LDH Resources
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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
Downloadable Assets:
January 2025 - Health Plan Enrollment by Subprogram without Medicaid Expansion 2025 - Health Plan Enrollment by Subprogram without Medicaid Expansion February 2025 - Health Plan Enrollment by Subprogram without Medicaid Expansion April 2025 - Health Plan Enrollment by Subprogram without Medicaid Expansion May 2025 - Health Plan Enrollment by Subprogram without Medicaid Expansion -
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:
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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
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
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, enrollment reports
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
Louisiana Medicaid managed care contractors must meet the requirements of their contracts with LDH. If a contractor is non-compliant with contract requirements, LDH may apply administrative actions or assess monetary penalties and intermediate sanctions to obtain the level of performance required for successful operation of the managed care program. Keywords: MCO, health plan, noncompliance, administrative actions, non-compliance
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
MLR, DBPM, Medical Loss Ratio, MCNA
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
Downloadable Assets:
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Details:
- Medicaid
- Adult Day Health Care (ADHC)
Keywords: Adult Day Health Center
Downloadable Assets:
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Details:
- 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 2022 Performance Improvement Project Managed Care 2.0 Aetna, AmeriHealth Caritas, Healthy Blue, Louisiana Healthcare Connections, UnitedHealthcare Community Plan Performance Improvement Project PIP
Downloadable Assets:
Behavioral Health Transitions in Care 2025 Aetna Better Health - Behavioral Health Transitions in Care 2025 AmeriHealth Caritas - Behavioral Health Transitions in Care 2025 Healthy Blue - Behavioral Health Transitions in Care 2025 Humana Healthy Horizons - Behavioral Health Transitions in Care 2025 Louisiana Healthcare Connections - Behavioral Health Transitions in Care 2025 UnitedHealthcare Community Plan - Behavioral Health Transitions in Care 2022 Aetna Better Health - Behavioral Health Transitions in Care 2022 AmeriHealth Caritas - Behavioral Health Transitions in Care 2022 Healthy Blue - Behavioral Health Transitions in Care 2022 Louisiana Healthcare Connections - Behavioral Health Transitions in Care 2022 UnitedHealthcare Community Plan - Behavioral Health Transitions in Care -
Details:
- Medicaid
- Managed Care
Managed Care 2.0 Aetna, AmeriHealth Caritas, Healthy Blue, Louisiana Healthcare Connections, UnitedHealthcare Community Plan Performance Improvement Project The overall objective for this PIP was to work with pediatricians who are servicing enrollees for 6 months to five years to receive fluoride varnish in their primary care office visits. In addition, we wanted to ensure that we educated providers on billing CPT code 99188 and the need to obtain the smiles for life certification to ensure that they were eligible to provide this service, which would intern help to reduce/prevent various dental caries being seen in this population. PIP
Downloadable Assets:
Fluoride Varnish Application to Primary Teeth of All Enrollees Aged 6 months through 5 years by Primary Care Clinicians Performance Improvement Project 2025 Aetna Better Health - Fluoride Varnish Application by PCP 2025 AmeriHealth Caritas - Fluoride Varnish Application by PCP 2025 Healthy Blue - Fluoride Varnish Application by PCP 2025 Humana Healthy Horizons - Fluoride Varnish Application by PCP 2025 Louisiana Healthcare Connections - Fluoride Varnish Application by PCP 2025 UnitedHealthcare Connections - Fluoride Varnish Application by PCP 2022 Aetna better Health - Fluoride Varnish Application by PCP 2022 AmeriHealth Caritas - Fluoride Varnish Application by PCP 2022 Healthy Blue - Fluoride Varnish Application by PCP 2022 Louisiana Healthcare Connections - Fluoride Varnish Application by PCP 2022 UnitedHealthcare Connections - Fluoride Varnish Application by PCP