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Manuals, Forms and Resources

Medicaid Managed Care - Healthy Louisiana

Mental Health Rehabilitation – Adults

Mental Health Rehabilitation – Children

PASRR II

PRTF and In-Patient

Applied Behavioral Analysis (ABA)

ASAM

Crisis Services 

Peer Support Services (PSS)

Adverse Incident Reporting

The Centers for Medicare and Medicaid Services (CMS) has approved Louisiana’s submission of a State Directed Payment request to utilize funding from the American Rescue Plan Act of 2021 to incentivize evidence-based practice (EBP) practitioners and licensed mental health professionals/psychiatrists who meet state criteria under Medicaid managed care plan contracts. Services must be rendered per the requirements outlined by the Louisiana Department of Health (LDH) and Louisiana Medicaid as detailed in the Behavioral Health Services Provider Manual and any Informational Bulletins active on the service date.

The Healthy Louisiana Medicaid MCOs would like to thank the Office of Behavioral Health for the opportunity to recognize and reward behavioral health practitioners who have been trained and who will become trained in evidence-based practices to ensure that plan members get access to quality evidence-based services.

The incentive payments are summarized below by service, and are in effect for the period July 1, 2023 through June 30, 2024, or until funds are exhausted, whichever comes first.
Providers are eligible to receive recruitment and retention payments from all MCOs with which they are credentialed when the criteria specified below is met.

Providers are eligible for multiple recruitment payments if trained and certified in more than one EBP on or after 1/1/2023.

Medicare Advantage

For the Wellcare Provider Manual, please visit the Medicare Provider section of our Wellcare website. 
 

    For more information on submitting Medicare authorization requests, please visit Submitting an Authorization Request on our Wellcare website.

    Providers can check to see if a service requires prior authorization (PA) using our Authorization Lookup tool. 

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