Louisiana Behavioral Health Partnership Act 158 Transparency Report

FY 2015 LBHP Transparency Report

Appendices:

APPENDIX I: HEALTHCARE PROVIDERS IN EACH PARISH BY PROVIDER TYPE, APPLICABLE CREDENTIALING STATUS, AND SPECIALTY

• Detailed Provider List (Excel format)

APPENDIX II: MEDICAID & NON-MEDICAID ENROLLEES BY PARISH

APPENDIX III:  ADULT MEDICAID MEMBERS RECEIVING SERVICES BY PARISH

APPENDIX IV: NON-MEDICAID ADULT MEMBERS RECEIVING SERVICES BY PARISH

APPENDIX V: CHILDREN RECEIVING SERVICES THROUGH CSOC BY PARISH

APPENDIX VI: MEDICAID CHILDREN RECEIVING SERVICES OUTSIDE OF CSOC BY PARISH

APPENDIX VII: NON-MEDICAID CHILDREN RECEIVING SERVICES OUTSIDE OF CSOC BY PARISH

APPENDIX VIII: PERCENTAGE OF REFERRALS CONSIDERED IMMEDIATE, URGENT AND ROUTINE 

APPENDIX IX: CLEAN CLAIMS

APPENDIX X: TOP FIVE CLAIM DENIAL REASONS

APPENDIX XI: PERCENTAGE OF MEMBERS PROVIDING CONSENT FOR RELEASE OF INFORMATION TO COORDINATE WITH PRIMARY CARE PHYSICIAN (PCP)

APPENDIX XII: BEHAVIORAL HEALTH IN EMERGENCY ROOMS

APPENDIX XIII: REPORT ON QUALITY MANAGEMENT

• Quality Improvement-Clinical Management (QI/CM) Program Evaluation (3/1/2014 through 2/28/2015)
• Quality Improvement-Clinical Management (QI/CM) Program Evaluation (3/1/2015 through 11/30/2015 (quarters 1 and 2 of contract year four)
• Louisiana CMC Magellan Health Services - Magellan Behavioral Health Utilization Management Program Description for Medicaid Managed Care (3/1/2014 - 2/28/2015).