Medicaid Provider Updates

Medicaid Managed Care Organization Changes

Effective January 1, 2023, Medicaid will have contracts with six managed care organizations (MCO), also known as Healthy Louisiana health plans.

  • Aetna Better Health
  • AmeriHealth Caritas Louisiana
  • Healthy Blue
  • Humana Healthy Horizons in Louisiana
  • Louisiana Healthcare Connections
  • UnitedHealthcare Community Plan

Provider Enrollment

The Provider Enrollment remains open for providers required to enroll who have not yet applied. Providers with multiple provider types must complete enrollment for each type. Providers required to enroll include providers who file claims with Louisiana Medicaid, including providers enrolled in Fee-for-Service (FFS) Medicaid before December 31, 2021, and providers enrolled with an MCO, DBPM, or Magellan before March 31, 2022. This also includes Ordering, Prescribing, or Referring (OPR) Providers who do not bill Medicaid for services rendered, but may order, prescribe or refer services/supplies for Medicaid beneficiaries. 

  • Click here to learn more about mandatory Medicaid Provider Enrollment.
  • Click here for contracting information for all health plans.

Provider Enrollment Webinars

Health Plan Auto Assignment

  • Prior to January 1, 2023, most current Medicaid members will go through an auto assignment process.
  • As a result, some Medicaid members may be assigned a different health plan. This does not affect their Medicaid coverage or their dental plan enrollment.
  • Letters will be mailed to all Medicaid households explaining their current plan and the plan they will be enrolled in effective January 1, 2023. Letters will be mailed to members beginning in late October through mid-November 2022.
  • If the member wants to keep the health plan assigned to start on January 1, 2023, they do not have to do anything.
  • If the member wants to change that health plan or their dental plan, they can do that at any time between November 8, 2022 and March 31, 2023. These changes are explained in the provider webinars.
  • See our Frequently Asked Questions for more information.

Health Plan Auto Assignment Webinars

Louisiana Medicaid hosted a series of provider webinars on upcoming changes to Medicaid’s managed care program and the potential changes in health plan enrollment for Medicaid members. The information shared was the same for all webinars, focusing on the addition of a sixth health plan to the managed care program and the health plan auto assignment of most current members prior to January 1, 2023.

Other Resources for Providers

Member Materials

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