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- Legislative & Governmental Relations
- Medicaid
- Managed Care
The Louisiana Children’s Health Insurance Program (LaCHIP) is an optional Medicaid program that provides healthcare coverage to uninsured children up to age 19 and enrollees in the LaCHIP Unborn Option (Phase IV) which provides prenatal care services, from conception to birth, for low income uninsured mothers who are not otherwise eligible for Medicaid.
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- Medicaid
- Pharmacy
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- Medicaid
- Managed Care
Improving the rate of (1) Follow-Up after Hospitalization for Mental Illness, (2) Follow-Up After Emergency Department Visit for Mental Illness, and (3) Follow-Up after Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence from Aetna Better Health of Louisiana for 2025 Performance Improvement Project Managed Care 3.0 Aetna, AmeriHealth Caritas, Healthy Blue, Louisiana Healthcare Connections Performance Improvement Project PIP
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2026 Aetna Better Health - Behavioral Health Transitions in Care 2026 AmeriHealth Caritas of LA - Behavioral Health Transitions in Care 2026 Healthy Blue - Behavioral Health Transitions in Care 2026 Humana Healthy Horizons - Behavioral Health Transitions in Care 2026 Louisiana Healthcare Connections - Behavioral Health Transitions in Care -
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- Medicaid
- Managed Care
The first aim is to increase the percentage of Healthy Louisiana enrollees who delivered live births and had at least one examination during the measurement period and were screened for syphilis at the first pregnancy examination by 2.0 percentage points over baseline performance. The second aim is to increase the percentage of Healthy Louisiana enrollees who delivered live births and had at least one examination during the measurement period and were screened for syphilis during 28 to 32 weeks of pregnancy by 2.0 percentage points over baseline performance.
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- Medicaid
- Managed Care
The aim is to improve the percentage of enrollees age 6 months through 5 years who received one or more fluoride varnish applications to a primary tooth by their PCP, by implementing new or enhanced interventions.
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- Medicaid
- Managed Care
The first aim is to improve the HIV screening rate by developing and implementing member interventions. The second aim is to improve the HIV screening rate by developing and implementing provider interventions.
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- Medicaid
- Managed Care
The first aim is to improve the HEDIS Cervical Cancer Screening performance indicator by developing and implementing member interventions for the following eligible populations ages 21-64 years: 1.eligible population of women who are in case management. 2. eligible population of women who are not in case management and have had at least one PCP or OB/GYN visit during the measurement year. 3. eligible population of women who are not in case management and have not had any PCP or OB/GYN visits during the measurement year. Interventions must address provider linkage. The second aim is to improve the HEDIS Cervical Cancer Screening performance indicator by developing and implementing provider interventions [must include Gaps-In-Care Report and Provider Education].
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- Medicaid
Performance Improvement Project PIP
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- Medicaid
- Managed Care
Performance Improvement Project PIP
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- Medicaid
- Pharmacy
Keywords: PDL, Diabetes, Diabetic PDL
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- Medicaid
- Managed Care
Keywords: Bayou Health, Maximus, Managed Care 3.0, Aetna Better Health, ABH, Healthy Blue, HBL, AmeriHealth Caritas, ACLA, Louisiana Healthcare Connections, LHCC, UnitedHealthcare Community Plan, UHC, Humana Healthy Horizons, HHH, enrollment report
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
Keywords: Bayou Health, Maximus, Managed Care 3.0, Aetna Better Health, ABH, Healthy Blue, HBL, AmeriHealth Caritas, ACLA, Louisiana Healthcare Connections, LHCC, UnitedHealthcare Community Plan, UHC, Humana Healthy Horizons, HHH, enrollment report
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