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

Healthy Blue

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
20 Attachment D6 - Rate Certification Amendment effective 1.1.2024 2/29/24 N/A

Attachment D6 - Rate Certification Amendment effective 1.1.2024

Imminent Peril Justification

19 Amd 5 Attachment A5 - Changes to Attachment A - Model Contract 12/14/2023 N/A

Amd 5 Attachment A5 - Changes to Attachment A - Model Contract 

Imminent Peril Justification

18 Amd 5 Attachment C5 - Changes to Attachment C - In Lieu of Services 12/14/2023 N/A

Amd 5 Attachment C5 - Changes to Attachment C - In Lieu of Services

Imminent Peril Justification

17 Amd 5 Attachment D5 - Rate Certification Amendment effective 7.1.2023 12/14/2023 N/A

Amd 5 Attachment D5 - Rate Certification Amendment effective 7.1.2023

Imminent Peril Justification

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

Attachment D3 – Rate Certification effective 7.1.2023

Imminent Peril Justification

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

Attachment K: Equity, Diversity, and Inclusion Statement

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

Imminent Peril Justification

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

Imminent Peril Justification

 

RELATED INFO

Dental Benefit Manager

MCNA Dental

DentaQuest

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
20 Attachment D12 - Rate Certification Effective 7.1.2023 - 6.30.2024 3/1/24 3/31/24

Attachment D12 - Rate Certification Effective 7.1.2023 - 6.30.2024

19 Amd 12 Attachment B12 - Changes to Attachment B Statement of Work 2.15.2024 3/1/24 3/31/24

Amd 12 Attachment B12 - Changes to Attachment B Statement of Work 2.15.2024

18 2000506234 Amd 10 DentaQuest - CF-6 11/15/23 N/A

2000506234 Amd 10 DentaQuest - CF-6

Imminent Peril Justification

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

2000506243 Amd 10 MCNA - CF-6

Imminent Peril Justification

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

Imminent Peril Justification

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

Imminent Peril Justification

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

Amendment 9, Attachment F

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

Imminent Peril Justification

8 Contract Amendment 5 11/16/22 N/A

Attachment D6 - Rate Certification Effective 7.1.2022 - 12.31.2022

Imminent Peril Justification

7 Attachment D4 - Rate Certification Addendum effective January 1, 2022 4/25/22 N/A

Attachment D4 - Rate Certification Addendum effective January 1, 2022

Imminent Peril Justification

6 Amendment 4, Attachment B4 - Changes to Statement of Work 3/17/22 4/16/22

Amendment 4, Attachment B4 - Changes to Statement of Work

5 Amendment 3 Attachment D - DBPM Rate Certification CY2022 11/22/21 N/A

Amendment 3 Attachment D - DBPM Rate Certification CY2022

Imminent Peril Justification

4 Amendment 2, Attachment B2 - Changes to Statement of Work 4/28/21 5/28/21

Amendment 2, Attachment B2 - Changes to Statement of Work

3 Amendment 1, Attachment B1 12/23/20 N/A

Amendment 1, Attachment B1

Imminent Peril Justification

2 Amendment 1, Attachment C 12/23/20 N/A

Amendment 1, Attachment C

Imminent Peril Justification

1 Amendment 1, Attachment D 12/23/20 N/A

Amendment 1, Attachment D

Imminent Peril Justification

 

RELATED CONTRACTS