The purpose of this Request for Proposals (RFP) is to solicit proposals from
qualified Managed Care Organizations (MCOs) to provide healthcare services
statewide to Medicaid enrollees participating in the Bayou Health program,
utilizing the most cost effective manner and in accordance with the terms and
conditions set forth herein.
DHH has identified paid claims associated with administration corrections of member linkages into Bayou Health Plans.
Baton Rouge, La. - The Louisiana Department of Health and Hospitals (DHH) announced plans for substantial improvements today to the State's Medicaid managed care program called Bayou Health. The anticipated changes will improve budget predictability, provide greater opportunity and incentives for managed care organizations (MCOs) to improve recipient health outcomes, add benefits for Bayou Health recipients, and will streamline coordination between Bayou Health and the State's behavioral health managed care program. These changes will be outlined in new program rules and contracts, anticipated to begin on February 1, 2015.
The Department of Health and Hospitals' (DHH) teleconference for providers interested in the new Medicaid Dental Benefit Management Program will occur weekly.
Annual reports from Louisiana's Medicaid program (Bureau of Health Services Financing).
The Louisiana Department of Health and Hospitals’ Bureau of Health Services Financing is issuing a Request for Information (RFI) for the purpose of seeking information from Qualified Health Care Professionals (QHCP) regarding their willingness and availability to provide Comprehensive Diagnostic Evaluations (CD/DE), to Louisiana Medicaid enrollees under age 21. QHCPs should have sufficient qualification and experience to conduct and document the CDE/DE, and to develop initial recommendations for a multidisciplinary treatment plan, including recommendations relative to clinical indications for Applied Behavioral Analysis (ABA) and other evidence-based treatments for Autism Spectrum Disorder, related and comorbid disorders.
MCNA hosts statewide in-person training sessions and online webinars to discuss our program and other important information.