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LDH Resources
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Details:
- Behavioral Health
- Legislative & Governmental Relations
The charge of Act 158 of the 2015 Regular Legislative Session was to provide transparency relative to Medicaid managed care programs. Within the Office of Behavioral Health (OBH), this involves the Coordinated System of Care (CSoC) program. Magellan Health Services of Louisiana, Inc. (Magellan) administers the CSoC program. This report outlines responses to the requests made by the legislature in Act 158 relative to Magellan's management of care within CSoC program.
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Details:
- Behavioral Health
In accordance with the STCs, Louisiana must submit three (3) quarterly monitoring reports and one (1) compiled annual report for each Demonstration Year (DY). These reports include operational updates, performance metrics, budget neutrality and financial reporting requirements, evaluation activities and interim findings, and SUD health IT measures. All monitoring reports will be posted after CMS approval. Please see below for the quarterly and annual reports submitted to CMS, as required by the SUD 1115 Demonstration Waiver.
Downloadable Assets:
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Details:
- Behavioral Health
- Legislative & Governmental Relations
The charge of Act 158 of the 2015 Regular Legislative Session was to provide transparency relative to Medicaid managed care programs. Within the Office of Behavioral Health (OBH), this involves the Coordinated System of Care (CSoC) program. Magellan Health Services of Louisiana, Inc. (Magellan) administers the CSoC program. This report outlines responses to the requests made by the legislature in Act 158 relative to Magellan's management of care within CSoC program.
Downloadable Assets:
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Details:
- Behavioral Health
Disaster Related Behavioral Health Resources
Downloadable Assets:
Disaster Related Behavioral Health Resources Adult Tips for Survivors of Disasters Managing Stress Age Related Reactions to Traumatic Events Assisting Parents Caregivers in Coping with Collective Traumas Coping at Different Ages Disaster Booklet Helping Youth after Community Trauma Educators Self Care Trauma Guided Imagery: A Walk in the Garden Guided Imagery: A Peaceful Place How to Deal With Grief Common Reactions to Disasters Brother's Keepers Video -
Details:
- Behavioral Health
- Legislative & Governmental Relations
The charge of Act 158 of the 2015 Regular Legislative Session was to provide transparency relative to Medicaid managed care programs. Within the Office of Behavioral Health (OBH), this involves the Coordinated System of Care (CSoC) program. Magellan Health Services of Louisiana, Inc. (Magellan) administers the CSoC program. This report outlines responses to the requests made by the legislature in Act 158 relative to Magellan's management of care within CSoC program.
Downloadable Assets:
SFY15 Louisiana Behavioral Health Partnership Transparency Report SFY15 Detailed Provider List Quality Improvement-Clinical Management 2015 Quality Improvement-Clinical Management (Quarters 1 and 2) Quality Program Description 2015 Appendix I Appendix II Appendix III Appendix IV Appendix V Appendix VI Appendix VII Appendix VIII Appendix IX Appendix X Appendix XI Appendix XII Appendix XIII Appendix XIV -
Details:
- Behavioral Health
FY2014 Transparency Report (Act 212) Louisiana Behavioral Health Partnership Act 212 Transparency Report
Downloadable Assets:
FY2014 Transparency Report (Act 212) APPENDIX I: NAME AND GEOGRAPHIC SERVICE AREA OF EACH LOCAL GOVERNMENT ENTITY APPENDIX II: HEALTHCARE PROVIDERS IN EACH PARISH BY PROVIDER TYPE, APPLICABLE CREDENTIALING STATUS, AND SPECIALTY Detailed Provider List (Excel format) APPENDIX III: MEDICAID & NON-MEDICAID ENROLLEES BY PARISH APPENDIX IV: MEDICAID ADULT MEMBERS RECEIVING SERVICES BY PARISH APPENDIX V: NON-MEDICAID ADULT MEMBERS RECEIVING SERVICES BY PARISH APPENDIX VI: CHILDREN RECEIVING SERVICES THROUGH CSOC BY PARISH APPENDIX VII: MEDICAID CHILDREN RECEIVING SERVICES OUTSIDE OF CSOC BY PARISH APPENDIX VIII: NON-MEDICAID CHILDREN RECEIVING SERVICES OUTSIDE OF CSOC BY PARISH APPENDIX IX: PERCENTAGE OF CALLS REFERRED TO SERVICES APPENDIX X: AVERAGE HOURS FROM CALL TO AUTHORIZATION APPENDIX XI: PERCENTAGE OF REFERRALS CONSIDERED IMMEDIATE, URGENT AND ROUTINE APPENDIX XII: CLEAN CLAIMS APPENDIX XIII: TOTAL CLAIMS DENIED APPENDIX XIV: PERCENTAGE OF MEMBERS PROVIDING CONSENT FOR RELEASE OF INFORMATION TO COORDINATE WITH PRIMARY CARE PHYSICIAN (PCP) APPENDIX XV: BEHAVIORAL HEALTH IN EMERGENCY ROOMS APPENDIX XVI: REPORT ON QUALITY MANAGEMENT Quality Improvement–Clinical Management (QI/CM) Program Evaluation (3/1/2013 through 2/28/2014) Louisiana CMC Magellan Health Services – Magellan Behavioral Health Utilization Management Program Description for Medicaid Managed Care (3/1/2014 - 2/28/2015) APPENDIX XVII: TOTAL FUNDING PAID FOR CLAIMS TO PROVIDERS, ADMINISTRATIVE COSTS AND PROFIT -
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- Behavioral Health
Act 212 of the 2013 Regular Legislative Session The charge of Act 212 of the 2013 Regular Legislative Session was to provide transparency relative to Medicaid managed care programs. Within the Office of Behavioral Health (OBH), this involves the Louisiana Behavioral Health Partnership (LBHP) and its included Coordinated System of Care (CSoC). Included below are links to the FY 2013 report and its included addenda.
Downloadable Assets:
FY 2013 LBHP Transparency Report LGE Information List of providers- Excel List of providers- PDF Medicaid & non-Medicaid enrollees by parish Total and monthly number of non-Medicaid adults by parish Total and monthly number of CSoC enrollees by parish Total and monthly number of non-CSoC, Medicaid youth by parish Total and monthly number of non-CSoC, non-Medicaid youth by parish Percentage of calls referred for services by parish Average time for confirmation and referral for services Percentage of referrals considered immediate, urgent or routine by parish Percentage of clean claims by provider type & average days to pay claims by LGE Claims denied by: lack of documentation, proper authorization, or service not covered Percentage of members providing consent for release of information to PCP Outpatient member in Emergency Room with behavioral health diagnosis (17a) Total funding paid by State for claims to providers (18c) Children's rate changes Income Statement 12-31-12 Income Statement 06-30-13 Louisiana UM Program Description 2013 QI-UM Program Evaluation 2012-2013 -
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- Behavioral Health
2012 Children's Mental Health Awareness Summit Presentations
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