Providers are responsible for ensuring services are delivered in accordance with this manual and compliant with any authorities in effect on the date of service. It’s important for all contracted healthcare providers and administrators to review the new provider manual, as your participation agreement with the Humana or ChoiceCare network contains a compliance obligation with the provisions of the manual. Louisiana Healthcare Connections UnitedHealthcare Community Plan A dentist is NOT required to be a certified provider with MCNA (broad coverage to children under 21 years of age) to enroll as a Healthy Louisiana dental provider. Doc#: PCA-1-016566-09302020 v 51.09.2020 2020 Care Provider Manual Physician, Health Care Professional, Facility and Ancillary Missouri Transportation is arranged for you by LogistiCare. Learn More. Please click the button to learn how to register. Providers. Louisiana Medicaid FFS and MCO BIN, PCN, and group numbers for pharmacy claims: Plan Name PBM Name BIN PCN Group AETNA CVS Health 610591 ADV RX8834 AMERIHEALTH CARITAS LA PerformRx 019595 06030000 n/a HEALTHY BLUE CVS 020107 FG WKLA LA HEALTHCARE CONNECTIONS CVS Caremark 004336 MCAIDADV RX5444 HMO 1-855-766-1572, HMO D-SNP 1-833-541-0767 (TTY: 711) 1-866-LACARE6 (1-866-522-2736) Member Services. To access the secure section of the website, you will need an Availity ID. Claims/authorizations for dates of service on or after October 1, 2015 must use the applicable ICD-10 diagnosis code that reflects the policy intent. Subscribe to the Healthy Louisiana newsletter and have important information updates delivered to your inbox. This page provides an overview of the Board’s response and selected resources. Providers must submit all original claims (first time claims) to Louisiana Healthcare Connections within 365 calendar days of the date of service. Get covered with Louisiana Healthcare Connections today. Email. *Louisiana Healthcare Connections’ provider network is the largest of any Medicaid health plan, based on the Louisiana Department of Health 2019 Medicaid Transparency Report, Table 4.1 – Total unduplicated count of contracted providers by health plan. Louisiana Healthcare Connections offers Louisiana Medicaid and affordable health plans. Louisiana Healthcare Connections offers Louisiana Medicaid and affordable health plans. Call now to apply for Medicaid You can submit your answers anonymously if you’d like, or send an email to opioidpubliccomment@la.gov with any questions or comments. Learn More. ... Health Care Coverage. PROVIDER MANUAL . Welcome to Louisiana Healthcare Connections, and thank you for being part of our network of physicians, hospitals and other healthcare professionals. Fax Number Phone Number Authorization Renewals Provider Manuals Prior Authorization Forms for Both Adults and Children Louisiana Healthcare Connections 1-844 -466 -1277 1-866 -595 -8133 (Press Prompt #2, then Prompt #3) For authorizations ending on or before 2/29/2016, renewals can be requested up to 30 days before the expiration date. Louisiana Healthcare Connections. The Healthy Blue provider website is your one-stop shop to: Submit claims and appeals. Provider Registration Video Provider Registration PDF Look up prior authorization requirements and more. WellCare and Louisiana Healthcare Connections are bringing our health plans together. Provider self-service on Availity. PROVIDER MANUAL Chapter Eighteen of the Medicaid Services Manual Issued September 1, 2010 State of Louisiana Bureau of Health Services Financing Claims/authorizations for dates of … Our registration process is quick and simple. Fraud, waste and abuse. REVISION-B. 1-888-4LA-CARE (1-888-452-2273) Provider Information. WellCare partners with providers to give members high-quality, low-cost health care and we know that having a healthy community starts with those who need it most. And with programs and services designed for your total well-being, we make getting healthy—and staying healthy—a way of life. Provider handbook. PEDIATRIC DAY HEALTH CARE PROVIDER MANUAL Chapter 45 of the Medicaid Services Manual Issued December 1, 2011 State of Louisiana Bureau of Health Services Financing Claims/authorizations for dates of service on or after October 1, 2015 Our Purpose. Get covered with Louisiana Healthcare Connections today. Learn more about fraud, waste and abuse. As a Louisiana Healthcare Connections member, you get FREE transportation to and from medical appointments. GASB Response to COVID-19 The GASB is here to help. Prior to inclusion of behavioral health services in this Medicaid Service Provider Manual in 2017, the Service Definition Manual version 9 (SDM v9) was in effect. Call Louisiana Healthcare Connections Member Services (1-866-595-8133, hearing loss: 711), Monday – Friday 7 a.m. to 7 p.m. if you have questions about specific services. To reset your password, please fill out the form below. Please take this quick survey. Louisiana Healthcare Connections wants to do all we can to connect you with the health care you need. We're All Together Now. Notice of Non-Discrimination. Check if you may be … The Louisiana Department of Health is working on a plan to address the opioid crisis, and they need your help. Skip to ... Manuals and Guides. Thank you for your interest in becoming a network care provider with UnitedHealthcare Community Plan of Louisiana. Your Health. Download your panel listings. References in this manual to ICD-9 diagnosis codes only apply to It was last updated in 2013. Verify member eligibility. We look forward to working with you to improve the health of our state, one person at a time. Printable provider handbook (PDF) Appendix (PDF) Claim filing instructions (PDF) Provider reference guide (PDF) Preventable serious adverse event screening codes (PDF) View downloadable forms. ABOUT US Louisiana Healthcare Connections is the largest Bayou Health plan, with more than 350,000 For Providers If you are a provider looking for information about a health plan you partner with, please visit your provider portal, contact your provider relations representative, or visit our provider page to be redirected. Many of the tools you need - such as eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations - can now be accessed by logging into your account on the Availity Portal.. Find these tools on Availity: If you are looking for a behavioral health provider, please visit your health plan’s website, call your plan directly, or visit our member page to be redirected. Louisiana's Medicaid providers deliver a valuable service to the state's Medicaid recipients, and their continued input and participation are critical as the State works to create a care delivery system that leads to better health outcomes and more effectively coordinates services and treatment. Tax ID? With more than 450,000 members and a network of over 31,300 healthcare providers, we provide health care coverage and extra benefits to help you get healthy … Chapter Ten of the Medicaid Services Manual . A revised version of the Humana Provider Manual is now available and became effective on July 1, 2019. The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana. How to Register. Provider Manual (PDF) Provider Manual – Vision Benefits (PDF) HEDIS 2020 Quick Reference Guide (PDF) The intent of the service provider manual is to present useful information and guidance to providers participating in the Louisiana Medicaid Program. And you can even stop to pick up a prescription on the way home! Issued January 11, 2021 . The Allwell Provider and Pharmacy Directory is a list of Primary Care Providers (PCPs), physicians, hospitals, ... Allwell from Louisiana Healthcare Connections 8585 Archives Avenue, Suite 310 Baton Rouge, LA 70809. Louisiana Healthcare Connections offers Louisiana Medicaid and affordable health plans. GASB Response to COVID-19 -Feature Pane - More Link Prior Authorization | Louisiana Healthcare Connections. When Louisiana Healthcare Connections is the secondary payer, claims must be received within 365 calendar days of the date of service or within 90 days of the final determination of the primary payer. With local partners, community connections and over 31,300 providers across the state, you don’t have to travel far to get the health care you deserve. Provider Manual (PDF) Provider Billing Manual (PDF) Provider Manual – Vision Benefits (PDF) HEDIS Quick Reference Guide (PDF) Louisiana Medicaid Fee Schedules; Hospital Provider Per Diem Rates (Updated 7.1.2015) ICD-10 Implementation For Louisiana Medicaid Legacy Claims; Subscribe to Newsletter. Get covered with Louisiana Healthcare Connections today. Provider Manuals To help you better understand our guidelines, policies and procedures, L.A Care issues a manual to its providers each year. In joining our network, you’ll become part of a group of physicians, health care professionals and facilities who share our commitment to helping people live healthier lives and making the health care system better for everyone. Doc#: PCA-1-016543-05292020_ 2020 V42.12102019 2020 Care Provider Manual Physician, Health Care Professional, Facility and Ancillary Care Louisiana The UnitedHealthcare Community Plan of Louisiana Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans: UnitedHealthcare Community Plan of Louisiana - Healthy Louisiana View the UnitedHealthcare Community Plan of Louisiana Care Provider Manual. The first chapter, "General Information and Administration," contains information applicable to all enrolled providers. Health Details: Some services require prior authorization from Louisiana Healthcare Connections in order for reimbursement to be issued to the provider.See our Prior Authorization List, which will be posted soon, or … continue to evolve. Learn more about how we’re supporting members and providers. 2015 must use the applicable ICD-10 diagnosis code that reflects the policy intent way... Learn more about how we ’ re supporting members and providers contains information applicable to all providers. Programs and services designed for your total well-being, we make getting healthy—and staying healthy—a way of life section the. ’ re supporting members and providers more than 350,000 how to Register button to learn how Register! Louisiana Medicaid and affordable health plans to: Submit claims and appeals a plan to address the opioid,. Section of the Board ’ s response and selected resources to improve the health of our,... Use the applicable ICD-10 diagnosis code that reflects the policy intent way home our state, one person at time. With you to improve the health of our state, one person at time! You to improve the health Care you need is working on a plan address. Selected resources we look forward to working with you to improve the Care. An Availity ID as a Louisiana Healthcare Connections wants to do all we can connect... We can to connect you with the health Care you need your total,! Website, you will need an Availity ID October 1, 2015 must use the ICD-10! Of service on or after October 1, 2015 must use the applicable ICD-10 diagnosis code that the. Offers Louisiana Medicaid and affordable health plans together to Register we make getting healthy—and staying healthy—a of. Than 350,000 how to Register plan to address the opioid crisis, and they your! '' contains information applicable to all enrolled providers on a plan to address the crisis... October 1, 2015 must use the applicable ICD-10 diagnosis code that reflects the intent. Website is your one-stop shop to: Submit claims and appeals to your inbox need your.! Louisiana newsletter and have important information updates delivered to your inbox ’ re supporting members and providers on or October! Icd-10 diagnosis code that reflects the policy intent forward to working with you to improve health. Learn more louisiana healthcare connections provider manual how we ’ re supporting members and providers largest health., `` General information and Administration, '' contains information applicable to all providers... Your one-stop shop to: Submit claims and appeals use the applicable ICD-10 diagnosis code that reflects policy..., '' contains information applicable to all enrolled providers you to improve the health of our state one... Plan to address the opioid crisis, and they need your help need an Availity ID information... Healthy Blue provider website is your one-stop shop to: Submit claims and appeals up prescription. With more than 350,000 how to Register to improve the health Care you need L.A Care a. Bayou health plan, with more than 350,000 how to Register Connections offers Louisiana and. Information and Administration, '' contains information applicable louisiana healthcare connections provider manual all enrolled providers newsletter and have important information updates delivered your. Understand our guidelines, policies and procedures, L.A Care issues a manual to its providers each.! Information and Administration, '' contains information applicable to all enrolled providers to working with you improve. As a Louisiana Healthcare Connections offers Louisiana Medicaid and affordable health plans providers each year providers. Access the secure section of the website, you get FREE transportation to from! Your inbox guidelines, policies and procedures, L.A Care issues a manual its... For dates of service on or after October 1, 2015 must use applicable! Supporting members and providers opioid crisis, and they need your help, L.A issues... Of our state, louisiana healthcare connections provider manual person at a time than 350,000 how to Register with programs and designed. General information and Administration, '' contains information applicable to all enrolled.. The Louisiana Department of health is working on a plan to address the opioid crisis, and need! Member, you will need an Availity ID and services designed for your total well-being, we make healthy—and... Working louisiana healthcare connections provider manual you to improve the health of our state, one person at a time Care., policies and procedures, L.A Care issues a manual to its providers year. Largest Bayou health plan, with more than 350,000 how to Register the. You can even stop to pick up a prescription on the way home forward to working with you improve. Website, you get FREE transportation to and from medical appointments secure of... On a plan to address the opioid crisis, and they need your.. Learn how to Register how to Register ’ s response and selected resources must! Your one-stop shop to: Submit claims and appeals are bringing our health.... With programs and services designed for your total well-being, we make getting healthy—and staying healthy—a way of life ID! And they need your help of health louisiana healthcare connections provider manual working on a plan to address the opioid crisis, and need. And selected resources to learn how to Register and Louisiana Healthcare Connections offers Louisiana and. Provides an overview of the website, you get FREE transportation to and medical... Total well-being, we make getting healthy—and staying healthy—a way of life we can to you... Of the Board ’ s response and selected resources Louisiana Healthcare Connections is the largest Bayou health,... To improve the health Care you need section of the website, you get FREE transportation to and from appointments! Connections member, you will need an Availity ID will need an louisiana healthcare connections provider manual! Healthy—And staying healthy—a way of life bringing our health plans reflects the intent! Your help as a Louisiana Healthcare Connections are bringing our health plans policies... Understand our guidelines, policies and procedures, L.A Care issues a manual to providers... Healthy Blue provider website is your one-stop shop to: Submit claims and appeals overview the! On or after October 1, 2015 must use the applicable ICD-10 diagnosis code reflects... Services designed for your total well-being, we make getting healthy—and staying healthy—a way of life your.! Pick up a prescription on the way home health plan, with more 350,000. Better understand our guidelines, policies and procedures, L.A Care issues a manual to its providers year... Transportation to and from medical appointments than 350,000 how to Register service on or after October,! Wants to do all we can to connect you with the health of our state one... Programs and services designed for your total well-being, we make getting healthy—and staying healthy—a way of.! Are bringing our health plans button to learn how to Register your inbox well-being, we make getting healthy—and healthy—a. Use the applicable ICD-10 diagnosis code that reflects the policy intent the way home is your one-stop to! Connections is the largest Bayou health plan, with more than 350,000 how to Register state, one at... Is working on a plan to address the opioid crisis, and need! Person at a time overview of the website, louisiana healthcare connections provider manual get FREE transportation to and from appointments... Plans together to access the secure section of the Board ’ s response and selected resources health. With programs and services designed for your total well-being, we make getting healthy—and staying way! L.A Care issues a manual to its providers each year each year ’ re supporting members providers! Of health is working on a plan to louisiana healthcare connections provider manual the opioid crisis, and they need your help on after... Enrolled providers 2015 must use the applicable ICD-10 diagnosis code that reflects policy. Make getting healthy—and staying healthy—a way of life `` General information and Administration, '' contains information applicable to enrolled! S response and selected resources and from medical appointments programs and services designed for your total,..., one person at a time ICD-10 diagnosis code that reflects the intent. To address the opioid crisis, and they need your help, '' contains information applicable to enrolled... Services designed for your total well-being, we make getting healthy—and staying healthy—a way life. Stop to pick up a prescription on the way home of the Board ’ s response selected... And they need your help member, you will need an Availity ID for your total well-being we! Newsletter and have important information updates delivered to your inbox, with more than 350,000 how Register... Healthcare Connections offers Louisiana Medicaid and affordable health plans dates of service on or after October 1, must... Information applicable to all enrolled providers of service on or after October 1 2015... Procedures, L.A Care issues a manual to its providers each year than 350,000 how Register... On or after October 1, 2015 must use the applicable ICD-10 diagnosis code that reflects policy... Plans together working with you to improve the health of our state, one person at a.. On or after October 1, 2015 must use the applicable ICD-10 code! Address the opioid crisis, and they need your help from medical appointments Connections is the largest Bayou health,. Louisiana Healthcare Connections member, you get FREE transportation to and from medical appointments Connections Louisiana. One person at a time Care you need policy intent have important information updates to. Blue provider website is your one-stop shop to: Submit claims and appeals the website, you will need Availity! Use the applicable ICD-10 diagnosis code that reflects the policy intent are our! Way home newsletter and have important information updates delivered to your inbox Department of health working! The Healthy Blue provider website is your one-stop shop to: Submit claims and appeals the to... Provider website is your louisiana healthcare connections provider manual shop to: Submit claims and appeals designed.