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LDH Resources
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Details:
- Medicaid
- Managed Care
In accordance with 42 CFR § 438.66(e), LDH submits an annual report to CMS on each managed care program administered by the State. The annual report is a component of CMS’ overall strategy to improve access to services by supporting Federal and State access monitoring for Medicaid beneficiaries within a managed care delivery system. Keywords: MCPAR
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Details:
- Medicaid
- Managed Care
In accordance with 42 CFR § 438.66(e), LDH submits an annual report to CMS on each managed care program administered by the State. The annual report is a component of CMS’ overall strategy to improve access to services by supporting Federal and State access monitoring for Medicaid beneficiaries within a managed care delivery system. Keywords: MCPAR
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Details:
- Medicaid
- Pharmacy
FFS Medicaid Maintenance Drug List Archive
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FFS Medicaid Maintenance Drug List Q3 2025 FFS Medicaid Maintenance Drug List Q2 2025 FFS Medicaid Maintenance Drug List Q1 2025 FFS Medicaid Maintenance Drug List 3Q 2024 FFS Medicaid Maintenance Drug List 2Q 2024 FFS Medicaid Maintenance Drug List 1Q 2024 FFS Medicaid Maintenance Drug List 4Q 2023 FFS Medicaid Maintenance Drug List 3Q 2023 FFS Medicaid Maintenance Drug List 2Q 2023 FFS Medicaid Maintenance Drug List 1Q 2023 FFS Medicaid Maintenance Drug List 3Q 2022 FFS Medicaid Maintenance Drug List 1Q 2022 -
Details:
- Medicaid
- Managed Care
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Details:
- Medicaid
- Managed Care
MLR, DBPM, Medical Loss Ratio, MCNA
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Details:
- Medicaid
- Managed Care
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Details:
- Medicaid
- Adult Day Health Care (ADHC)
Keywords: Adult Day Health Center
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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
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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 -
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- 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 -
Details:
- Medicaid
- Managed Care
Performance Improvement Project PIP
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Details:
- Medicaid
- Pharmacy
Keywords: PDL, Diabetes, Diabetic PDL
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