Medicaid Managed Care Program Transparency Report - State Fiscal Year 2016

This report is the fifth in a series produced by the Louisiana Department of Health (LDH) to satisfy statutory reporting requirements intended to ensure certain outcomes are being achieved by Medicaid Managed Care Programs as per Act 158 of the 2015 Legislative Session.

Medicaid Managed Care Program Transparency Report

List of Appendices

I. Total Number of Health Care Providers (Section 4)

II. Primary Care Service Providers (Section 5)

III. Contracted Providers with Closed Panels (Section 6)

IV. Member Satisfaction Surveys (Section 9)

  1. Aetna
  2. Amerigroup
  3. AmeriHealth Caritas Louisiana
  4. Louisiana Healthcare Connections
  5. United Healthcare
  6. MCNA

V. Provider Satisfaction Surveys (Section 9)

  1. Amerigroup
  2. AmeriHealth Caritas Louisiana
  3. Louisiana Healthcare Connections
  4. United Healthcare
  5. MCNA

VI. Annual Audited Financial Statements (Section 10)

  1. Aetna
  2. Amerigroup
  3. AmeriHealth Caritas Louisiana
  4. Louisiana Healthcare Connections
  5. United Healthcare
  6. MCNA

VII. Number of enrollees who received services from each Managed Care Organization (Section 15)

VIII. Total number of denied claims (Section 20)

IX. Claims paid to out-of-network providers (Section 23)

X. Pharmacy benefits by month (Section 24)

XI. Dental Program (Section 26)

XII. MSLC Survey