Additional RFP Library Material
The following information is listed for historical purposes only. It will not be updated.
Lamedicaid.com is a public website which includes a large amount of information, such as training manuals, guides, etc. It is encouraged that you visit this website to view the information that is available to you.
Library Information
- LDH No Smoking Policy
- LDH Reports
- Enrollment Projections
- Examples of Inserts and Mailouts
- Louisiana Medicaid State Plan
- Louisiana State Medicaid Hit Plan
- OGB Claim Volume
- Participating CommunityCARE PCPs and Enrollees
- Provider Type Codes
- Psych and Acute Hospitals Report
- Recipients Linked to Providers - Cover Sheet
- Recipients Linked to Providers
- Parish Codes
- SOW for ACS Contract for LT-PCS
- SURS and Perm Information
- Toll Free Numbers
- Waiver Report
Data Resources
- Acronyms
- CCN Implementation Plan
- CCN Medicaid Program Groups
- CF-1
- Data Elements Dictionary Functionality
- Data Elements DictionaryTraining Guide
- ECR Data Elements
- Error Code Listing
- Forms To Do Business with Louisiana
- HIPAA Business Agreement
- Instructions for Completing CF-1
- Louisiana State Plan Services
- Medicaid Strategic Plan - Medical Vendor Administration
- Medicaid Strategic Plan - Medical Vendor Payments
- MITA SS-A
- New/Expanded Items for Medical Vendor Administration Agency 305
- New/Expanded Items for Medical Vendor Administration Agency 306
- Regions of the State of Louisiana
Existing Contracts
- Automated Health Systems
- Contract Template
- Covansys
- Cypress Audit Team
- Health Management Systems
- J-SURS
- Office of Group Benefits
- Postlethwaite & Netterville
- Provider Synergies
- Redacted Copy of Unisys Contract
- Statistical Resources, Inc.
- Southern University
- University of Louisiana at Monroe
- University of New Orleans
Existing Processes
- Buy-In Process
- EDI Annual Certification Process
- FI DSH Process
- Hospice Process
- Internal Revenue Process for 1099
- La. Level of Care Eligibility Tool
- LaPlus Support Needs Assessment
- LIFT Process
- Manual Paper Process for Prior Authorization
- Minimum Data Set - Homecare
- Plan of Care (Office of Aging and Adult Services)
- Prior Authorization Process for Emergency Telephone Requests
- Prior Authorization Process for Hard Copy Home Health Requests
- Prior Authorization Process for Personal Care Services
- Prior Authorization Work Flow Manual
- Recipient Reimbursement Process
- Request for Medical Eligibility Determination
- TPL Action Plan Process
General Information
- AS-IS Business Processes
- CCN and Provider Website Fact Sheet
- LMMIS Enterprise Chart
- Prior Authorization Survey
- Proposed Inclusion Telephonic Call System
- Provider Enrollment Letters
- Provider Letter Examples
- Provider Relations General Information
- Provider Relations Call Center and Correspondence Forms
- Provider Relations Claim Related Forms
- Provider Relations Field Staff Forms
- Provider Relations General Reference Materials
- Recipient Letters
- SURS Letters
- TO-BE Business Processes
- Visit Verification System
Revised State Statutes:
Policy/Policy Updates
- Acute Pre-Certification 24 hour rule
- Assistant Surgeon Covered Procedures
- Changes to Paper Remittance Advices
- Claimcheck Denials R/T Modifier 51
- Claims Resolution Procedure Manual
- Clarification related to Inpatient Admission Review Process
- DSH Payments for Mental Health Emergency Room Extension
- Electronic Signature for Prior Authorization and Pre-Certification
- EPSDT Claim Submission
- Facility Need Review for Downsizing Enrolled Beds
- First Data Bank Standard Format
- Free Standing ESRD Facilities
- H1N1 2009-2010 Vaccine
- Hospice initial approval letters
- Hospice discharge notice
- Hospice program and procedure
- Hospice Rule
- Hospice Rule1
- Hospice State Plan
- Hospice 31810
- Influenza Vaccine
- Influenza Vaccine for Adults
- Lab and Radiology Services - Radiology Utilization Management
- Long Term-Personal Care Services Recipient Notice
- Medicaid Eligibility Determination System Type Case
- Medical Necessity Criteria
- NCCI Editing for Medicaid Services
- New Hospital Billing Precertification
- Outpatient Hospital Services - Radiology Utilization Management
- Precertification Changes
- Precertification for OB Care and Delivery
- Prescription Limit
- Prior Authorization for Chisholm
- Prior Authorization Overlapping Dates of Service
- Professional Services Program Coverage of "17P"
- Providers of Take Charge Family Waiver Services
- Retroactive Reimbursement Procdure Policy Manual
- Revised Claim Check Multiple Surgery Modifier
- RFP Format
- RHC/FQHC Adjunct Services
- Severity of Illness Clarification
- Specimen Collection Policy
- State Acute Care Hospital - Precert
- TPL Manual
- TPL Provider Notice to Pursue Difference
- Update to Precertification Policy R/T Inpt. Physican Claims
- Update on Prior Authorization for Dental
Provider Manuals
- Basic Services
- Case Management
- Children's Choice
- CommunityCARE
- Community Mental Health Centers
- Early Steps
- Elderly & Disabled Adult Waiver
- EPSDT/EPSDT PCS
- e-RA
- Hemodialysis
- Home and Community Based Services
- Hospice
- Hospitals
- Independent Lab & Portable X-ray
- KIDMED
- Long Term Care Services
- New Opportunites Waiver
- Personal Care Attendant
- Precertification
- Prenatal Clinic Services
- Professional Services
- Rehabilitation Services
- RHCK3 Segment
- Substance Abuse/Mental Health
- Supports Wavier
- TPL
- Vision/Eyewear
- Web Applications
Reports/Statistics
- Calls Handled Per Month by LDH
- Claims Processing Statistics
- Data Warehouse Statistics
- File Update Reports
- Financial Statistics
- General Reports DCR-DRF-SRF
- Health Care Reform Analysis Population Impact
- Incoming Interfaces for TPL
- Mailings
- MARS Report
- Outgoing Interfaces Remittance Advices
- Pended Claims Error Analysis
- Pended Claims Medical Review
- Pharmacy Reports
- Pharmacy/ULM Reports
- Pre-Certification Reports
- Prior Authorization Reports
- Provider Electronic & Written Correspondence
- Provider Enrollment Statistics
- Provider Relations Statistics
- Provider Training Reports
- Recipient Subsystem Reports
- SURS Subsystem Reports
- TPL Reports
- TPL File Maintenance Reports
- TPL Update Report
- Waiver Report
- Weekly Denied Error Analysis