Louisiana Healthcare Connections Final Determination

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Questions, Disputes and Resolutions Louisiana Healthcare …

(1 days ago) WEBThe provider will receive a final determination letter with the appeal decision, rationale, and date of decision. We will resolve provider Appeals within 30 business days, or we …

https://www.louisianahealthconnect.com/providers/resources/grievance-process.html

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Provider Manual - Louisiana Healthcare Connections

(2 days ago) WEBLouisiana Department of Children and Family Services 1-888-524-3578 Louisiana Department of Health 1-225-342-9500 Louisiana Medicaid (Healthy Louisiana) 1-855 …

https://www.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/pdfs/medicaid-provider/LA_Healthcare_Connections_Provider_Manual.pdf

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Filing an Appeal Louisiana Healthcare Connections

(3 days ago) WEBTo file an Appeal by phone, call Member Services at 1-866-595-8133 (TTY: 711 ). You can also file an Appeal in writing, at: Louisiana Healthcare Connections, P.O. Box 84180, …

https://www.louisianahealthconnect.com/members/medicaid/resources/complaints-appeals/filing-appeal.html

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LA.CP.CPC.05 - Medical Necessity Criteria

(1 days ago) WEBPolicy/Criteria. Louisiana Healthcare Connections will use the following guidelines to make medical necessity decisions (listed in order of significance) on a case-by-case …

https://www.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/policies/clinical-policies/LA.CP.CPC.05MedicalNecessityCriteria.pdf

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LHCC - LDH - Independent Review Reconsideration Form

(1 days ago) WEBSubmit this completed form to: Louisiana Healthcare Connections Attn: Provider Solutions P.O. Box 84180 Baton Rouge, LA 70884 Date: ***The MCO shall …

https://www.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/pdfs/medicaid-member/LDH_Independent_Review_Provider_Reconsideration_Form.pdf

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POLICY AND PROCEDURE - Louisiana Department of Health

(4 days ago) WEBLouisiana Healthcare Connections has established standards for conducting the functions of practitioner selection and retention. These standards include practices for …

https://ldh.la.gov/assets/medicaid/MCPP/12.19.22/1449_LHCC_LA.CRED.01_Practitioner_Credentialing_and_ReCredentialing_JRD.pdf

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Provider and Billing Manual

(4 days ago) WEBHEALTH PLAN INFORMATION Ambetter from Louisiana Healthcare Connections Ambetter from Louisiana Healthcare Connections 8585 Archives Ave, Suite 310, …

https://ambetter-es.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/ambetter/pdf/LA-AmbetterProviderManual.pdf

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Louisiana Healthcare Connections - Louisiana Medicaid …

(9 days ago) WEBThat is why all women between the ages of 21 and 64 need cervical cancer screenings. Have you gotten your flu shot yet? There's still time! Getting your flu vaccine is a simple and quick way to protect yourself and your …

https://www.louisianahealthconnect.com/

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State of Louisiana Department of Health

(Just Now) WEBLouisiana Healthcare Connections . Period of Review: January 1, 2021 – December 31, 2021 . ISSUED NOVEMBER 2022 . REVISED FEBRUARY 2023 . FINAL . the final …

https://ldh.la.gov/assets/medicaid/EQRO/2022/2022ComplianceReviewReport_LHCC.pdf

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Louisiana Healthcare Connections Physical Medicine Program

(9 days ago) WEBLouisiana Healthcare Connections will begin a prior authorization program through NIA for the management of Physical Medicine services. The program includes both …

https://www1.radmd.com/sites/default/files/2023-10/2192800_LA3PPROPRSE_FINAL%20LHCC%20PM%20PPT%2010202023.pdf

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Home Louisiana Healthcare Connections

(2 days ago) WEBOur Impact on Health. As part of the Healthy Louisiana program managed by the Louisiana Department of Health, Louisiana Healthcare Connections provides comprehensive, high-quality healthcare coverage to residents who qualify for Medicaid and LaCHIP. See Our Statewide Impact.

https://lahealth.care/

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Louisiana Healthcare Connections - Louisiana Department of …

(1 days ago) WEBLouisiana Healthcare Connections . 2019 Compliance Audit . Review Period: April 01, 2018 – March 31, 2019 . Final Report Issued December 2019 . the final review …

https://ldh.la.gov/assets/docs/MQI/2019ComplianceReports/2019ComplianceReviewReportLHCC.pdf

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Louisiana Healthcare Connections Medical Specialty Solutions

(9 days ago) WEB4. NIA’s Prior Authorization Program. Louisiana Healthcare Connections began a prior authorization program through NIA for the management of Medical Specialty Solutions …

https://www1.radmd.com/media/1009999/nia-louisiana-healthcare-connections-provider-education-presentation.pdf

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Louisiana Healthcare Connections Care Portal for Members Login

(9 days ago) WEBTo enter our secure portal, click on the login button. A new window will open. You can login or register. Creating an account is free and easy. By creating a Louisiana Healthcare …

https://www.louisianahealthconnect.com/login.html

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Clinical Policy: Medical Necessity Criteria - Louisiana …

(1 days ago) WEBLouisiana Healthcare Connections will use the following guidelines to make medical necessity decisions (listed in order of significance) on a case-by-case basis, based on …

https://ldh.la.gov/assets/medicaid/MCPP/9.12.22/1411_LHCC_LA.CP.CPC.05_Medical_Necessity_Criteria.pdf

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Louisiana ends Medicaid contracts for Humana - Fierce Healthcare

(Just Now) WEBLouisiana paid out $7.6 billion to five managed care plans in the 2018 fiscal year, the state’s department of health said. Medicaid Managed Care Provider Networks …

https://www.fiercehealthcare.com/payer/louisana-ends-medicaid-contracts-for-humana-unitedhealthcare-and-others-due-to-poor-bidding

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State of Louisiana Department of Health Louisiana Healthcare …

(3 days ago) WEBparticipating health plans on the accessibility, timeliness, and quality of services. Specifically, this report provides IPRO’s independent evaluation of the services provided …

https://ldh.la.gov/assets/medicaid/EQRO/2021/AnnualTechnicalReport2019-2020LHCC.pdf

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Louisiana Healthcare Connections Interventional Pain …

(3 days ago) WEBNotification of Determination Provider Tools and Contact Information RadMD Demo Questions and Answers NIA uses the Louisiana Healthcare Connections network …

https://www1.radmd.com/sites/default/files/2023-10/Louisiana%20Healthcare%20Connections%20IPM%20PPT.pdf

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National Imaging Associates, Inc. (NIA) Medical Specialty …

(Just Now) WEBauthorized, NIA will use the date of final determination as the starting point for the 90-day period in which the examination must be completed. Is prior authorization 8— …

https://www1.radmd.com/sites/default/files/2023-10/Louisiana%20Healthcare%20Connections%20Med%20Spec%20FAQ.pdf

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State of Louisiana Department of Health

(2 days ago) WEBTable 1, were calculated using the sum of the numerators divided by the sum of the denominators for determinations included in each category for each population. …

https://ldh.la.gov/assets/medicaid/EQRO/2021/2021LA_CM_ReportLouisianaHealthcareConnections9.14.21.pdf

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to Help You Can Impact HEDIS Scores

(Just Now) WEBlouisiana Healthcare Connections evaluates new technology and new applications of existing technology for coverage determination on an ongoing basis. We may provide …

https://www-es.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/pdfs/medicaid-provider/ProviderNewsletterWinter15.pdf

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Louisiana Healthcare Connections Physical Medicine Prior …

(9 days ago) WEB1 — Louisiana Healthcare Connections - Physical Medicine QRG PRO_2192732E_ Internal Approved 06212023 2192732_LA3PCADGDEE Louisiana Healthcare …

https://www1.radmd.com/sites/default/files/2023-10/2192732_LA3PCADGDEE_FINAL%20LHCC%20PM%20QRG%2010202023.pdf

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