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Recent Policy

Provider Enrollment Portal Webinars 08/06/21


LDH to Host Meetings for CMS Maternal Health Funding Opportunity 08/29/24

Attention Medicaid Providers: Help Connect Eligible Patients to WIC 08/19/24

Early Childhood Developmental Screening Survey 07/12/24

Long Term Care Patient Liability Income Memo Posting 06/20/24

Louisiana Medicaid Pharmacy Single Preferred Drug List (PDL) Update – Effective July 1, 2024 05/16/24

Medicaid Quarterly Eligibility (Wage) Checks Resume in May 05/15/24

School-Based Provider Enrollment Requirements 09/08/23 (Revised: 2/22/2024)

Immunization Fee Schedule Updates 01/29/24

2023 Annual 1099 Notice for Providers 01/16/24

2024 Healthcare Common Procedure Coding System (HCPCS) Update 01/05/24

Administration of Respiratory syncytial virus vaccines 12/29/23

SFY23 Voids of NCCI MUE OPH and DME Claims in December 19, 2023 Claim Cycle 12/22/23

LTC Monthly Processing Schedule for Calendar Year 2024 11/29/23

Medicaid Check Write Schedule for Calendar Year 2024 11/29/23

Attention Providers/Submitters of Electronic Claims – 2023 Holiday Cutoff Dates for Receiving Electronic Claim Files 10/15/23

Healthy Louisiana Open Enrollment begins October 15 10/06/23

Attention Durable Medical Equipment Providers 09/21/23

2023 Physician-Administered Drug Reimbursement Update 09/07/23

MCO PMPM Payments Schedule SFY2024 07/31/23

COVID-19 laboratory tests: Update of HCPCS codes U0003, U0004 and U0005 06/30/23

SFY23 Recycle of NCCI Outpatient Hospital and DME Claims 06/25/23

Access to Clear Claim Connection Delayed 06/21/23

2023 HCPCS Update 05/30/23

Medicaid Provider Enrollment Must be completed by June 30, 2023 05/26/23

Revised Medicaid Recipient Insurance Information Update – Traditional Medicare Only form 04/28/23

Revised Medicaid Recipient Insurance Information Update form 04/28/23

Help Protect Members and Their Families from Medicaid Unwind Scams 04/21/23

Attention: LEAs and Respective Billing Agencies - National Correct Coding Initiative Medically Unlikely Edits 04/13/23

ClaimsXten - Implementation Delayed 03/23/23

Clear Claim Connection Unavailable from April 1 through April 21, 2023 03/23/23

ClaimsXten Multiple Surgical Reductions Reimbursement 03/21/23

Implementation of the NCCI MUEs for Outpatient Hospital and DME Services 03/21/23

Louisiana Medicaid Announces: New Editing Product - ClaimsXten Coming March 2023 03/08/23

Update: CMS issues updated guidance related to patient liability income and reductions 02/10/23

2022 Annual 1099 Notice for Providers 02/01/23

Attention All Medicaid Providers – Payment Issue 01/18/23

Preparation - 2023 Healthcare Common Procedure Coding System (HCPCS) Update 01/13/23

Updated Medicaid Provider Enrollment Portal Update and Requirements 12/02/22

LTC Monthly Processing Schedule for Calendar Year 2023 11/16/22

Medicaid Check Write Schedule for Calendar Year 2023 10/28/22

Medicaid continues to enroll providers who have missed the September 30, 2022 deadline 10/04/22

Medicaid to host provider webinars about approaching Provider Enrollment Deadline 09/15/22

MCO PMPM Payments Schedule SFY2023 08/17/22

Sterilization and Hysterectomy Claim Requirements 08/16/22

Sterilization Consent Form Updated by OPA 08/10/22

Provider Portal Enrollment Lookup Tool Update 08/03/22

Medicaid will deny claims for Providers who have not completed Provider Enrollment 06/30/22

Revised Telemedicine/Telehealth Billing Changes 05/10/22

2022 HCPCS and Physician-Administered Drug Reimbursement Updates 04/26/22

Sterilization Consent Form Guidance 04/13/22

Provider Enrollment Portal is back online. 02/11/22

2021 Annual 1099 Notice for Providers 01/21/22

CMS Issues Guidance Related to Patient Liability Income and Reductions 01/10/22

HHS Is Releasing $9 Billion in Provider Relief Fund Phase 4 Payments 12/17/21

Attention Providers/Submitters of Electronic Claims – December 2021 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/16/21 (Revised 12/10/21)

Vaccination Requirements for Healthcare Settings 11/05/21

LDH: Pfizer booster shots are now available to adults at increased risk, following new CDC guidance 09/27/21

HHS announces the availability of $25.5 billion in COVID-19 Provider Funding 09/20/21

Vaccination Requirements to Expand for Healthcare Settings 09/17/21

LDH Invites All Providers to Participate in the Final Louisiana eScan Survey 09/14/21

August 2021 Hurricane Ida Information for Medicaid Pharmacy 08/28/21 (Revised 09/03/21)

Update: Medicaid Provider Enrollment Portal Launched July 26, 2021 07/27/21

LTC Monthly Processing Schedule for Calendar Year 2022 07/27/21

Medicaid Check Write Schedule for Calendar Year 2022 07/27/21

Medicaid Check Write Schedule for Calendar Year 2021 07/27/21

HRSA opens PRF reporting portal for providers 07/20/21

Healthy Louisiana Open Enrollment begins October 15 07/12/21

All providers on Medicare crossover claims receiving 444 Invalid Service Provider denials 07/01/21

Update: Medicaid Provider Enrollment Portal Anticipated to Launch in July 2021 06/21/21

Medicaid Renewals and Eligibility Checks Resuming 06/17/21

All providers on Medicare crossover claims must be enrolled in fee-for-service Louisiana Medicaid 06/09/21

UPDATE: Medicaid Eligibility Group Provides COVID-19 Related Coverage for Uninsured Patients 05/11/21

Update: Medicaid Provider Enrollment Portal Launching in June 2021 04/29/21

LDH Resumes Use of Johnson & Johnson Vaccine 04/27/2021

Ambulance Treatment-in-Place/Telehealth Billing Guidelines 04/22/21

COVID-19 Vaccine Access for Uninsured Individuals Provider Fact Sheet 04/19/21

COVID-19 Vaccine Access for Uninsured Individuals Provider Fact Sheet - Spanish 04/19/21

Medicaid Provider Update on Vaccine Administration 04/14/21

2021 Assistant Surgery and Assistant at Surgery Services 04/01/21

Increase to COVID-19 Vaccine Rates Effective March 15, 2021 03/24/21 (Revised 03/26/21)

2021 HCPCS and Physician-Administered Drug Reimbursement Update 03/23/21

New Medicaid Provider Enrollment Portal to Launch in April 2021 03/05/21

Reminder of Upcoming Change in Process and Required Document for NEAT 02/26/21

Updated Guidance for COVID-19 Vaccine and Treatment Coverage 12/29/20

Updated Guidance Regarding the Process and Required Document Change for NEAT 12/28/20

HHS begins distributing over $24 billion in Phase 3 COVID-19 Provider Relief Funding 12/28/20

HHS begins distributing over $24 billion in Phase 3 COVID-19 Provider Relief Funding 12/23/20

Attention Providers/Submitters of Electronic Claims – Revised December 2020 Holiday Cutoff Dates for Receiving Electronic Claim Files 12/16/20

Change of Process and Required Document for NEAT effective January 1, 2021 12/11/20

Attention ESRD Facilities and Independent Laboratory Providers - Non-Routine Laboratory Services 12/01/20

LTC Monthly Processing Schedule for Calendar Year 2021 11/20/20

Tobacco Cessation Counseling for Pregnant Women 11/19/20

Medicaid Check Write Schedule for Calendar Year 2021 11/18/20

Attention Dental Providers: Upcoming e-MEVS Training 11/17/20

Attention Providers/Submitters of Electronic Claims - November and December 2020 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/17/20

HHS Expands Relief Fund Eligibility and Reporting Requirements Updates 10/26/20

CHANGES TO DME, HOME HEALTH, PEDIATRIC DAY HEALTH CARE, REHABILITATION AND PERSONAL CARE SERVICES DUE TO HURRICANE DELTA - OCTOBER 2020 10/09/20

Provider Relief Fund: Third Phase of General Distribution Funding 10/02/20

Confirm Medicaid Eligibility Using MEVS 09/29/20

Provider Relief Fund Post-Payment Reporting Requirements 09/25/20

New Medicaid Eligibility Group Covers COVID-19 Testing for Uninsured Patients 05/20/20 (Revised 09/23/2020)

Provider Memo: Assisted Living Facilities can now apply for Provider Relief Funding 09/10/20

Healthy Louisiana Open Enrollment begins October 15 09/08/20

Changes to DME, Home Health, Pediatric Day Health Care, Rehabilitation and Personal Care Services due to Hurricane Laura – August 2020 09/04/20

FFS Pharmacy Prior Authorization Emergency Override Procedure 08/28/20

Medicaid Provider Relief Funding Deadline Extended and Update on Eligibility 08/04/20

Medicaid Provider Relief Fund Extended Deadline Provider Memo 07/20/20

Long-term Electroencephalography (EEG) Setup and Monitoring 07/08/20

Medicaid Provider Relief Funding Update and Webinar 07/07/20

EMS COVID-19 Services Eligibility and Claims 06/25/20

Attention Physicians and Independent Laboratories: 2020 Clinical Laboratory Services - Reimbursement Changes 05/12/20

Memorandum to Providers: Data Requested by HHS for CARES Act Provider Relief Funding 05/08/20

Revised Hysterectomy Acknowledgment Form (BHSF Form 96-A) 04/21/20

Some Medicaid Fee-For-Service Provider Payments Missed Week of April 13, 2020 04/20/20

ATTENTION ICF/IID PROVIDERS 04/16/20

Coronavirus (COVID-19) Medicaid Information 04/13/20

Attention Providers: Lamedicaid.com Website is Transitioning to a New Look and Feel 03/11/20 (Revised 4/7/20)

2020 Assistant Surgeon and Assistant at Surgery Services 03/12/20

2020 HCPCS and Physician-Administered Drug Reimbursement Updates 03/05/20

2019 Annual 1099 Notice for Providers 01/21/20

Additional Web Notices

Disclaimer

The Louisiana Department of Health and Hospitals and Gainwell Technologies 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 Gainwell Technologies 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 Gainwell Technologies Provider Relations at (800) 473-2783 or (225) 924-5040.

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