Managed Care Contract Amendments
Below are links to the executed contracts and contract amendments between the state and the managed care entities that provide health benefit services to Louisiana's Medicaid enrollees.
Managed Care Organizations
Aetna Better Health of Louisiana
AmeriHealth Caritas of Louisiana
Humana Healthy Horizons in Louisiana
Louisiana Healthcare Connections, Inc
UnitedHealthcare of Louisiana, Inc.
Prior to executing an amendment to the Louisiana Medicaid managed care program contract with a managed care organization or other entity, as defined in 42 CFR 438.2, LDH will publish the entire proposed contract amendment to provide public comment for a period of 30 days unless the amendment(s) are deemed of an imminent peril to the public health, safety, or welfare and requiring immediate approval. To provide feedback, please complete this form.
Item Number | Amendment Document | Date Posted | Public Comments Due By | Document Links |
16 | Amd 4 Attachment A4 - Changes to Attachment A - Model Contract | 10/13/2023 | 11/12/2023 |
Amd 4 Attachment A4 - Changes to Attachment A - Model Contract |
15 | Amd 4 Attachment F4 - Changes to Attachment F - Provider Network Standards | 10/13/2023 | 11/12/2023 |
Amd 4 Attachment F4 - Changes to Attachment F - Provider Network Standards |
14 | Amd 4 Attachment G4 - Changes to Attachment G - Table of Monetary Penalties | 10/13/2023 | 11/12/2023 |
Amd 4 Attachment G4 - Changes to Attachment G - Table of Monetary Penalties |
13 | Amd 4 Attachment H4 - Changes to Attachment H - Quality Performance Measures | 10/13/2023 | 11/12/2023 |
Amd 4 Attachment H4 - Changes to Attachment H - Quality Performance Measures |
12 | Amd 3 Attachment A3 -Changes to Attachment A - Model Contract 6.30.2023 | 7/20/23 | N/A |
Amd 3 Attachment A3 - Changes to Attachment A - Model Contract 6.30.2023 Imminent Peril Justification |
11 | Attachment D3–Rate Certification effective 7.1.2023 | 7/20/23 | N/A | |
10 | Attachment A2 – Changes to Attachment A, Model Contract | 5/15/23 | 6/14/23 | Attachment A2 – Changes to Attachment A, Model Contract |
9 | Attachment B2 – Changes to Attachment B, MCO Covered Services | 5/15/23 | 6/14/23 | Attachment B2 – Changes to Attachment B, MCO Covered Services |
8 | Attachment C2 – Changes to Attachment C, In Lieu of Services | 5/15/23 | 6/14/23 | Attachment C2 – Changes to Attachment C, In Lieu of Services |
7 | Attachment E - APM Reporting Template | 5/15/23 | 6/14/23 | Attachment E - APM Reporting Template |
6 | Attachment F2 – Changes to Attachment F, Provider Network Standards | 5/15/23 | 6/14/23 | Attachment F2 – Changes to Attachment F, Provider Network Standards |
5 | Attachment G2 – Changes to Attachment G, Table of Monetary Penalties | 5/15/23 | 6/14/23 | Attachment G2 – Changes to Attachment G, Table of Monetary Penalties |
4 | Attachment H2 – Changes to Attachment H, Quality Performance Measures | 5/15/23 | 6/14/23 | Attachment H2 – Changes to Attachment H, Quality Performance Measures |
3 | Attachment K: Equity, Diversity, and Inclusion Statement | 5/15/23 | 6/14/23 | |
2 | Amd 1 Attachment D1a - Rate Certification effective 7.1.2022 | 12/29/22 | N/A |
Amd 1 Attachment D1a - Rate Certification effective 7.1.2022 |
1 | Amd 1 Attachment D1d - Rate Certification Addendum effective 1.1.2023 | 12/29/22 | N/A |
Amd 17 Attachment E - APM Strategic Plan Requirements and Report |
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RELATED INFO |
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Dental Benefit Manager
Prior to executing an amendment to the Louisiana Medicaid dental benefit program manager contract, as defined in 42 CFR 438.2, LDH will publish the entire proposed contract amendment to provide public comment for a period of 30 days unless the amendment(s) are deemed of an imminent peril to the public health, safety, or welfare and requiring immediate approval. To provide feedback, please complete this form.
Item Number | Amendment Document | Date Posted | Public Comments Due By | Document Links |
18 | 2000506234 Amd 10 DentaQuest - CF-6 | 11/15/23 | N/A | |
17 | Attachment B11 – Changes to Attachment B, Statement of Work 11.14.23 | 11/14/23 | 12/14/23 |
Attachment B11 – Changes to Attachment B, Statement of Work 11.14.23 |
16 | 2000506243 Amd 10 MCNA - CF-6 | 10/20/23 | N/A | |
15 | Amd 8 Attachment B8 - Changes to Attachment B Statement of Work 6.30.2023 | 7/5/23 | N/A |
Amd 8 Attachment B8 - Changes to Attachment B Statement of Work 6.30.2023 |
14 | Attachment D8 - Rate Certification Effective 7.1.2023 - 6.30.2024 | 7/5/23 | N/A |
Attachment D8 - Rate Certification Effective 7.1.2023 - 6.30.2024 |
13 | Amendment 9 - Changes to Attachment B: Statement of Work | 6/8/23 | 7/8/23 | Amendment 9 - Changes to Attachment B: Statement of Work |
12 | Amendment 9 - Changes to Attachment C: DBP Performance Measurement Goals | 6/8/23 | 7/8/23 | Amendment 9 - Changes to Attachment C: DBP Performance Measurement Goals |
11 | Amendment 9, Attachment E - OIG Addendum | 6/8/23 | 7/8/23 | Amendment 9, Attachment E |
10 | Amendment 9, Attachment F - Equity, Diversity & Inclusion Statement | 6/8/23 | 7/8/23 | |
9 | DBPM Amendment 7 - Rate Certification Effective January 1, 2023 - June 30, 2023 | 2/3/23 | N/A |
DBPM Amendment 7 - Rate Certification Effective January 1, 2023 - June 30, 2023 |
8 | Contract Amendment 5 | 11/16/22 | N/A |
Attachment D6 - Rate Certification Effective 7.1.2022 - 12.31.2022 |
7 | Attachment D4 - Rate Certification Addendum effective January 1, 2022 | 4/25/22 | N/A |
Attachment D4 - Rate Certification Addendum effective January 1, 2022 |
6 | Amendment 4, Attachment B4 - Changes to Statement of Work | 3/17/22 | 4/16/22 | |
5 | Amendment 3 Attachment D - DBPM Rate Certification CY2022 | 11/22/21 | N/A | |
4 | Amendment 2, Attachment B2 - Changes to Statement of Work | 4/28/21 | 5/28/21 | |
3 | Amendment 1, Attachment B1 | 12/23/20 | N/A | |
2 | Amendment 1, Attachment C | 12/23/20 | N/A | |
1 | Amendment 1, Attachment D | 12/23/20 | N/A |
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RELATED CONTRACTS |
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- Island Peer Review Organization (IPRO) Contracts
- Maximus Health Services
- Mercer Health & Benefits LLC Contracts
- Myers & Stauffer, LC Contracts
- Southeastrans, Inc.
- Bayou Health Contracts (Feb. 1, 2012 to Jan. 31, 2015)
- Managed Care Organizations Contracts (Feb. 1, 2015 to Dec. 31, 2019)
- Managed Care Organization Contracts and Amendments (Jan. 1, 2020 to Dec. 31, 2022)