Louisiana Medicaid Notices & Public Comments
Louisiana Medicaid (Title XIX) State Plan and Amendments |
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Louisiana Medicaid Administrative Rulemaking Activity |
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Medicaid Provider Manuals The intent of the provider services manual is to present useful information and guidance to providers participating in the Louisiana Medicaid Program. The first chapter, "General Information and Administration" contains information applicable to all providers. Each remaining chapter is dedicated to a specific program or service and outlines the policies, procedures, qualifications, services and limitations to that service or program. |
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The Louisiana Department of Health is contracted with several managed care entities (MCE) to provide health care services to individuals enrolled in the Medicaid managed care program. The MCEs include managed care organizations (MCO), a dental benefits manager, and a Prepaid Inpatient Health Plan for the Coordinated System of Care. |
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Managed Care Policies & Procedures Managed care policies and procedures include any requirement governing the administration of managed care organizations specific to billing guidelines, medical management and utilization review guidelines, case management guidelines, claims processing guidelines and edits, grievance and appeals procedures and process, other guidelines or manuals containing pertinent information related to operations and pre- processing claims, and core benefits and services. |
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The Louisiana Department of Health administers several demonstration and waiver programs under Sections 1115, 1915(b), and 1915(c) federal authorities. Prior to submitting new or amended applications to CMS for approval, these documents will be posted for public review and comment. Any comments received during the public comment period will be addressed in the application or amendment prior to submission to CMS. |
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