Resources
- Chiropractic Services for Adults — In Lieu Of policy (PDF)
- Doula Services for Pregnant and Postpartum Individuals — In Lieu Of policy (PDF)
- Remote Patient Monitoring — In Lieu Of policy (PDF)
- Hospital-Based Care Coordination of Pregnant and Postpartum Individuals with Substance Use Disorder (SUD) and Newborns — In Lieu Of policy (PDF)
- ADHD toolkit
- Behavioral health provider reference guide (PDF)
- Behavioral health provider toolkit (PDF)
- Claim filing instructions (PDF)
- EPSDT provider toolkit (PDF)
- Fluoride varnish provider toolkit (PDF)
- HEDIS playbook (PDF)
- How to Navigate Louisiana's Complex Systems to Find the Supports and Services That You Need (PDF)
- Marketing guidelines
- NantHealth/Navinet: How to Inquire about an Authorization
- Provider handbook
- Provider reference guide (PDF)
- TeleECHO™ Integrated Health Care Clinic Participant Guide (PDF)
- Adverse incident reporting (PDF)
- Primary care provider reassignment guidelines (PDF)
- Provider complaint and dispute processing and resolution policy (PDF)
- Continuity for behavioral healthcare & care coordination with primary care and behavioral health providers (PDF)
- Continuity of care (PDF)
- AmeriHealth Caritas Louisiana enrollee PCP reassignment dispute process (PDF)
- Performance quality monitoring plan (PDF)
- Infertility diagnosis and treatment (PDF)
- Duplicate claim policy (PDF)
- Bilateral procedures (PDF)
- Assistant surgeon (PDF)
- Add-on codes (PDF)
- New patient visit (PDF)
- Increased procedural service (PDF)
- Global surgical package and split surgery (PDF)
- Multiple procedure payment reduction (PDF)
- Inappropriate diagnosis coding (PDF)
- National correct coding initiative (PDF)
- COMPASS program guide (PDF)
- Cultural competency and language services
- HIPAA information
- Integrated health care management (PDF)
- Patient Centered Medical Homes (PCMH)
- Provider Advisory Council (PAC)
- Quality Assessment and Performance Improvement (QAPI) program
- Quality enhancement program (QEP)