Welcome to the Louisiana Medicaid Provider Support Center

ATTENTION ALL PROVIDERS: APPLIED BEHAVIORAL ANALYSIS SERVICES NOW COVERED – SEE WEB NOTICE                                    

Attention Obstetrical Providers: Makena Coverage for Prematurity Prevention-Effective May 1, 2014 4/21/14

Dental Benefit Management Plan FAQ 4/16/14

ATTENTION PRIMARY CARE PROVIDERS: Affordable Care Act Primary Care Services Enhanced Reimbursement Information 4/14/14 (Revision from 11/18/13)

ATTENTION PROVIDERS: ACA Enhanced Reimbursement Deadline Established for APRNs 4/14/14

INFORMATIONAL UPDATE TRANSITION TO THE NEW CMS-1500 (02/12) FORM FAST APPROACHING FOR PAPER CLAIMS SUBMITTED TO MOLINA AND BAYOU HEALTH SHARED PLANS 4/11/14

Attention Providers Submitting Medicare/Medicaid Crossover Claims: Sequestration Reduction is Provider Responsibility 4/9/14

DHH to host weekly Dental provider Q & A calls 4/1/14

Applied Behavioral Analysis Available as a Medicaid Covered Service 3/31/14

Children’s Choice Waiver Additional Services - Professional Services -Therapy Services 3/20/14

Hospice and LTPCS 3/20/14

Recycle “194” denied claims from 8-12-13 3/19/14

ACA enhanced and Medicaid standard fees 3/17/14

ATTENTION PROVIDERS: CMS 1500 Claim Form from 08/05 Version to 02/12 Version 2/14/14

ATTENTION PROVIDERS: ACA-Eligible Claims Recycle for Nurse Practitioners 2/7/14

Attention Take Charge Program Providers - Take Charge Reimbursement Rate Change 2/6/14

1099 Notice for Providers 1/30/14

ATTENTION PROVIDERS: ACA-Eligible Claims Recycle for Newly Attested Providers 1/27/14

ATTENTION ALL PROVIDERS: PROCESSING ERROR IMPACTED CLAIMS ON 01/21/14 RA 1/23/14

Urgent National Correct Coding Initiative Update: Preventive Care Codes and Immunization Administration Codes 1/17/14

Attention all Providers - Receiving Electronic Remit Transactions (835) 1/16/14

Attention Providers -- Affordable Care Act Mandates 1/8/14

ER Revenue Codes 12/18/13

Attention Providers Receiving Payment Via EFT and 835 Electronic Remittance Advice 12/12/13

Long Term Care, ICF-DD and Adult Day Care Providers Regular and Supplemental Processing Schedule for January through June 2014 12/05/13

Medicaid Check Write Schedule for January thru June 2014 12/03/13

Attention Providers/Submitters of Electronic Claims---End of Year Cut-off Dates for Receiving Electronic Claim Files 11/18/13

FY 2014 Community Hospital DSH/Act 540 UCC Survey 11/13/13

Attention All Providers Receiving the 5010 835 Transaction 11/08/13

ATTENTION PROVIDERS: DEADLINE EXTENSION FOR AFFORDABLE CARE ACT ENHANCED REIMBURSEMENT 11/07/13

ATTENTION PROVIDERS: IMPORTANT NOTICE TO PROVIDERS (Revised 10/31/13) NEW PROCESS IMPLEMENTED TO ADDRESS MEMBER RETRO ENROLLMENT and DISENROLLMENT FOR MANAGED CARE (Bayou Health) 11/01/13

ATTENTION PROVIDERS: NEW PROCESS IMPLEMENTED TO ADDRESS MEMBER RETRO ENROLLMENT and DISENROLLMENT FOR MANAGED CARE (Bayou Health) 10/28/13

Revised status on LTC/ICF-DD Adjustments and Voids scheduled for the 10/29/2013 checkwrite 10/28/13

ATTENTION WAIVER LTC-PCS PROVIDERS: Waiver PCS Providers Service Limit Edit 10/23/13

ATTENTION PROVIDERS: TERMINATION OF PROVIDER EXEMPTION OF PROFESSIONAL SERVICES FEE SCHEDULE 10/22/13

Attention Providers That Submit Professional Crossover Claims Paper Crossover Claims Paid In Error 10/16/13

Attention LTC, ICF-DD, ADHC and Hospice Room & Board Providers
INFORMATION RELATED TO BILLING FOR SEPTEMBER AND OCTOBER, 2013
10/15/13

Attention All Providers: Payment of DX Code 3051 Tobacco Use Disorder 10/14/13

Attention LTC, ICF-DD, ADHC and Hospice (Room & Board) Providers—Revised payment schedule (Revision from 9/18/13)

ATTENTION LTC-PCS PROVIDERS 10/09/13

Attention All Providers: Affordable Care Act Mandated Changes 10/08/13

ATTENTION LOUISIANA BEHAVIORAL HEALTH PROVIDERS UPDATE TO THE NOTICE DATED 8/15/13 CONCERNING NEW EDIT 133 FOR BEHAVIORAL HEALTH CROSSOVER CLAIMS 9/26/13

Attention All Providers - Check Write Date Change 9/18/13

Attention: LTC, Hospice (Room & Board), ADHC & ICF Providers 9/18/13

Attention Long Term Care, ICF-DD and Adult Day Care Providers 9/18/13 (Revision from 6/24/13) (See Revised Notice dated 10/10/13)

Medicaid Check Write Schedule for July through December of 2013 9/18/13 (Revision from 6/24/13)

ATTENTION PROVIDERS: CONTINUED ACA ENHANCED REIMBURSEMENT CLAIMS RECYCLES AND IMPLEMENTATION OF ENHANCED PAYMENTS FOR APRNS 9/05/13

Attention Electronic Billers/Submitters of Institutional Claims 9/13/13

Attention Louisiana Behavioral Health Providers – New Edit 8/15/13 (Revision from 7/18/13)

Attention Providers: Medicaid RAC Educational Seminar scheduled for 9/18/13 8/12/13

ATTENTION PROVIDERS: ADDITIONAL INFORMATION ON A SECOND CYCLE TO REPROCESS ERRONEOUSLY DENIED CLAIMS FROM THE JULY 30, 2013 RA 8/8/13

Medicaid Dental Programs Fee Revisions Effective August 1, 2013 8/1/13

Second ACA Claims Recycle 7/26/13

Attention Louisiana Behavioral Health Providers – New Edit 7/18/13 (See Revised Notice dated 8/15/13)

ATTENTION ACA PROVIDERS: SECOND ADJUSTMENT TO OCCUR FOR CLAIMS WITH SERVICE DATES 1/1/13 – 2/19/13 7/18/13

Attention Dental Providers. 7/12/13

Scheduled Claims Recycle for Primary Care Services with Affordable Care Act Enhanced Rates 7/9/13

Criteria for Wearable Cardioverter Defibrillator Life Vest 7/5/13

Attention Long Term Care, ICF-DD and Adult Day Care Providers 6/24/13 (See Revised Notice dated 9/18/13)

Attention Primary Care Providers – Implementation of Enhanced Reimbursement for ACA Primary Care Services 6/17/13

ATTENTION: For EHR incentive payments, eligible professionals must login using individual logon credentials 5/17/13

ATTENTION ALL PROVIDERS 2013 HCPCS UPDATE COMPLETED 5/15/13

ATTENTION SUBMITTERS/PROVIDERS OF ELECTRONIC CLAIMS: 5/9/13

Provider Enrollment Update 4/19/13

Attention All Submitters, EDI Billing Cut-off Deadline 4/19/13

Attention Professional Services Providers: Prior Authorization Required for Brentuximab Vedotin Instructions 4/12/13

Attention Professional Services Providers: Prior Authorization Required for Brentuximab Vedotin 4/12/13

Designated Physician Forms Received by PRISM as of March 18, 2013 and Validated by DHH 4/09/13

Outpatient Hospital Providers: Pulse Oximetry Claims 3/25/13

ATTENTION PROVIDER ENROLLMENT OPERATIONS 3/25/13

ATTENTION ALL TRANSPORTATION PROVIDERS 3/18/13

REMINDER TO ALL DME AND PHARMACY PROVIDERS EMERGENCY PRIOR AUTHORIZATION REQUESTS 3/07/13

ATTENTION PROFESSIONAL PROVIDERS PERFORMING BEHAVIORAL HEALTH SERVICES FOR LEGACY OR SHARED HEALTH PLAN RECIPIENTS 2/05/13

SFY 2013 Summary of Rate Cuts 7/3/12 (Revised 1/29/13)

Update to ‘ClaimCheck’ Product Editing – ‘Clear Claim Connection’ Information 01/23/13

Emergency Rules Address Budget Deficit 01/17/13

Long Term Care, ICF-DD and Adult Day Care Providers Regular and Supplemental Processing Schedule for January through June 2013 1/2/13

Attention All Pharmacy Providers – BAYOU HEALTH Prepaid Plan PBM Information 10/31/12

Avoid Hiring or Employing Excluded Individuals Letter 10/30/12

Attention All Medicaid Pharmacy Providers 10/12/12

Attention All Optical Supply Service Providers 10/04/12

Attention Provider Submitting Claims on 837D, 837P or 837I Transactions 10/04/12

New MMIS Replacement System Portal 9/19/12

Attention Community Mental Health Center Providers 8/2/12

Consultant Codes Are No Longer Billable effective July 1, 2012 7/30/12

Bilateral Procedures: Billing Clarification 7/19/12

Attention All Nursing Home, Hospice and ICF-DD Providers 7/12/12

EHR Incentive Payment Program Update 7/10/12

Attention Nursing Home, ICF-DD, ADHC and BAYOU HEALTH Shared Plan United Providers 7/9/12

Attention Providers of EPSDT Screening Services: Use of EP Modifier 6/25/12

Ophthalmologists/ Optometrists/ Optical Suppliers: BAYOU HEALTH Shared Plan Claims Concerns 6/25/12 

Attention Providers Submitting Electronic 5010 Claim Transactions (837D, I, and P) 6/11/12

Louisiana Medicaid Payment Policy and Billing Instructions regarding Provider Preventable Conditions 6/4/12

Attention All Specialized Behavioral Healthcare Providers 5/21/12

Hospice Prior Authorization Process 4/30/12

Important Notice to All Medicaid Hospice Providers 4/19/12

Extension of Enforcement Discretion Period for 5010 HIPAA Transactions through June 30, 2012 3/30/12

An Important Notice to GSA C Providers 3/30/12

Reminder to BAYOU HEALTH Plan Providers 3/26/12

Important Information for Providers Enrolled in BAYOU HEALTH - Shared Savings Plans 3/22/12

Important Information Concerning Claims Under Pre-Payment Review 3/22/12

eMEVS Print Format Update 3/1/12

Attention Providers billing through the United Healthcare BAYOU HEALTH Plan 3/1/12

MEVS Disclaimer Message 2/21/12

Affordable Care Act information 2/10/12

FY 2009 Louisiana Federal Medicaid DSH Audit Surveys 1/26/12

Important News for CommunityCare Providers 12/12/11

Update and Clarification of Obstetrical Services and Postpartum Care Policy 11/18/11

Update Regarding Changes to the electronic Claims Status Inquiry (eCSI) Web Application 10/26/11

Upcoming Changes to the Electronic Prior Authorization (ePA) Web Application 10/14/11

ePrecertification Request Web Application Changes 10/14/11

DHH Schedules CCN Q & A Calls for Providers 10/7/11

Louisiana Medicaid to Eliminate Standard Paper Remittance Advices 9/28/11

Provider Notice for Change in Obstetric Ultrasound Service Limits 9/14/11

Procedure Codes Payable to Optometrists 9/9/11

Fee Schedules in Excel Format 9/6/11

Pathology Consultations Performed During Surgery 9/2/11

Billing Diagnostic Heart Catheterizations 8/8/11

Intrathecal Baclofen Pump Management 7/25/11

New Changes to Retrospective Review Process for Private and State Acute Care Hospitals 7/13/11

Hospital, Physician and Billing Providers Important Information Concerning Change in Precertification Requirement for Sterilizations 6/2/11

Diabetes Self-Management Training 5/27/11

Optometrist Provider Update 4/21/11

Procedure Codes Payable to Podiatrists 4/18/11

 

The Louisiana Department of Health and Hospitals and Molina Medicaid Solutions have created this website to make information more accessible to Medicaid providers. At this online location, providers can access information ranging from how to enroll as a Medicaid provider to directions for filling out a claim form. 

In addition, providers can have direct contact with the Molina Field Analyst assigned to their area or find information on provider training. Select the Provider Support link in the table of contents on the left side of the screen to find your representative.

Some questions you might have are already answered on our FAQ page. Visit it by using the link located on the index to your left. Click on any of these items to learn more about the Louisiana Medicaid Program.

As you move throughout the site, please note that we have included links to numerous useful websites. These sites are maintained independently of the Department of Health and Hospitals. Availability of these sites is not the responsibility of DHH.  

Questions about this website may be directed to Molina Provider Relations at (800) 473-2783 or (225) 924-5040.

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