Medicaid Behavioral Health Provider Resources

On Dec. 1, 2015, Louisiana Medicaid changed the way members get behavioral health services (mental health and substance use treatment). All Medicaid members now get their behavioral health services through a Health Plan. If they were not already enrolled in a Health Plan, they were enrolled in a Plan before Dec. 1, 2015 to get Medicaid behavioral health services. LDH's contract with Magellan ended on Nov. 30, 2015.

Important Health Plan Advisories and Informational Bulletins for Behavioral Health Providers

• HPA 20-9 COVID-19 – SUD Telemedicine/Telehealth
• HPA 20-8 COVID-19 – LMHP Telemedicine/Telehealth
• HPA 20-7 COVID-19 – MHR Telemedicine/Telehealth
• HPA 20-5 PASRR Level II Evaluations: COVID-19
• HPA 20-3 Reimbursement of Opioid Use Disorder Treatment in Opioid Treatment Programs
• HPA 20-2 Telemedicine and Telehealth Billing Changes for RHCs and FQHCs (Retired. Refer to Medicaid Services Manual for FQHC/RHC policies. Refer to MCO Manual for telemedicine policies.)
• HPA 19-17 LPC and LMFT Reimbursement in FQHCs and RHCs (Retired)
• HPA 19-11 Telemedicine/Telehealth Billing Changes (Retired. Refer to MCO Manual.)
• HPA 16-23: Crisis Stabilization-New State Plan Service (Retired)
• HPA 16-21: Functional Family Therapy - Child Welfare (FFT-CW) Service Expansion (Retired)
• HPA 15-17: "In Lieu of" Behavioral Health Services (Revised Feb. 23, 2018)
• HPA 12-9: Provider Disputes (Retired. Refer to MCO Manual and IB 19-3.) 
• IB 20-7: COVID-19 – SUD Telemedicine/Telehealth
• IB 20-6: COVID-19 – LMHP Telemedicine/Telehealth
• IB 20-5: COVID-19 Provider Update (Revised May 6, 2022)
• IB 20-4: COVID-19 – MHR Telemedicine/Telehealth
• IB 20-1: Telemedicine and Telehealth Billing Changes for RHCs and FQHCs
• IB 19-16: LPC and LMFT Reimbursement at FQHCs and RHCs (Retired)
• IB 19-14: Act 370 – Limitation on Hours of Community Psychiatric Support and Treatment and Psychosocial Rehabilitation Services
• IB 19-11: Telemedicine/Telehealth Billing Changes (Revised May 18, 2022)
• IB 19-7: Behavioral Health Alternate Payment Methodology in FQHCs and RHCs (Retired)
• IB 19-3: Medicaid Managed Care Provider Issue Resolution (Revised December 30, 2021)
• IB 18-14: Act 582 – Providers of Community Psychiatric Support and Treatment or Psychosocial Rehabilitation Services 
• IB 18-2: Standardized Assessment for Members Receiving CPST and PSR (Retired. Refer to Medicaid Services Manual, Behavioral Health Services.)
• IB 17-2: Opioid Epidemic (Retired)
• IB 17-1: Naloxone Standing Order  (Retired)
• IB 16-14: Common Treatment Plan Elements for Specialized Mental Health and Substance Use Services (Retired)
• IB 16-10: Billing for Specialized Mental Health and Substance Use Services for Members with Commercial Insurance and Medicaid (Revised Sept. 1, 2017)
• IB 16-6: Billing/Claims Submission Processes for Specialized Behavioral Health Services for Members Enrolled in One or More of The Following: Bayou Health Plan, Magellan or fee for service Medicaid
• IB 16-4: Pre-Admission Screening and Resident Review (PASRR) Process for Nursing Home Placement
• IB 16-3: Billing for Behavioral Health Services for Non-CSoC Bayou Health Members (Revised Sept. 1, 2017)
• IB 15-21: Behavioral Health Service Provider Licensing Rule (Retired) 
• IB 15-19: Authorization of IOP, Detox, TGH and Inpatient Specialized Behavioral Health Services - Effective Dec. 1, 2015 

  (Retired) 

• IB 15-18: Authorization of Specialized Behavioral Health Outpatient Services - Effective Dec. 1, 2015 (Retired) 
• IB 15-17: Billing for Specialized Mental Health and Substance Use Services for Dual Eligibles (Revised October 20, 2021) 
• IB 15-15: Completion of Assessment for Certain Specialized Mental Health Services (Retired) 
• IB 15-14: Timely Notification Requirements for Specialized Behavioral Health Inpatient Admission (Revised Sept. 1, 2017)
• IB 15-13: Identification of Louisiana Medicaid Enrollees' Current Bayou Health Plan for Specialized Behavioral Health Services and NEMT (Revised Sept. 1, 2017)
• IB 15-7: Billing for Behavioral Health Services for Managed Care Members (Retired) 
• IB 12-16: Algorithm for Auto Assignment to a Health Plan (Revised Sept. 1, 2017)
• IB 12-13: Provider Cash Flow and Reimbursement (Retired) 
  

   

Resources

• Medicaid Behavioral Health Services Provider Manual
• Specialized Behavioral Health Fee Schedule (Revised 1-1-2020)
• MCO Adverse Incident Reporting Form
• Behavioral Health Standardized Basic Training Modules for Unlicensed Providers
• Routing of Behavioral Health Authorization Requests (Revised 12-3-2015) 
• LOCUS Score Sheet
• Behavioral Health Assessment-Adult (Updated 2-15-2016)
• LBHP Service Definitions Manual (Retired)
• Questions and Answers from the 10.27.15 Information Session
• Behavioral Health Noon Provider Calls (May 2016-Sep. 2016)
• Primary Contacts for Contract and Credentialing Status (Updated 5-10-16)
• Video of the First Behavioral Health Informational Meeting
• Slides for Behavioral Health Informational Meetings (Revised 11-10-2015)