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LDH Resources
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- Medicaid
Application Center Forms
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- Medicaid
- Managed Care
- Pharmacy
Act 711: Pharmacist-Initiated HIV PrEP and PEP; October 1, 2025 Transition to MCO PBMs; LDH Pharmacy Web Page
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Pharmacy Facts: August 14, 2025 Pharmacy Facts: April 28, 2025 Pharmacy Facts: April 17, 2025 Pharmacy Facts: March 14, 2025 Pharmacy Facts: November 20, 2024 Pharmacy Facts: September 10, 2024 Pharmacy Facts: September 6, 2024 Pharmacy Facts: August 16, 2024 Pharmacy Facts: June 11, 2024 Pharmacy Facts: May 14, 2024 Pharmacy Facts: April 19, 2024 Pharmacy Facts: February 22, 2024 Pharmacy Facts: January 12, 2024 Pharmacy Facts: December 18, 2023 Pharmacy Facts: December 8, 2023 Pharmacy Facts: November 1, 2023 Pharmacy Facts: October 5, 2023 Pharmacy Facts: August 28, 2023 Pharmacy Facts: August 4, 2023 Pharmacy Facts: May 26, 2023 Pharmacy Facts: April 20, 2023 Pharmacy Facts: February 6, 2023 Pharmacy Facts: January 25, 2023 Pharmacy Facts: January 3, 2023 Pharmacy Facts: December 12, 2022 Pharmacy Facts: November 28, 2022 Pharmacy Facts: November 14, 2022 Pharmacy Facts: October 20, 2022 Pharmacy Facts: September 16, 2022 Revised 9.23.2022 Pharmacy Facts: September 15, 2022 Pharmacy Facts: August 31, 2022 Pharmacy Facts: July 27, 2022 Pharmacy Facts: June 28, 2022 Pharmacy Facts: April 22, 2022 Pharmacy Facts: March 16, 2022 Pharmacy Facts: January 10, 2022 Pharmacy Facts: November 17, 2021 Pharmacy Facts: November 4, 2021 Pharmacy Facts: August 20, 2021 Pharmacy Facts: June 1, 2021 Pharmacy Facts: May 25, 2021 Pharmacy Facts: April 5, 2021 Pharmacy Facts: March 19, 2021 Pharmacy Facts: March 5, 2021 Pharmacy Facts: January 29, 2021 Pharmacy Facts: November 20, 2020 Revised 1.29.2021 Pharmacy Facts: December 18, 2020 Pharmacy Facts: October 2, 2020 Pharmacy Facts: September 4, 2020 Pharmacy Facts: August 28, 2020 Pharmacy Facts: July 24, 2020 Pharmacy Facts: May 29, 2020 Pharmacy Facts: May 18, 2020 Revised 5.18.2020 Pharmacy Facts: May 15, 2020 Pharmacy Facts: April 24, 2020 Pharmacy Facts: March 24, 2020 Revised 3.24.2020 Pharmacy Facts: March 16, 2020 Pharmacy Facts: January 3, 2020 Pharmacy Facts: November 15, 2019 Pharmacy Facts: September 3, 2019 Revised 10.21.2019 Pharmacy Facts: September 23, 2019 Pharmacy Facts: June 28, 2019 Pharmacy Facts: June 17, 2019 Pharmacy Facts: May 9, 2019 Pharmacy Facts: April 29, 2019 Pharmacy Facts: April 16, 2019 Revised 4.17.2019 Pharmacy Facts: March 1, 2019 Pharmacy Facts: February 15, 2019 Pharmacy Facts: February 1, 2019 Pharmacy Facts: December 7, 2018 Revised 1.10.2019 Pharmacy Facts: December 21, 2018 Pharmacy Facts: December 3, 2018 Pharmacy Facts: November 26, 2018 Pharmacy Facts: November 21, 2018 Pharmacy Facts: November 9, 2018 Pharmacy Facts: November 7, 2018 Pharmacy Facts: November 5, 2018 Pharmacy Facts: November 2, 2018 Pharmacy Facts: September 7, 2018 Pharmacy Facts: August 17, 2018 Pharmacy Facts: June 21, 2018 Pharmacy Facts: May 11, 2018 Pharmacy Facts: April 20, 2018 Pharmacy Facts: March 29, 2018 Pharmacy Facts: March 16, 2018 Pharmacy Facts: September 30, 2025 Pharmacy Facts: December 2, 2025 -
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- Medicaid
- Pharmacy
Keywords: PDL, Diabetes, Diabetic PDL
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- Medicaid
- Pharmacy
Preferred Drug List July 1, 2025 Version 1
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- Legislative & Governmental Relations
- Medicaid
This report is submitted to the Joint Legislative Committee on the Budget. LDH is required to publish quarterly a report containing data directly related to payment for health care services through the implementation of a health coverage expansion of the Louisiana medical assistance program, in addition to directed payments and other supplemental payments made to hospitals. HCR 2 HCR 3
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Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2025, Quarter 1 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2024, Quarter 2 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2024, Quarter 1 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2024, Quarter 3 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2024, Quarter 4 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2022, Quarter 4 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2022, Quarter 3 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2022, Quarter 2 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2022, Quarter 1 Quarterly Report – Medicaid Expansion, Directed Payments, and Supplemental Payments Made to Hospitals SFY 2025, Quarter 2 -
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- Managed Care
- Pharmacy
This report was prepared in accordance with Louisiana Revised Statutes 46:153.3. Each year the department shall provide a written and public report to the legislature and the governor. The report covers (1) the cost of administering the preferred drug list, including the cost of administering the prior authorization function, the costs of development and maintenance of the preferred drug list and aggregate funds, returned to the federal government related to pharmaceutical rebates; and (2) an analysis of the utilization trends for medical services provided by the state and any correlation to the preferred drug list. PDL
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This review summarizes the results of the PDL program for each fiscal year.
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- Medicaid
- Managed Care
Keywords: SCG, Managed Care 3.0, CSoC, DBPM, Transportation Manager, TM, system companion guide
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System Companion Guide Change Control Table Appendix A: Acronyms, Definitions and Data Elements Appendix B: Frequently Asked Questions Appendix C: Code Sets Appendix D: MCE Onboarding and Encounter Testing - How to be an MCE Appendix E: EDI Test Plan and File Exchange Schedule Appendix F: System Generated Files and Reports Appendix G: Helpful Websites Appendix H: 820 File - FI to MCO Appendix I: MCE SCG Links to Other Documents Appendix J: Medicaid MMIS Claims and Encounter Inquiry Procedure Dental Plan Comparison Chart Behavioral Health Provider Types and Specialties Non-EDI File Layout Behavioral Health and SMO Non-EDI File Layout Transportation Non-EDI File Layout EDI Annual Certification of Electronic Files Form Annual EDI Cover Letter Encounter Data Certification Form EDI Transmission Research Request Form - Gainwell MCE Registration To Do List MCE Testing Protocol MCO Registration Packet MES Inquiry Request Form TPL Links to Update Recipient Insurance Edits Comprehensive, Repairable and Non-Repairable MCE Tables Behavioral Health and Dental SMO non-EDI File Layout MCE Taxonomy Crosswalk January – April MCE Taxonomy Crosswalk April – June MCE Taxonomy Crosswalk July – September -
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- Medicaid Resources
- Medicaid
Medicaid 5-Year Strategic Plan & Appendix (Fiscal Years 2026-2031)
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- Legislative & Governmental Relations
- Medicaid
- Managed Care
This report is submitted under Act 210 of the 2013 Regular Legislative Session, which requires the Louisiana Department of Health (LDH) to submit an annual diabetes and obesity action plan to the Senate and House Committees on Health and Welfare after consulting with and receiving comments from the medical directors of each of its contracted Medicaid partners. Data presented on prevalence, utilization and costs of obesity and diabetes are based on 2023 paid healthcare claims submitted by each of the five Medicaid managed care organizations (MCOs) to Louisiana Medicaid and represent the Louisiana Medicaid managed care population only. Managed Care 3.0 Aetna, AmeriHealth Caritas, Healthy Blue, Humana, Louisiana Healthcare Connections, UnitedHealthcare Community Plan
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- 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
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