The hotline is here to help you: schedule your vaccine appointment, find vaccine providers in your area, and connect with medical professionals who can answer your vaccine questions.
Following FDA and CDC recommendations, providers in Louisiana should pause administering the J&J COVID-19 vaccine immediately, and all shipments to providers will be temporarily suspended until more information is gathered.
The Louisiana Department of Health (LDH) acknowledges the need for the continued facilitation of MHR services during the COVID-19 declared emergency.
The Louisiana Department of Health (LDH) acknowledges the need for the continued facilitation of outpatient behavioral health services during the COVID-19 declared emergency.
The Louisiana Department of Health (LDH) acknowledges the need for the continued facilitation of Outpatient Substance Use Disorder (OP-SUD) treatment services during the COVID-19 declared emergency.
This bulletin is to inform all providers rendering services to Louisiana Medicaid members, including members of all Medicaid managed care organizations (MCO). This advisory will be updated as new information is available.
Louisiana Health Alert Network (LA HAN)--Louisiana Expands COVID-19 Vaccine Eligibility to All Individuals 18 & Up (16 & Up for Pfizer)
The State of Louisiana is expanding COVID-19 vaccine eligibility to Phase 1b, Tier 2, which makes all essential workers eligible as of Monday, March 22, 2021. All persons currently eligible in Phases 1a and 1b, Tier 1 remain eligible.
The purpose of this emergency order is to authorize certain medical professionals to administer the Pfizer, Moderna, and Janssen COVID-19 vaccines by protocol in lieu of a patient-specific order from a physician and prescribing practitioner.
Protocol for Administering Vaccine to Persons 16 Years of Age and Older
Protocol for Administering Vaccine to Persons 18 Years of Age and Older
Protocol for Administering Vaccine to Persons 18 Years of Age and Older
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The COVID-19 vaccine is the best way to protect yourself and family members from COVID.
Existing outpatient service authorizations extended to April 30, 2021. Providers must submit renewal requests for any subsequent renewals needed for authorizations end dates after April 30, 2021.
Join us for a captivating conversation about the COVID-19 vaccine and the nursing community.
This is a message from the Louisiana Department of Health Emergency Operations Center (LDH EOC) for the Louisiana Health Alert Network (LA HAN) recipients. This message is from Dr. Joseph Kanter, State Health Officer, regarding COVID-19 Vaccine Administration and Management . Please share and distribute with relevant stakeholders and partners through your own distribution channels.
The Department of Health has recently received indications that certain vaccine providers in the state are reserving their excess doses (i.e., doses that exceeds hospital, clinic, or pharmacy staff uptake) of OWS COVID-19 vaccine for existing patients of their clinic, pharmacy, system or institution (e.g., only for persons who have been patients of the hospital or clinic within the last x months).
Join us for a riveting conversation about the COVID-19 vaccine and minority communities. Our expert panel will inform and educate with the facts and lead us to a path to our new normal. We hope you plan to attend on January 22nd!
Healthy Blue recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. Today, unless otherwise required under State and Federal mandates, Healthy Blue is making adjustments to assist providers in caring for members.
The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), has announced the completion of the review of Phase 3 applications from the Provider Relief Fund (PRF) program and will now distribute $24.5 billion to over 70,000 providers. Up from the $20 billion originally planned, the addition of another $4.5 billion in funding is being used to meet close to 90 percent of each applicant’s reported lost revenues and net change in expenses caused by the coronavirus pandemic in the first half of 2020. Payment distribution started December 16, 2020, and will continue through January 2021.
Effective January 1, 2021, Medicaid is revising its payment methodology for high throughput COVID-19 testing to align with Medicare rates. Currently, these tests (HCPCS codes U0003 and U0004) are both reimbursed at $100 per test, but beginning January 1, 2021, Medicare is reducing the base payment for each of these tests to $75.
Healthy Blue will waive cost shares for Medicare Advantage members — including copays, coinsurance and deductibles — for COVID-19 tests and visits associated with the COVID-19 test (including visits to determine if testing is needed). Tests samples may be obtained in many settings including a doctor’s office, urgent care, ER or even drive-thru testing once available. While a test sample cannot be obtained through a telehealth visit, the telehealth provider can connect patients with a test. The waivers apply to members who have individual, employer-sponsored, Medicare Advantage and Medicaid plans.
All facilities performing testing for COVID-19/SARS-CoV-2 are required to report all COVID-19/SARS-CoV-2 results to the Louisiana Department of Health (LDH). All results (positive, negative, indeterminate, or other) for point-of-care testing, antibody testing, or any other testing performed to diagnose COVID-19 are required to be reported within 24 hours of the result being determined.
The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA) announced the latest Provider Relief Fund (PRF) application has been expanded to include provider applications such as residential facilities, chiropractors, and eye and vision providers that have not yet received PRF distributions.
The U.S. Department of Health and Human Services announced a third phase of general distribution funding from the Provider Relief Fund in the amount of $20 billion. The application for the third phase opens Monday, October 5, and closes on Friday, November 6, 2020.
Effective March 20, 2020, the Louisiana Department of Health (LDH) issued approval for mental health rehabilitation (MHR) telemedicine/telehealth billing for a specified listing of codes referenced in the Informational Bulletin 20-4 Telemedicine/Telehealth Facilitation of Mental Health Rehabilitation Services during the COVID-19 Declared Emergency. Healthy Blue has identified that appropriately billed MHR telemedicine/telehealth claims have been denied.
Healthy Blue identified an issue where codes listed on the Louisiana Medicaid COVID-19 Laboratory Testing Fee Schedule have denied for lack of authorization. Codes listed on this fee schedule do not require an authorization.
In response to COVID-19, the Louisiana Department of Health (LDH) suspended utilization management for medical hospitalizations effective March 17, 2020. Healthy Blue identified an issue where some medical inpatient hospital claims with dates of service after March 17, 2020, have been denied for lack of authorization.
The U.S. Department of Health and Human Services (HHS), through the Provider Relief Fund, is distributing $15 billion to eligible Medicaid, Medicaid managed care, Children's Health Insurance Program (CHIP) and dental providers that have been impacted by COVID-19. Eligible providers may receive up to 2% of reported revenue from patient care. The application deadline has been further extended to offer providers additional opportunity to apply for funding. You must act by Friday, Aug. 28, 2020 at 11:59 p.m. ET to be considered for payment from this distribution.
We have had several discussions with providers on the difficulties faced when applying for the CARES Provider Relief Funding (PRF) available to Medicaid and CHIP providers. The deadline to apply is Monday, August 3, 2020, and we have created additional Frequently Asked Questions to help with the process.
The U.S. Department of Health and Human Services (HHS) has extended the deadline for Medicaid and Children’s Health Insurance Program (CHIP) providers to apply for the CARES Act Provider Relief Fund (PRF). The deadline to apply is now Monday, August 3, 2020.
The U.S. Department of Health and Human Services (HHS) has allocated $15 billion of the CARES Act Provider Relief Fund (PRF) to eligible Medicaid and Children’s Health Insurance Program (CHIP) providers. Any qualifying Medicaid or CHIP provider has another opportunity to apply for a PRF payment equivalent to two percent (2%) of their total net patient revenue if they did not receive funds from the initial disbursement.
Any qualifying Medicaid or CHIP provider has another opportunity to apply for a CARES Act Provider Relief Fund payment equivalent to two percent (2%) of their total net patient revenue if they did not receive funds from the initial disbursement. The deadline to apply is Monday, July 20, 2020. To learn more, register to attend the webinar on Wednesday, July 8, 2020 at 3 p.m. CST, or review the fact sheet below.
The U.S. Department of Health and Human Services will host two webinars this week to assist Medicaid providers in understanding how to use and submit applications to the Medicaid provider relief portal. The webinars will be held on Tuesday, June 23 at 2:00 p.m. Eastern (1:00 p.m. CDT) and Thursday, June 25 at 2:00 p.m. Eastern (1:00 p.m. CDT). Registration is required.
The Center for Evidence to Practice (E2P) and the Louisiana Department of Health (LDH) Office of Behavioral Health (OBH) understand the sudden transition to telehealth has not been easy, which is why they would like to hear more about your telehealth experiences during the pandemic. Please take 3-5 minutes to complete the survey.
This bulletin is to inform about federal funding directly available to providers through the Coronavirus Aid, Relief and Economic Security Act (CARES Act). This bulletin will be updated as new information is available. Signed into law on March 27, 2020, the CARES Act provides nearly $2 trillion in emergency relief funding in support of the national response to COVID-19.
With guidance from the Louisiana Department of Health (LDH), the American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC), the Louisiana Chapter of the American Academy of Pediatrics (LA AAP) began offering guidance to its members and pediatricians throughout the state on ways to continue to safely care for their patients in the midst of the pandemic. This toolkit builds on the work that has been done thus far and is meant to provide pediatricians with easy to use resources to reach out to families. LA AAP believes in the value and importance of the well child visits and the role preventative care has to keep children healthy.
Per the Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act, Louisiana Medicaid has expanded coverage to include COVID-19 testing for uninsured individuals for the duration of the federally declared public health emergency.
Louisiana Medicaid will provide information to the U.S. Department of Health & Human Services (HHS) to inform the future distribution of CARES Act Provider Relief Funds to Medicaid providers. This includes all Medicaid providers and does not exclude any provider types.
Healthcare personnel (HCP) who work in multiple locations may pose a higher risk for acquiring and/or transmitting COVID-19. Therefore, shifts at the same member’s home should be consolidated when possible and covered by the minimum number of HCP allowable with respect to HCP availability while adhering to overtime limits.
Louisiana Medicaid has received calls from Medicaid beneficiaries who are being charged for personal protective equipment (PPE) during their dental visits. Pursuant to Medicaid regulations requiring that providers accept Medicaid payment as “payment in full,” providers are not allowed to bill Medicaid beneficiaries for any extra PPE that may be required to perform medical or dental services.
The Louisiana Department of Health is temporarily changing the Pediatric Day Health Care (PDHC) program policies to allow services to be provided in the home during the COVID-19 health emergency.
We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. On April 30, 2020, we hosted a webinar to share information and resources with network providers regarding opportunities to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers.
The Louisiana Managed Medicaid Association (LMMA), in partnership with Healthy Louisiana Managed Care Organizations (MCOs), has developed this presentation to provide guidance on telehealth and COVID-19 billing and reimbursement.
This message is intended to simplify and clarify the 20-25: Healthcare Facility Notice/Order #2020-COVID19-ALL-010 that was issued on Monday, April 20, 2020.
In light of the national COVID-19 crisis, there are increased associated risk factors for persons with mental illness and/or substance use disorders due to increased levels of stress, anxiety, depression and other comorbid conditions. Because of these factors, it is extremely important that individuals who are COVID-19 positive and who may be persons under investigation (PUI), who are not at risk for more severe medical or respiratory outcomes (i.e., those with early or mild symptoms), continue to have access to these residential levels of care if/when medically necessary.
The Louisiana Department of Health (LDH) acknowledges the need for the continued emergency dental care for patients during the COVID-19 declared emergency. While some services will continue to be performed in dental offices, LDH recognizes that beneficiaries would be best served when telecommunication technology can be leveraged to support dental care.
The Louisiana Department of Health (LDH) is temporarily changing qualifications for providers of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) personal care services (PCS) during the COVID-19 health emergency.
In response to the COVID-19 emergency, Healthy Blue is assuring continuity of care for members with existing prior authorization for mental health rehabilitation (MHR) services through this declared state of emergency.
In response to the COVID-19 emergency, Healthy Blue is extending concurrent authorizations for Applied Behavior Analysis (ABA) services through at least June 30, 2020, to ensure continuity of care for members as clinically indicated.
At the request of the Louisiana Department of Health (LDH) and as part of our response to coronavirus (COVID-19), Healthy Blue is aligning with NCQA exceptions and allowances effective March 18, 2020. A process has been established to expedite enrollment for new providers who meet the minimum requirements to participate in Healthy Blue’s network.
This provider bulletin details important guidance from all Healthy Louisiana Managed Care Organizations (MCOs) regarding telemedicine and laboratory claims.
This Healthcare Facility Notice will provide new information on Medical and Surgical Procedures, and shall supersede the information on Medical and Surgical Procedures in the LDH Notice #2020-COVID19-ALL-006 dated March 18, 2020.