Louisiana medicaid manual

Stabilize Revenue : Providing services via telehealth can create new revenue streams to offset reduced visit volume during this pandemic. Increase Capacity : Caring for patients via telehealth can reduce the burden on hospitals as they deal with the increased COVID19 caseload, effectively increasing the capacity of the healthcare system during this crisis. Expanded Telehealth Access for Medicaid Enrollees Recognizing the critical need for telehealth services during the COVID pandemic, the Louisiana Department of Health encourages the use of telehealth to decrease the potential for patient-to-patient or patient-to-provider transmission of the virus.

Choosing a Telehealth Solution When a provider decides to get started with telehealth, there are two main paths to consider. Some Common Telehealth Platforms Doxy. Free and paid tiers available. Relief Telemed : a Baton Rouge-based company helping providers establish their telehealth platform.

For more information, contact Vishal Vasanji, vishal relieftelemed. Telehealth Network — Expand Your Care If a provider wants to see additional patients to help with the COVID19 crisis and add a new revenue stream, joining a telehealth network may be a beneficial decision.

To join, contact Michael Dozier at mjdozier lgh. Teladoc and AmWell : both are established telehealth networks serving patients and accepting providers nationwide. The Time Is Now According to the American Telemedicine Association, telehealth-enabled providers are reporting reduced costs of care delivery, increased efficiency and revenue, and expanded patient access to care as benefits of adopting telehealth.

Description: This chapter is intended to give providers of Community Choices Waiver services information necessary to fulfill their vendor contract with the State of Louisiana, and is the basis for federal and state reviews of the program.

Full implementation of these regulations is necessary for a provider to remain in compliance with federal and state laws and Department rules. Description: This chapter provides information on the Medicaid guidelines, policies, procedures, and claims filing requirements applicable to dental services provided to Medicaid recipients.

Durable Medical Equipment. Description: Defines the services, limitations, provider and recipient requirements, and prior authorization rules regarding Durable Medical Equipment.

Description: The purpose of this chapter is to set forth the conditions and requirements of ESRD facilities for reimbursement under the Louisiana Medicaid program.

Description: This chapter provides information on the covered services, eligibility criteria, provider and program requirements of the EPSDT Medicaid program and IDEA-related services for Medicaid recipients under 21 years of age. Family Planning Clinics. Description: Defines the covered services, recipient and provider requirements and claims related information for Family Planning clinics. Family Planning - Take Charge Plus. Description : Defines the waiver designed to decrease the rate of unintended pregnancies for women in the targeted population through access to family planning, and to decrease Medicaid expenditures for unintended pregnancy and related services through provision of family planning services.

Description : The purpose of this chapter is to set forth the conditions and requirements that FQHCs must meet in order to qualify for reimbursement under the Louisiana Medicaid program. The manual chapter is intended to make available to Medicaid providers of FQHC services a ready reference for information and procedural material needed for the prompt and accurate filing of claims for services furnished to Medicaid recipients.

Free Standing Birthing Centers. Description : Free-standing birthing centers FSBCs provide delivery services to eligible Medicaid recipients not requiring hospitalization and which the expected duration of services would not exceed 24 hours following an admission. Description : The purpose of this chapter is to present useful information and guidance to providers participating in the Louisiana Medicaid program.

Policies and information applicable to provider requirements, recipient eligibility, program integrity and claims filing are provided in this reference guide. Home Health. Description: Provides information on coverage, procedures, and claims filing requirements applicable to home health agencies.

Description : Provides information on coverage, procedures, and claims filing requirements related to hospice services. Hospital Services. Description : This manual chapter provides information relative to coverage policies for inpatient and outpatient hospital services. Information on provider requirements and claims related information are also included. Independent Laboratories. Description : Outlines the conditions and requirements that independent laboratories must meet in order to qualify for reimbursement under the Louisiana Medicaid program.

This chapter is a ready reference for information and procedural material needed for the prompt and accurate filing of claims for services furnished to Medicaid recipients. Description : Federal regulations and applicable state laws require that third-party resources be used before Medicaid is billed. Medical Transportation. Description : This chapter specifies the requirements of providing Non-Emergency Medical Transportation NEMT , a non-ambulance transportation provided to Medicaid recipients to and from Medicaid covered services.

New Opportunities Waiver. Description : Provides a NOW provider the information needed to fulfill its vendor agreement with the State of Louisiana, and is the basis for federal and state reviews of the program. Description : Provides information to aid the provider in understanding and implementing federal and state Program of All-inclusive Care for the Elderly PACE policies and procedures. Therefore, signNow offers a separate application for mobiles working on Android.

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