Providers
Attention, Providers:
Restoration of Optum/Change Healthcare Connectivity (PDF)
Medicaid provider enrollment
ACT NOW — Enroll in the Medicaid Provider Enrollment Portal Opens a new window Opens a new window
Providers who missed the initial deadline of September 30, 2022, please note that the Provider Enrollment Portal at www.lamedicaid.com remains open for providers required to enroll (see criteria listed below) who have not yet applied. Providers with multiple provider types must complete enrollment for each type.
Providers who did not complete enrollment by June 30, 2023, have been deactivated, their patients have been assigned to another primary care physician, and they will be terminated from the program. The Provider Enrollment Portal will remain open for providers who failed to enroll but wish to complete an application at a later date.
Providers who submitted provider enrollment applications to Louisiana Medicaid should allow several weeks for application processing.
Who is required to enroll?
- Providers who file claims with Louisiana Medicaid (providers enrolled in Fee-for-Service (FFS) Medicaid before December 31, 2021, and providers enrolled with an MCO, DBPM, or Magellan before March 31, 2022.)
- Ordering, Prescribing, or Referring Providers
- Ordering, prescribing, or referring (OPR) providers do not bill Medicaid for services rendered, but may order, prescribe, or refer services/supplies for Medicaid beneficiaries.
Providers can find additional information in IB 22-4 Medicaid Provider Enrollment Portal (PDF).
Medicaid urges enrollees to update information to maintain eligibility.
The Louisiana Department of Health (LDH) is seeking provider assistance to encourage their Medicaid patients to keep their case information (address, financial, and employment) updated to ensure eligibility. This can be done through Medicaid’s new Self-Service Portal.
Updated information is increasingly important as Medicaid is conducting more frequent eligibility verifications with its new eligibility and enrollment system. Previously, income was verified annually. Additionally, renewals will be handed by mail only, making it important that recipients keep their contact information updated so they do not miss important mail.
Providers are asked to remind their Medicaid patients to respond to any mail from Louisiana Medicaid in the timeline provided in the letter. Failure to respond could result in case closure.
Providers can now update demographic information via NaviNet
AmeriHealth Caritas Louisiana providers now have the ability to attest to the accuracy of practice data and submit demographic changes (PDF) directly through NaviNet via the Provider Data Information Form feature. This feature is only available to professional provider groups at this time.
Learn about the Louisiana State Opioid Response (LaSOR) Project
LDH-OBH in Partnership with LSUHSC–Dept. of Psychiatry is seeking office-based opioid treatment (OBOT) providers. If you are interested in participating, download the LaSor Flyer for more information (PDF).
Partners in Care
As an AmeriHealth Caritas Louisiana provider, you're our partner in member care. Our goal is to help you operate effectively and efficiently. Working with providers like you, we can deliver quality, cost-effective care and better health outcomes for our members.
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Quick contact numbers:
- Provider Services: 1-888-922-0007
- Provider Network Management: 1-877-588-2248
- Credentialing: 1-888-913-0349
Important information:
- Provider Reference Guide (PDF)
- Behavioral health provider reference guide (PDF)
- Provider resources
- Provider newsletters and updates
- Claims and billing
- Training and education
- Report fraud, waste, or abuse
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