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LDH Resources
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Details:
- Medicaid
- Managed Care
External Quality Review Managed Care 3.0 Healthy Blue, AmeriHealth Caritas, Louisiana Healthcare Connections, Unitedhealthcare Community Plan, Aetna Better Health, Humana MCNA, DentaQuest Magellan ATR Annual Technical Reports Medicaid Encounter Data
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- Medicaid Rate Setting and Audit Resources
- Medicaid
- Nursing Home
All cost reports and supporting documentation are to be filed with our cost report acceptance contractor Myers & Stauffer LC.
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Details:
- Medicaid Rate Setting and Audit Resources
- Medicaid Resources
- Medicaid
- Nursing Home
All cost reports and supporting documentation are to be filed with our cost report acceptance contractor Myers & Stauffer LC.
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Details:
- Medicaid
- Pharmacy
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- Medicaid
- Pharmacy
Preferred Drug List July 1, 2025 Version 2
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- Medicaid
- Pharmacy
Keywords: PDL, Diabetes, Diabetic PDL
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- Medicaid
- Managed Care
The Louisiana Department of Health (LDH) assesses the perceptions and experiences of adult and child members enrolled in the managed care organizations (MCOs) as part of its process for evaluating the quality of health care services provided to adult and child members in the Louisiana Medicaid Managed Care Program. This report presents the 2024 CAHPS results of adult members and the parents/caretakers who completed the survey on behalf of child members enrolled in an MCO. Keywords: Experience of Care.
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- Medicaid
- Managed Care
Keywords: HPA, active-hpa
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- Medicaid
- Managed Care
The Louisiana Department of Health (LDH) has issued a request for information (RFI) for the purpose of gathering information and cost estimates from qualified entities with demonstrated capacity and experience to administer dental administrative services through a third-party administrator (TPA) model. The information gathered will help inform LDH in developing a comprehensive scope of services for a potential future request for proposals (RFP). The third-party dental administrator would be responsible for efficient utilization management, care coordination, provider recruitment and improving oral health outcomes. Other potential roles include, provider network management, claims processing, data and technology integration, and enrollee services.
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