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Making Medicaid Better Newsletter 7.22.2011
Making Medicaid Better Newsletter 7.22.2011
LDH News
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RFP for Independent Verification and Validation Services
The purpose of this RFP is to solicit proposals from qualified and experienced proposers that provide Independent Verification & Validation (IV & V) services for MMIS enterprises and MMIS replacement projects. The Louisiana Department of Health and Hospitals seeks to obtain an IV&V contractor to perform two areas of IV & V services: the monitoring of operations of the existing MMIS, and IV & V services for the Design, Development and Implementation (DDI) of a replacement MMIS. The MMIS Replacement Project DDI is intended to replace the entire MMIS Enterprise including, but not limited to, claims processing, pharmacy point of sale (POS), data warehouse (MARS/DW), authorized services, and other support systems with a state-of-the-art, HIPAA compliant, rules-driven, on-line, real-time, web-based MMIS that is versatile in its architecture, structure, and code to support the evolving business needs of Louisiana’s Medicaid program. The IV&V Contractor will verify the DHH chosen solution meets business and technical requirements in order to obtain CMS Certification for the chosen MMIS Replacement.
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Making Medicaid Better Newsletter 7.15.2011
Making Medicaid Better Newsletter 7.15.2011
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Louisiana becomes first state to target elective births before 39 weeks; 20 hospitals sign on to 39-Week Initiative
Louisiana Department of Health and Hospitals Secretary Bruce D. Greenstein today gathered with the Louisiana Hospital Association (LHA), the Louisiana State Medical Society (LSMS), the American College of Obstetricians and Gynecologists (ACOG) and other Louisiana health care leaders at Woman’s Hospital to celebrate the 20 Louisiana hospitals that have demonstrated a commitment to healthier moms and babies through their participation in DHH’s 39-Week Initiative.
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Making Medicaid Better Newsletter 7.8.2011
Twelve Entities Submit Proposals to Form Coordinated Care Networks Last week, the Louisiana Department of Health and Hospitals received proposals from 12 entities to establish Coordinated Care Networks (CCN), which will transform the state’s Medicaid program. Last Thursday, June 30, was the deadline qualified entities wanting to participate in the competitive procurement process (Request for Proposals) the State is using to select the networks to provide health services.
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DHH launches new system to root out fraud and abuse in Medicaid
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DHH announces proposers for Coordinated Care Networks to transform health outcomes in Louisiana
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IN CASE YOU MISSED IT: Statement from Louisiana Independent Pharmacies Association Board Chairman Ricky Guidry, RPh.
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RFP for Making Medicaid Better Outreach and Education
The Louisiana Department of Health and Hospitals (DHH), Bureau of Media and Communications (BMAC), is issuing a Request for Proposals (RFP) for qualified proposers to provide education, marketing and outreach services to help inform and educate eligible Medicaid enrollees about the state’s Making Medicaid Better initiative and promote robust engagement by enrollees to pro-actively choose a Coordinated Care Network (CCN).
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RFP For Enrollment Broker
The Louisiana Department of Health and Hospitals (DHH), Bureau of Health Services Financing (BHSF), is issuing a Request for Proposals (RFP) for qualified proposers for Enrollment Broker services that would provide enrollment services to Coordinated Care Network (CCN), Greater New Orleans Community Health Connection (GNOCHC) or alternative Medicaid managed care program enrollees.
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DHH Issues Update to Medicaid Providers on Makena
DHH Secretary Bruce D. Greenstein and Medicaid Medical Director Dr. Rodney Wise issued the following update to Medicaid providers today regarding the hormone progesterone, commonly known as 17P, which, despite its proven effectiveness in dramatically reducing the risk of a repeat premature birth, has recently been priced at a rate that may keep it out of reach for many Louisiana mothers.
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DHH Issued Requests for Proposals for Coordinated Care Networks Monday, April 11
The Department of Health and Hospitals (DHH) has issued the Requests for Proposals (RFP) for Coordinated Care Networks (CCN). DHH issued two separate RFPs, one for the CCN-Prepaid (CCN-P) model, and one for the CCN-Shared Savings (CCN-S) model. DHH will administer CCNs for Medicaid using both models, which will be implemented simultaneously. Insurance companies, shared-savings entities and other capable groups are welcome to submit proposals to operate a CCN, and through this competitive procurement process, the state will select the best-qualified entities to provide services for the Medicaid and LaCHIP recipients who will enroll in a CCN.