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LDH Resources
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Details:
- Medicaid
Keywords: RFP 3000017417, Managed Care 3.0, UnitedHealthcare Community Plan, UHC
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
Keywords: RFP 3000017417, 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
Downloadable Assets:
ABH Original ABH Amd 1 ABH Amd 2 ABH Amd 3 ABH Amd 4 ABH Amd 5 ABH Amd 6 ABH Amd 7 ABH Amd 8 ABH Amd 9 ABH Amd 10 ABH Amd 11 ABH Amd 12 ACLA Original Contract ACLA Amd 1 ACLA Amd 2 ACLA Amd 3 ACLA Amd 4 ACLA Amd 5 ACLA Amd 6 ACLA Amd 7 ACLA Amd 8 ACLA Amd 9 ACLA Amd 10 ACLA Amd 11 ACLA Amd 12 HBL Original Contract HBL Amd 1 HBL Amd 2 HBL Amd 3 HBL Amd 4 HBL Amd 5 HBL Amd 6 HBL Amd 7 HBL Amd 8 HBL Amd 9 HBL Amd 10 HBL Amd 11 HBL Amd 12 HHH Original Contract HHH Amd 1 HHH Amd 2 HHH Amd 3 HHH Amd 4 HHH Amd 5 HHH Amd 6 HHH Amd 7 HHH Amd 8 HHH Amd 9 HHH Amd 10 HHH Amd 11 HHH Amd 12 LHCC Original Contract LHCC Amd 1 LHCC Amd 2 LHCC Amd 3 LHCC Amd 4 LHCC Amd 4 LHCC Amd 5 LHCC Amd 6 LHCC Amd 7 LHCC Amd 9 LHCC Amd 10 LHCC Amd 11 LHCC Amd 12 Att A: Model Contract -
Details:
- Medicaid
- Managed Care
At the end of 2020, LDH requested input on key elements of the Medicaid managed care contracts. This included feedback on the following areas: Behavioral health integration Child and maternal health outcome improvement Delivery system reform Disaster planning and recovery Department of Justice settlement agreement requirements Fraud, waste, and abuse initiatives Health equity Increased MCO accountability Keywords: Managed Care 3.0, Aetna Better Health, ABH, AmeriHealth Caritas, ACLA, Healthy Blue, HBL, Louisiana Healthcare Connections, LHCC, UnitedHealthcare Community Plan, (UHC)
Downloadable Assets:
Aetna Better Health Feedback AmeriHealth Caritas Louisiana Baton Rouge Neonatal Associates, Inc. - Infamedics Behavioral Health Group Center for Hope Children and Family Services, LLC Coalition of Louisiana Addiction Service & Prevention Providers (CLASPP) Community Pharmacists' Impact on Healthcare Spending Community Pharmacy Care Management Easterseals Louisiana Franciscan Missionaries of Our Lady Health System Gina Lindsey - Behavioral Health Provider Green and Healthy Homes Initiative Greenpath International Inc Healthy Blue HousingLOUISIANA Housing NOLA Humana Health Benefit Plan of Louisiana, Inc. Iberia Pediatrics Integrated Community Pharmacy Medication Use Support Services Louisiana Addiction Treatment Providers (LATP) Louisiana Center for Health Equity Louisiana Chapter of the American Academy of Pediatrics Louisiana Commission on Perinatal Care and Prevention of Infant Mortality Louisiana Community Pharmacy Enhanced Services Network Louisiana Independent Pharmacies Association Louisiana Partnership for Children and Families Louisiana Psychiatric Medicine Association Louisiana Public Health Institute & Partnership for Achieving Total Health Louisiana Rural Mental Health Alliance Louisiana State Medical Society Maternal Fetal Medicine MD Merakey Pennsylvania Odyssey House Louisiana (OHL) Office of Public Health-Bureau of Family Health (OPH-BFH) Unite Us UnitedHealthcare Community Plan of Louisiana Volunteers of America Southeast Louisiana -
Details:
- Medicaid
- Managed Care
The Louisiana Department of Health (LDH) Medicaid issued a Request for Proposals (RFP) for qualified Managed Care Organizations (MCO) to provide high quality healthcare services statewide to enrollees in the Louisiana Medicaid Managed Care Program, a full risk-bearing health care delivery system. Due to the size, impact and importance of of this RFP, LDH conducted a second scoring session with a new independent team to confirm results. Keywords: Managed Care 3.0, RFP 3000017417, Aetna Better Health, ABH, Healthy Blue, HBL, AmeriHealth Caritas, ACLA, Louisiana Healthcare Connections, LHCC, UnitedHealthcare Community Plan, UHC, Humana Healthy Horizons, HHH
Downloadable Assets:
Request for Proposals (RFP) RFP Attachment C: MCO Covered Services RFP Attachment E: APM Strategic Plan Requirements and Reporting Template RFP Attachment F: Provider Network Standards RFP Attachment G: Table of Monetary Penalties RFP Attachment H: Quality Performance Measures RFP Attachment I: LDH Standard Contract Form (CF-1) RFP Exhibit A: Certification Statement RFP Exhibit B: Material Subcontractor Response Template RFP Exhibit C: Proposal Compliance Matrix RFP Exhibit D: Medicaid Ownership and Disclosure Form RFP Addendum 4: Proposer Inquiries RFP Addendum 5: Schedule of Events Aetna Better Health - Proposal Aetna Better Health - Proposal - Appendix A - Exhibit B: Material Subcontractor Response Template Aetna Better Health - Proposal - Appendix B - Audited Financial Statements Aetna Better Health - Proposal - Appendix C - Exhibit D: Ownership and Disclosure Form Aetna Better Health - Proposal - Quality Response Template NCQA Ratings Aetna Better Health - Proposal - Hudson and Veterans Initiative Response Template AmeriHealth Caritas - Proposal Healthy Blue - Proposal Humana - Proposal Louisiana Healthcare Connections - Proposal UnitedHealthcare Community Plan - Proposal Aetna Better Health - Letter to Proposer AmeriHealth Caritas - Letter to Proposer Healthy Blue - Letter to Proposer Humana - Letter to Proposer Louisiana Healthcare Connections - Letter to Proposer UnitedHealthcare Community Plan - Letter to Proposer Evaluation Documents - Summary Scoresheet - First Team Evaluation Documents - Summary Scoresheet - Second Team Hudson and Veterans Initiative Response Template - Procurement Library Louisiana Medicaid MCO RFP Data Use Agreement - Procurement Library Quality Response Template - Procurement Library Question and Answer Submission Template - Procurement Library Healthy Louisiana Data Book - Procurement Library Healthy Louisiana Data Book Exhibits - Procurement Library Louisiana Medicaid Preferred Language Statewide - Procurement Library OPH Population Health Resources - Procurement Library Potential Enrollment - Procurement Library Chisholm Compliance Guide - Procurement Library DOJ Agreement Compliance Guide - Procurement Library Financial Reporting Guide - Procurement Library Justice-Involved Pre-Release Enrollment Program Manual - Procurement Library Marketing and Member Education Companion Guide - Procurement Library MCO Manual - Procurement Library MCO Quality Companion Guide - Procurement Library MCO System Companion Guide - Procurement Library Batch Pharmacy Encounter System Companion Guide - Procurement Library Medicaid 834 Benefit and Enrollment Transaction Set Companion Guide - Procurement Library State Fair Hearing Companion Guide - Procurement Library Criminal History Records Check of Applicants and Employees - Procurement Library CMS Interoperability and Patient Access Rule - Procurement Library Geo Access Mapping 3.0 (#348) - Geo Access Mapping Attestation Form Geo Access Mapping 3.0 (#348) - Geo Access Mapping Reporting Template Financial Reporting Requirements - Agreed Upon Procedures