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Communications and network notices

Visit this page often to find current network notices, current and previous issues of our New Horizon Louisiana Medicaid provider newsletter, and updates to our prior authorization processes.

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Network notices

2024

Informational Bulletin 16-9 Update: 340B Policy Clarification, PDF

Louisiana Department of Health Informational Bulletin 24-9: Therapy Services in Federally Qualified Health Centers, Rural Health Clinics and American Indian Clinics, PDF

Louisiana Department of Health Informational Bulletin 24-11: Updates to the Outpatient Hospital Fee Schedule Based on NCCI MUEs, PDF

Louisiana Department of Health Informational Bulletin 19-3: Medicaid Provider Issue Resolution, PDF

Louisiana Department of Health Informational Bulletin 24-4: Managed Care Ambulance Provider Issue Resolution, PDF

Louisiana Department of Health Informational Bulletin 24-10: LEAs and Respective Billing Agencies – Changes to NCCI MUE Edits, PDF

Dialectical Behavior Therapy (DBT) ARPA Incentives, March 1, 2024, PDF

2024 Emergency Medical Transportation Methodology Update and Air Ambulance Mileage Rate Increase, PDF

LDH Breast Pump Coverage Changes, March 1, 2024, PDF

Notification of amendment to LAC 50:XIII.801 – Nursing Recruitment and Retention, PDF

NAMI Ask the Expert: How Employment Supports Mental Recovery webinar on April 18, 2024, PDF

Louisiana Department of Health Informational Bulletin 24-6: LDH Newborn/Deemed Eligible MCO Assignment Mismatch Corrections, PDF

Outpatient Hospital Claims Reimbursement, PDF

LDH Member Reassignment Policy Core Elements, March 4, 2024, PDF

LDH Medicaid Provider Issue Resolution, Revised March 4, 2024, PDF

Class Action Notice – A.A. V. Abraham, PDF

LDH Behavioral Health Services Manual Update – effective February 5, 2023, PDF

Louisiana Department of Health Informational Bulletin 24-5: Pediatric Day Health Care (PDHC) Policy Reminder, February 7, 2024, PDF

Louisiana Department of Health Informational Bulletin 15-17: Billing for Specialized Mental Health and Substance Use Services for Dual Eligibles, PDF

Managed Care Organization Manual effective 02.02.2024 Managed Care Organization Manual | La Dept. of Health

Managed Care Organization Manual Revision Log February 2, 2024 Managed Care Organization Manual | La Dept. of Health

Louisiana Department of Health Informational Bulletin 24-3: Immunization Fee Schedule Updates, January 31, 2024, PDF

Louisiana Department of Health Informational Bulletin 24-4 February 2, 2024, PDF

Louisiana Department of Health Informational Bulletin 23-11: 2024 Diabetic Supplies Pharmacy Benefit update, PDF

Louisiana Department of Health Informational Bulletin 24-1 2024 Healthcare Common Procedure Coding System (HCPCS) Update, PDF

Louisiana Department of Health Informational Bulletin 24-2 2024 ASAM Criteria Updates for Adult Substance Use Services, PDF

2023

Louisiana Department of Health Informational Bulletin 23-22 Administration of Respiratory Syncytial Virus Vaccines, PDF

RHC/FQHC Secondary Claims Processing Error, PDF

LA Provider Crisis Response Services, Appendix D, Appendix F, and Appendix E-11, PDF

EPSDT Pediatric Payment Error Denial Issue 33, PDF

Identified System Edit Causing Improper 61T Denials, PDF

LDH MCO Manual 12.13.2023 Updates Managed Care Organization Manual | La Dept. of Health

LDH Informational Bulletin 23-21: Tobacco Cessation Counseling – Expanded, PDF

Managed Care Organization Manual effective 12.05.2023

Louisiana Department of Health Informational Bulletin 18-5, PDF

LA Medicaid Recently Policy Updates Webpage, PDF

Managed Care Organization Manual effective 11.08.2023

LA School-Based Provider Enrollment Requirement effective - 9.8.2023, PDF

Revised ACT appendix in the BH Services Provider Manual, PDF

Louisiana Medicaid Email: State Directed Payment Program Manual Updated 9.22.2023 , PDF

Provider Communication Notice: Payment for Out of State Hospital Claims, PDF

LDH Informational Bulletin 23-18: Managed Care Organization Credentialing for Medical Staff of Hospitals, Federally Qualified Health Centers, and Rural Health Clinics, PDF

LDH Informational Bulletin 23-17: Coverage for Portable Oxygen Concentrators, PDF

LDH Behavioral Health Services Manual Update – effective August 25, 2023, PDF

LDH Informational Bulletin 23-16: Physician-Administered Drug Reimbursement Update, PDF

LDH Informational Bulletin 23-14: Electronic Visit Verification for Home Health Services , PDF

LDH Informational Bulletin 23-13: Anesthesia Policy for Pain Management , PDF

Humana Healthy Horizons in Louisiana Chiropractic Payment Network Notification , PDF

LDH Crisis Regional Tour 2023 – Save The Date , PDF

LDH Informational Bulletin 23-12: Midwifery Services Reimbursement Rate Update – Revised August 18, 2023, PDF

Mental Health Rehabilitation (MHR) Billing Guidance, PDF

Informational Bulletin 22-10: Termination of the Non-Emergency Medical Transportation Temporary Mileage Rate Increase – effective August 1, 2023, PDF

Informational Bulletin 22-38: New Information about Medicaid Provider Enrollment, PDF

LDH Informational Bulletin 23-11 Diabetic Supplies Coverage as a Pharmacy Benefit – revised September 26, 2023, PDF

LDH Informational Bulletin 23-10 COVID-19 Laboratory Test Update of HCPS codes U0003. U0004, U0005 – Revised July 14, 2023, PDF

Update Humana Dental Program Fee Schedule – effective July 1, 2023, PDF

American Rescue Plan Act of 2021 (ARPA) Provider Incentive, PDF

Assertive Community Treatment (ACT) behavioral health provider manual updates, PDF

Louisiana Department of Health Informational Bulletin 23-09 – effective June 15, 2023, PDF

Louisiana Department of Health Informational Bulletin 21-9 – effective June 15, 2023, PDF

The Louisiana Department of Health is consolidating Provider Type codes used for Mental Health Rehabilitation Agency and Behavioral Health Rehab Provider Agency – published June 7, 2023, PDF

Louisiana Department of Health retired several Informational Bulletins related to the COVID-19 Public Health Emergency – published May 15, 2023 , PDF

Rural health clinic and federally qualified health center payment variances identified – published May 10, 2023 , PDF

Private third-party liability and Medicare Advantage Plan request submission update – effective May 4, 2023 , PDF

Mental health services reimbursement issue identified – effective May 2, 2023 , PDF

Coverage of Makena (17-Hydroxprogesterone Caproate) for prevention of preterm birth – effective April 6, 2023 (published May 1, 2023) , PDF

Comprehensive dental care for adults with developmental or intellectual disabilities residing in an intermediate care facility – effective May 1, 2023 , PDF

General anesthesia and facility reimbursement increase for dental treatment – effective March 24, 2023 (published April 24, 2023), PDF

Hospital observation claims payment issue – effective April 19, 2023 (published April 14, 2023), PDF

LDH policy update: Home Health Services Reimbursement Rate Update – effective April 3, 2023 (published April 14, 2023), PDF

LDH policy update: Early and Periodic Screening, Diagnosis, and Treatment Personal Care Services (EPSDT-PCS) – effective May 11, 2023 (published April 13, 2023) , PDF

Identified system edit causing improper 69i denials – effective April 12, 2023 , PDF

Information from LDH about available options for pursuing resolution of issues with Medicaid managed care organizations and the state’s fee-for-service claims processor, Gainwell Technologies – revised June 15, 2023 , PDF

Community psychiatric supportive treatment payment error – effective April 7, 2023 , PDF

Immunization update – Pneumococcal vaccine (15 valent) for ages 0 - 18 – effective April 3, 2023 , PDF

Reimbursement for portable oxygen content units , PDF

Information about how to resolve claims payment issues for transportation providers – effective Mar. 27, 2023 , PDF

Louisiana Department of Health telemedicine and telehealth health plan advisory updates – effective Mar. 17, 2023 (Updated May 24, 2023) , PDF

Louisiana Department of Health Behavioral Services Provider Manual Updates – effective Mar. 10, 2023 , PDF

Act 143 Implementation – effective Mar. 1, 2023, PDF

Federally Qualified Health Center and Rural Health Clinic Claims Payment Issue – effective Feb. 24, 2023 , PDF

Louisiana Department of Health Informational Bulletin 19-3, PDF

53Y Claim Denial Communication – effective Feb. 3, 2023, PDF

Procedure for Submitting 148 Admission Forms – effective Jan. 25, 2023, PDF

Enteral Formula Reimbursement Changes – effective Jan. 1, 2023, PDF

New Horizon Louisiana Medicaid provider newsletter

New Horizon Louisiana Medicaid provider newsletter, PDF

New Horizon Louisiana Medicaid provider newsletter archive, PDF

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