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LDH Resources
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Details:
- Medicaid
- Managed Care
Louisiana Medicaid managed care contractors must meet the requirements of their contracts with LDH. If a contractor is non-compliant with contract requirements, LDH may apply administrative actions or assess monetary penalties and intermediate sanctions to obtain the level of performance required for successful operation of the managed care program. Keywords: MCO, health plan, noncompliance, administrative actions, non-compliance
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
Louisiana Medicaid managed care contractors must meet the requirements of their contracts with LDH. If a contractor is non-compliant with contract requirements, LDH may apply administrative actions or assess monetary penalties and intermediate sanctions to obtain the level of performance required for successful operation of the managed care program. Keywords: Managed Care 2.0, Aetna Better Health, AmeriHealth Caritas, Heathy Blue, Louisiana Healthcare Connections, UnitedHealthcare Community Plan, ABH, ACLA, HBL, LHCC, UHC, Non-Compliance, Admin Actions
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
Louisiana Medicaid managed care contractors must meet the requirements of their contracts with LDH. If a contractor is non-compliant with contract requirements, LDH may apply administrative actions or assess monetary penalties and intermediate sanctions to obtain the level of performance required for successful operation of the managed care program. Non-compliance reports for supporting managed care contractors who hold active contracts with LDH can be found here. Keywords: MCO, managed care, contractors, Gainwell, Health Management Systems, Maximus, Mercer, Southeastrans, vendor, non-compliance, noncompliance
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
Louisiana Medicaid managed care contractors must meet the requirements of their contracts with LDH. If a contractor is non-compliant with contract requirements, LDH may apply administrative actions or assess monetary penalties and intermediate sanctions to obtain the level of performance required for successful operation of the managed care program. Non-compliance reports for dental benefit program managers who hold contracts with LDH are found here. Keywords: DBPM, MCO, noncompliance, administrative action, managed care, contract, non-compliance. Keywords: DPBM Non-Compliance Tracking Logs
Downloadable Assets:
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Details:
- Medicaid
- Managed Care
Louisiana Medicaid managed care contractors must meet the requirements of their contracts with LDH. If a contractor is non-compliant with contract requirements, LDH may apply administrative actions or assess monetary penalties and intermediate sanctions to obtain the level of performance required for successful operation of the managed care program. Links to archived information related to expired contracts can be found here. Keywords: MCO, health plan, noncompliance, administrative actions, archive, contract, 2.0, non-compliance
Downloadable Assets:
Aetna Better Health Archive Actions January 1, 2020 – December 31, 2022 Aetna Better Health Archive Actions February 1, 2015 – December 31, 2019 AmeriHealth Caritas Archive Actions January 1, 2020 – December 31, 2022 AmeriHealth Caritas Archive Actions February 1, 2015 – December 31, 2019 Healthy Blue Archive Actions January 1, 2020 – December 31, 2022 Healthy Blue Archive Actions February 1, 2015 – December 31, 2019 Louisiana Healthcare Connections Archive Actions January 1, 2020 – December 31, 2022 Louisiana Healthcare Connections Archive Actions February 1, 2015 – December 31, 2019 United Healthcare Archive Actions January 1, 2020 – December 31, 2022 United Healthcare Archive Actions February 1, 2015 – December 31, 2019 Dental Benefit Program Manager Archive Actions MCNA