grants
    • Current OBH Grants
  • Publications
  • Links

FY2019 Transparency Report from Act 158 of the 2015 Regular Legislative Session

July 27, 2020

The charge of Act 158 of the 2015 Regular Legislative Session was to provide transparency relative to Medicaid managed care programs. Within the Office of Behavioral Health (OBH), this involves the Coordinated System of Care (CSoC) program. Magellan Health Services of Louisiana, Inc. (Magellan) administers the CSoC program. This report outlines responses to the requests made by the legislature in Act 158 relative to Magellan's management of care within CSoC program.

FY 2019 CSoC Annual Report

Appendices:

  • APPENDIX I: HEALTHCARE PROVIDERS IN EACH PARISH BY PROVIDER TYPE, APPLICABLE CREDENTIALING STATUS, AND SPECIALTY
  • APPENDIX II: CHILDREN RECEIVING SERVICES THROUGH CSOC BY PARISH
  • APPENDIX III: PERCENTAGE OF REFERRALS CONSIDERED IMMEDIATE, URGENT AND ROUTINE
  • APPENDIX IV: CLEAN CLAIMS
  • APPENDIX V: TOP FIVE CLAIMS DENIAL REASONS
  • APPENDIX VI: PERCENTAGE OF MEMBERS ASKED TO PROVIDE CONSENT FOR RELEASE OF INFORMATION TO PRIMARY CARE PHYSICIAN
  • APPENDIX VII: REPORT ON QUALITY MANAGEMENT
    • Quality Program Description (2018 – 2019)
    • Louisiana Coordinated System of Care Annual Evaluation of the Quality Program
      (November 1, 2018 – December 31, 2018)
  • APPENDIX VIII: TOTAL FUNDING PAID FOR CLAIMS TO PROVIDERS, ADMINISTRATIVE COSTS AND PROFIT

 

Feedback Accessibility
Privacy Policy | Disclaimer
Mailing Address: Louisiana Department of Health | P. O. Box 629 | Baton Rouge, LA 70821-0629
Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568
Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848
Site by Covalent Logic