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LDH Resources
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Details:
- Medicaid
- Managed Care
Milliman, Inc. has been retained by the Louisiana Department of Health (LDH) to provide actuarial and consulting services related to the development of capitation rates for the Healthy Louisiana managed care program. This report is an amendment to the capitation rates developed for state fiscal year (SFY) 2025. The previously certified capitation rates and documentation of their development were published in the State Fiscal Year 2025 Healthy Louisiana Medicaid Managed Care Capitation Rate Certification, dated November 27, 2024. Keywords: Managed Care 3.0, Capitation Rate, Certification-9-10-25
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Details:
- Medicaid
- Managed Care
Original Period Certified: July 2025 - June 2026. Actual Period Covered: July 2025 - Present. The Louisiana Department of Health (LDH) has contracted with Milliman, Inc. to develop actuarially sound capitation rate ranges for the Healthy Louisiana program. Rate certification letters certify universal rates for a given time period, e.g., a state fiscal year. Rates shown in these letters are not the rates actually paid to participating Managed Care Organizations (MCO), as the actual rates paid to each MCO are risk-adjusted. That is, the rates paid to each MCO are the universal rates in the rate letter as adjusted for the expected costs of that MCO’s enrolled members, based on the members’ health conditions and health status. Original rate letters are often replaced with revised rate letters for the same time period. Revisions are necessary whenever there are programmatic changes (e.g., changes in services or populations covered) that impact rates effective within the original rate letter time period. Revisions may cover the entire period or only part of the period (going forward from the effective date of a program change prior to the end the period); rate letters are also sometimes supplemented with an issue-specific companion certification. Keywords: Managed Care 3.0, Capitation Rate, Certification-8-18-25
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Details:
- Medicaid
- Pharmacy
The standing order is issued in compliance with, and under the authority of, La. R.S. 40:978.2 and shall be deemed as a medical order for naloxone, or other opioid antagonist, as long as the conditions of the statute are met. This standing order shall be valid for one year from the date of issue below. Keywords: Pharmacy, substance abuse
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Details:
- Medicaid
- Managed Care
Keywords: Bayou Health, Maximus, Managed Care 3.0, Aetna Better Health, ABH, Amerigroup, Healthy Blue, AGP, HBL, AmeriHealth Caritas, ACLA, Louisiana Healthcare Connections, LHCC, UnitedHealthcare Community Plan, UHC, Humana Healthy Horizons, HHH, enrollment report
Downloadable Assets:
January 2025 - Health Plan Enrollment by Parish March 2025 - Health Plan Enrollment by Parish February 2025 - Health Plan Enrollment by Parish April 2025 - Health Plan Enrollment by Parish May 2025 - Health Plan Enrollment by Parish June 2025 - Health Plan Enrollment by Parish July 2025 - Health Plan Enrollment by Parish August 2025 - Health Plan Enrollment by Parish September 2025 - Health Plan Enrollment by Parish October 2025 - Health Plan Enrollment by Parish November 2025 - Health Plan Enrollment by Parish December 2025 - Health Plan Enrollment by Parish -
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
Downloadable Assets:
January 2025 - Health Plan Changes by Plan March 2025 - Health Plan Changes by Plan February 2025 - Health Plan Changes by Plan April 2025 - Health Plan Changes by Plan May 2025 - Health Plan Changes by Plan June 2025 - Health Plan Changes by Plan July 2025 - Health Plan Changes by Plan August 2025 - Health Plan Changes by Plan September 2025 - Health Plan Changes by Plan October 2025- Dental Plan Change Requests by Reason November 2025 - Health Plan Changes by Plan December 2025 - Health Plan Changes by Plan -
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
Downloadable Assets:
January 2025 - Health Plan Enrollment by Means of Enrollment March 2025 - Health Plan Enrollment by Means of Enrollment February 2025 - Health Plan Enrollment by Means of Enrollment April 2025 - Health Plan Enrollment by Means of Enrollment May 2025 - Health Plan Enrollment by Means of Enrollment June 2025 - Health Plan Enrollment by Means of Enrollment July 2025 - Health Plan Enrollment by Means of Enrollment August 2025 - Health Plan Enrollment by Means of Enrollment September 2025 - Health Plan Enrollment by Means of Enrollment October 2025 - Health Plan Enrollment by Means of Enrollment November 2025 - Health Plan Enrollment by Means of Enrollment December 2025 - Health Plan Enrollment by Means of Enrollment -
Details:
- Medicaid
- Managed Care
Keywords: Maximus, DBPM 3, MCNA, DentaQuest, enrollment report, enrollment reports
Downloadable Assets:
January 2025 - Dental Plan Enrollment by Parish March 2025 - Dental Plan Enrollment by Parish February 2025 - Dental Plan Enrollment by Parish April 2025 - Dental Plan Enrollment by Parish May 2025 - Dental Plan Enrollment by Parish June 2025 - Dental Plan Enrollment by Parish July 2025 - Dental Plan Enrollment by Parish August 2025 - Dental Plan Enrollment by Parish September 2025 - Dental Plan Enrollment by Parish October 2025 - Dental Plan Enrollment by Parish November 2025 - Dental Plan Enrollment by Parish December 2025 - Dental Plan Enrollment by Parish -
Details:
- Medicaid
- Managed Care
Keywords: Maximus, DBPM 3, MCNA, DentaQuest, enrollment report, enrollment reports
Downloadable Assets:
January 2025 - Dental Plan Enrollment by Age Group March 2025 - Dental Plan Enrollment by Age Group February 2025 - Dental Plan Enrollment by Age Group April 2025 - Dental Plan Enrollment by Age Group May 2025 - Dental Plan Enrollment by Age Group June 2025 - Dental Plan Enrollment by Age Group July 2025 - Dental Plan Enrollment by Age Group August 2025 - Dental Plan Enrollment by Age Group September 2025 - Dental Plan Enrollment by Age Group October 2025 - Dental Plan Enrollment by Age Group November 2025 - Dental Plan Enrollment by Age Group December 2025 - Dental Plan Enrollment by Age Group -
Details:
- Medicaid
- Managed Care
Keywords: Maximus, DBPM 3, MCNA, DentaQuest, enrollment report, enrollment reports
Downloadable Assets:
January 2025- Dental Plan Enrollment by Plan and Parish March 2025 - Dental Plan Enrollment by Plan and Parish February 2025- Dental Plan Enrollment by Plan and Parish April 2025 - Dental Plan Enrollment by Plan and Parish May 2025 - Dental Plan Enrollment by Plan and Parish June 2025 - Dental Plan Enrollment by Plan and Parish July 2025 - Dental Plan Enrollment by Plan and Parish August 2025- Dental Plan Enrollment by Plan and Parish September 2025- Dental Plan Enrollment by Plan and Parish October 2025- Dental Plan Enrollment by Plan and Parish November 2025- Dental Plan Enrollment by Plan and Parish December 2025- Dental Plan Enrollment by Plan and Parish -
Details:
- Medicaid
- Managed Care
Keywords: Maximus, DBPM 3, MCNA, DentaQuest, enrollment report, enrollment reports
Downloadable Assets:
January 2025- Dental Plan Enrollment by Plan and Age Group March 2025- Dental Plan Enrollment by Plan and Age Group February 2025- Dental Plan Enrollment by Plan and Age Group April 2025- Dental Plan Enrollment by Plan and Age Group May 2025- Dental Plan Enrollment by Plan and Age Group June 2025- Dental Plan Enrollment by Plan and Age Group July 2025- Dental Plan Enrollment by Plan and Age Group August 2025- Dental Plan Enrollment by Plan and Age Group September 2025- Dental Plan Enrollment by Plan and Age Group October 2025- Dental Plan Enrollment by Plan and Age Group November 2025- Dental Plan Enrollment by Plan and Age Group December 2025- Dental Plan Enrollment by Plan and Age Group -
Details:
- Medicaid
- Managed Care
Keywords: Maximus, DBPM 3, MCNA, DentaQuest, enrollment report
Downloadable Assets:
January 2025- Dental Plan Change Requests by Reason February 2025- Dental Plan Change Requests by Reason March 2025- Dental Plan Change Requests by Reason April 2025- Dental Plan Change Requests by Reason May 2025- Dental Plan Change Requests by Reason June 2025- Dental Plan Change Requests by Reason July 2025- Dental Plan Change Requests by Reason August 2025- Dental Plan Change Requests by Reason September 2025- Dental Plan Change Requests by Reason October 2025- Dental Plan Change Requests by Reason November 2025- Dental Plan Change Requests by Reason December 2025- Dental Plan Change Requests by Reason -
Details:
- Medicaid
- Managed Care
Keywords: Maximus, DBPM 3, MCNA, DentaQuest, enrollment report
Downloadable Assets:
January 2025 - Dental Plan Changes by Plan March 2025 - Dental Plan Changes by Plan February 2025 - Dental Plan Changes by Plan April 2025 - Dental Plan Changes by Plan May 2025 - Dental Plan Changes by Plan June 2025 - Dental Plan Changes by Plan July 2025 - Dental Plan Changes by Plan August 2025 - Dental Plan Changes by Plan September 2025 - Dental Plan Changes by Plan October 2025 - Dental Plan Changes by Plan November 2025 - Dental Plan Changes by Plan December 2025 - Dental Plan Changes by Plan