page. Not all health care providers in a given state participate in all plans. Supporting Provider Documents Behavioral Health Speed Guide ... Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. Aetna Better Health of Louisiana implements comprehensive and robust policies to ensure alignment with Louisiana Department of Health (LDH) and to warrant that regulatory standards are met. Doc#: PCA-1-016543-05292020_ 2020 V42.12102019 2020 Care Provider Manual Physician, Health Care Professional, Facility and Ancillary Care Louisiana LA Policy-Prior Authorization for Behavioral Health Policy Number ABHLA-RP-0141 Policy Type Medical Administrative Pharmacy Reimbursement Aetna Better Health of Louisiana implements comprehensive and robust policies to ensure alignment with Louisiana Department of Health (LDH) and to warrant that regulatory standards are met. The manual is divided into two major components, a general information and administration chapter and individual program chapters. If you are interested in becoming a contracted behavioral health provider with AmeriHealth Caritas Louisiana, please reach out to your behavioral health account executive for contracting and credentialing information. Ensuring providers are qualified to perform behavioral health services is a responsibility we all must take seriously. Provider Resources Louisiana Healthcare Connections provides the tools and support you need to deliver the best quality of care. Revisions to Chapter 2.6 Record Keeping have been posted to the manual lamedicaid.com. At Aetna Better Health of Louisiana, we value our provider partners. Please see your Provider Manual for complete information on how to refer a member. May 2019 2 . Categories include pediatricians, family medicine physicians, psychiatrists, psychologists, and licensed social workers. LOUISIANA MEDICAID PROGRAM ISSUED: 01/01/19 REPLACED: 07/24/18 CHAPTER 2: BEHAVIORAL HEALTH SERVICES SECTION 2.3: OUTPATIENT SERVICES PAGE(S) 42 Rehabilitation Services Page 1 of 42 Section 2 .3 Rehabilitation Services for Children, Adolescentsand Adults 7 What is considered an Non-Independently Licensed Clinician? Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Agenda Overview â Paul Dykes, Chief Executive Officer, Magellan Behavioral ... Magellan and the Service Description Manual Magellan of Louisiana provider contracts are developed using the Service Manual Codes spreadsheet These enclosed 44, No. Youâll learn which services our plan covers. The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana. This provider manual chapter outlines SBHS offered under Medicaid managed care, §1915(c) and §1915(b) wavier services offered only though the CSoC program contractor (currently Magellan), as well as other specialized behavioral health services offered to CSoC children and We have created a dedicated fax line for your behavioral health needs. Rehabilitative Behavioral Health Services (RBHS) are available to all Medicaid beneficiaries diagnosed with mental health and/or a substance use disorder (SUD), as defined by the current edition of the American Psychiatric Associationâs Diagnostic and Statistical Manual of Mental The It was last updated in 2013. Youâll find most of the information you need in the provider manual. As an Aetna Better Health of Louisiana provider, there are certain procedures and protocols you need to know. We cover more than 465,000 members for medical care, pharmacy benefits and behavioral health services. Aetna.com, on the . With our broad network of contracted care providers, health care services come from local physicians and hospitals that many plan members know and trust. hospitals, group homes, residential treatment, MHR, Homebuilders, FFT, MST, ACT and other licensed ⦠Providers need to check the Provider Manual regarding the proper billing practices for Behavioral Health ⦠Policy Type . Healthy Louisiana is Louisianaâs Medicaid program that provides quality, no-cost health insurance for low-income pregnant women, children and adults who qualify. UnitedHealthcare provides a range health care alternatives designed to meet the needs of our members. Statewide Management Organization. Pharmacy . Behavioral Health Services Provider Manual associated with provider qualifications and requirements for the provision of specialized behavioral health services (SBHS). This chapter replaces previously published provider qualifications and requirements found in the Louisiana Behavioral Health Partnership Service Definitions Manual (Version 9, 8.15.14). Provider Education & Manuals. Administrative . Louisiana Department of Health (LDH) Behavioral Health Service Provider Manual. View maps showing different categories of behavioral health services providers by county. The Louisiana Behavioral Health Partnership . Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies (Aetna). Reimbursement . If you are a behavioral health provider, you may fax your behavioral health prior authorization requests, assessments, and other clinical information to us at 1-844-634-1109.Aetna Better Health of Louisiana will require prior authorization for CPST, PSR, FFT, and Homebuilders services beginning on ⦠By initialing this document, you and the individual providers are attesting that all information is true and accurate and all requirements have been completed as identified in the Louisiana Department of Health Behavioral Health Services Provider Manual. Employee Assistance Program (EAP) Manual. Definitions of Utilization Management and Care Coordination . Behavioral Health Tools and Information for Providers Welcome to the provider section of the Humana Behavioral Health website. ABHLA-RP-0140 . Behavioral Health Provider Manual. Medical Providers. Itâs important for all contracted healthcare providers and administrators to review the new provider manual, as your participation agreement with the Humana or ChoiceCare network contains a compliance obligation with the provisions of the manual. Membership in the Louisiana Association of Behavioral Providers is open to all currently licensed Behavioral Health Service Providers with the Louisiana Department of Health Standards. Credentialing Checklist (PDF) Credentialing Tip Sheet (PDF) Provider Data Form (PDF) CAQH ProView ⦠On this site youâll find: ABHLA Quick Guide 2019; Provider Manual; Behavioral Health â Provider Manual; The forms and resources you need; The latest provider news and notices 2. The UnitedHealthcare Community Plan of Louisiana Physician, Health Care Professional, Facility and Ancillary Care Provider Manual applies to the following plans: UnitedHealthcare Community Plan of Louisiana - Healthy Louisiana View the UnitedHealthcare Community Plan of Louisiana Care Provider Manual. Provider Manual (PDF) Provider Billing Manual (PDF) Provider Manual â Vision Benefits (PDF) HEDIS Quick Reference Guide (PDF) PCP Toolkit for Behavioral Health (PDF) Contracting and Credentialing. This policy applies to services performed in a facility: HCPCS and CPT codes Aetna Better Health of Louisiana would like to remind providers that its Behavioral Health Reimbursement policy is aligned with the Louisiana Department of Healthâs Medicaid Services. Policy Number . A revised version of the Humana Provider Manual is now available and became effective on July 1, 2019. WellCare offers integrated Case and Disease Management programs specifically designed to assist with behavioral health issues such as depression and diabetes. A list of the sections updated in the Behavioral Health Service Providers (BHSP) Manual and where to find detailed information in the manual is below. Each individual provider and group must attest that they meet the Louisiana Department of Healthâs qualification requirements for each behavioral health service type they perform. Qualis Healthâs care management programs use the following definitions for utilization management (UM) and care coordination (CC): ⢠Provider Manuals Print The intent of the service provider manual is to present useful information and guidance to providers participating in the Louisiana Medicaid Program. This includes provisionally licensed clinician. FY 21 râ 3 d Quarter Provider Manual for Community Behavioral Health Providers ( January 1, 2021) Page 7 of 420 DBHDD is awaiting final AMA/CMS confirmation of the changes, for the DCH to approve DBHDDâs implementation plan (i.e. Medical . Summary: The Louisiana Department of Health has published revisions to the Medicaid Behavioral Health Services Provider (BHSP) Manual for 2018. LA Policy-Behavioral Health Provider Requirements . some of the AMA/CMS changes may be modified to accommodate certain This includes all behavioral health and substance abuse programs, i.e. Changes are effective first quarter 2019 and updates have been included in the LDH Behavioral Health Services Provider Manual. Provider resources for UnitedHealthcare Healthy Louisiana Plan products including prior authorization information, provider manuals, forms, recent news and more. For additional information specific to your practice, sign in to the Provider Portal. Read the behavioral health manual. 12 December 20, 2018- Chapter 41 Expedited Licensing Process for Healthcare Facilities and Providers Licensed by the Department of Health This Behavioral Health Provider Manual, the EAP Manual and other related communications are posted on . Behavioral Health Service Providers Licensing Standards LAC 48:1 Chapter 56 Louisiana Register Vol. Full details on our behavioral health authorization requirements are available in our online provider manuals. behavioral health providers. These tools are for all BH providers; however, there are specific tools outlined for substance use disorders and mental health providers. Subject: Behavioral Health Services Provider Manual â Chapter 2.6 Record Keeping Revision Summary: The Louisiana Department of Health has revised Chapter 2.6 of the Behavioral Health Services Provider Manual. lists of evidence-based practices that Providers may reference. 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