Provider Alerts Archive

2020
December 18, 2020
Prior authorization lookup tool available on plan website (PDF)
December 11, 2020
Treatment planning, clinical documentation, and release of information (ROI) training (PDF)
December 4, 2020
Non-Invasive Prenatal Testing (NIPT) policy update (PDF)
November 20, 2020
Revised specialized behavioral health services fee schedule (PDF)
November 20, 2020
Specialty drugs prior authorization (PA) criteria (PDF)
November 20, 2020
American Medical Association (AMA) evaluation and management CPT code changes effective January 1, 2021 (PDF)
November 20, 2020
Participate in a provider data information form (PDIF) webinar and Louisiana Department of Health (LDH) patient acceptance form (PDF)
November 20, 2020
Reminder: Earn more by using CPT CAT II codes when care is provided to members with diabetes or hypertension (PDF)
November 13, 2020
Treatment of opioid use disorder course (PDF)
November 13, 2020
COVID-19 adjustments to AmeriHealth Caritas Louisiana's value-based programs and strategies (PDF)
November 13, 2020
Provider demographic information and Louisiana Department of Health (LDH) patient attestation form (PDF)
November 6, 2020
Opioid treatment programs chapter added to behavioral health services provider manual (PDF)
November 6, 2020
Obstetrical ultrasound examination policy update (PDF)
October 30, 2020
Diabetic testing supplies, Remdesivir pa criteria, and oncology drugs pa criteria policies (PDF)
October 23, 2020
Treatment planning, clinical documentation and ROI training for November 16, 2020 (PDF)
October 23, 2020
Provider handbook update (PDF)
October 16, 2020
Recovery project 542154 - Payment error; processing rules not followed correctly (PDF)
October 16, 2020
Immunizations required during EPSDT/well-child visits (PDF)
October 9, 2020
Vitamin D screening policy (PDF)
October 9, 2020
Changes to durable medical equipment (DME), pediatric day health care (PDHC), home health, rehabilitation, and personal care services (PCS) due to hurricane Delta effective October 8, 2020 (PDF)
September 29, 2020
Providers should confirm Medicaid eligibility using MEVS (PDF)
September 25, 2020
Behavioral health claims and billing training (PDF)
September 25, 2020
Cultural competency training schedule (PDF)
September 18, 2020
Evidence-based practices tracking update (PDF)
September 18, 2020
Care gap changes to align with HEDIS measures (PDF)
September 18, 2020
Updates to the primary care providers auto assignment methodology (PDF)
September 4, 2020
Immunizations required during EPSDT/well-child visits (PDF)
August 31, 2020
Claims billed with Revenue Code 250 denying in error (PDF)
August 31, 2020
Annual rate letters updates for FQHCs/RHCs (PDF)
August 28, 2020
Home and community-based service provider issues (PDF)
August 26, 2020
Changes to durable medical equipment, pediatric day health care, home health, rehabilitation and personal care services due to Hurricane Laura, effective August 25, 2020 (PDF)
August 24, 2020
Tropical storm and hurricane weather warning this week (PDF)
July 31, 2020
Earn more by using CPT CAT II code when care is provided to members with diabetes or hypertension (PDF)
July 31, 2020
Co-surgery policy (PDF)
July 31, 2020
Split surgery care (PDF)
July 31, 2020
Outpatient surgical procedures (PDF)
July 31, 2020
Long-term electroencephalography (EEG) setup and monitoring (PDF)
July 31, 2020
Anesthesia services for gastrointestinal endoscopy (PDF)
July 31, 2020
Site of care medical pharmacy (PDF)
July 31, 2020
Assistant surgeon care (PDF)
July 31, 2020
Updates to the list of HCPCS codes requiring authorization (PDF)
July 29, 2020
Behavioral Health Symposium Changing the Conversation in 2020 (PDF)
July 24, 2020
Taxonomy denials on professional claims (PDF)
July 22, 2020
ASAM 6 Dimension Criteria training (PDF)
July 21, 2020
Peer Support Specialist (PSS) training memo and application (PDF)
July 16, 2020
Office of Behavioral Health Shatterproof pilot update (PDF)
July 16, 2020
Billing and Claims updates: Opioid use disorder treatment billing and HCPCS code J1729 (PDF)
July 2, 2020
Behavioral health services provider manual – Chapter 2.6 record keeping revision (PDF)
July 2, 2020
Tips to Help Providers Achieve HEDIS® Measures: Follow-Up After Hospitalization for Mental Illness (FUH) (PDF)
July 2, 2020
Hepatitis C virus (HCV) screening and pharmaceutical treatment initiative (PDF)
June 18, 2020
Changes to perinatal quality enhancement program effective July 1, 2020 (PDF)
June 18, 2020
Changes to the quality enhancement program effective July 1, 2020 (PDF)
May 21, 2020
LDH IB 20-10 Hysterectomy acknowledgment form (BHSF Form 96-A) (Updated 4/21/2020) (PDF)
April 30, 2020
Provider trainings available (PDF)
April 17, 2020
Evidence-based practices tracking update (PDF)
April 17, 2020
2020 HCPCS and physician-administered drug reimbursement (PDF)
April 17, 2020
Louisiana Department of Health National Survey of Substance Abuse Treatment Services (N-SSATS) provider update (PDF)
March 6, 2020
CLIA number information  (PDF)
March 6, 2020
Behavioral health pre-solicitation for inpatient substance use treatment services (PDF)
March 6, 2020
Reminder: Provider training webinar on top denials and tips on how to resolve them (PDF)
March 6, 2020
Attend a webinar on the NaviNet claim inquiry tool and the claim dispute process (PDF)
February 28, 2020
Treatment of opioid use disorder course  — 8-hour online course (PDF)
February 21, 2020
Peer Support Specialist Training (PDF)
February 14, 2020
The Center for Evidence to Practice is now accepting agency-level applications for a child-parent psychotherapy learning collaborative (PDF)
February 10, 2020
Retraction of reminder of observation and authorization requirements notice distributed January 24, 2020 (PDF)
February 7, 2020
Mental Health First Aid course  — New Orleans (PDF)
February 7, 2020
Mental Health First Aid course  — Shreveport (PDF)
February 7, 2020
Treatment planning, clinical documentation, and release of information (ROI) training (PDF)
February 3, 2020
Specialized behavioral health fee schedule update (PDF)
February 3, 2020
2020 Healthcare common procedure coding system (HCPCS) and current procedural terminology (CPT) codes (PDF)
February 3, 2020
Provider training on top denials and tips on how to resolve them (PDF)
January 24, 2020
Top denials webinar (PDF)
January 24, 2020
Reminder of observation and authorization requirements (PDF)
January 24, 2020
Reminder of policy for threatened, incomplete, or missed abortion claim requirements (PDF)
January 24, 2020
Hospice billing requirements (PDF)
January 23, 2020
Shatterproof pilot provider update (PDF)
January 17, 2020
HEDIS annual medical record data collection reminder (PDF)
January 10, 2020
New dental and vision vendor (PDF)
January 10, 2020
Changes to lab and radiology fee schedules (PDF)
January 10, 2020
Reminder of consent form requirements for member name change (PDF)
2019
December 20, 2019
Appointment availability access standards (PDF)
December 20, 2019
Fall-Winter 2019 edition of AmeriHealth Caritas Louisiana's newsletter, the Provider Post (PDF)
December 20, 2019
Treatment of opioid use disorder course (PDF)
December 6, 2019
Annual validation & attestation of provider demographic information (PDF)
December 6, 2019
Holiday schedule important dates to remember (PDF)
November 27, 2019
Reimbursement for LPCs and LMFTs in federally qualified health centers and rural health clinics (PDF)
November 22, 2019
Specialized behavioral health billing guidelines (PDF)
November 21, 2019
Treatment of opioid use disorder course (PDF)
November 15, 2019
Removed authorization requirement on CPT code 87389 (PDF)
November 15, 2019
Extended home health modifiers (PDF)
November 15, 2019
Member consent form requirement change (PDF)
November 11, 2019
Severe Combined Immunodeficiency (SCID) Testing (PDF)
October 29, 2019
IPAT survey reminder (PDF)
October 29, 2019
Electronic visit verification for early and periodic screening, diagnosis, and treatment personal care services (PDF)
October 25, 2019
OBH / Shatterproof Pilot (PDF)
October 21, 2019
Louisana Department of Health (LDH) is requesting that providers complete the 2019 IPAT survey (PDF)
October 21, 2019
Central Louisiana Human Services District (CLHSD) pre-solicitation for treatment services (PDF)
October 21, 2019
Reminder: 2019 provider trainings start on October 30 (PDF)
October 18, 2019
Medicaid ambulatory surgical centers (non-hospital) fee schedule update (PDF)
October 11, 2019
Treatment of Opioid Use Disorder Course (PDF)
October 11, 2019
2019 provider trainings (PDF)
October 4, 2019
Update to paper and electronic remittance advices (PDF)
September 27, 2019
Claims billed with procedure code S9845 are denying in error (PDF)
September 27, 2019
Health Professional Shortage Areas (HPSAs) Survey (PDF)
September 23, 2019
Treatment of Opioid Use Disorder Course (PDF)
September 13, 2019
Provider Data Information Form (PDIF) annual validation push (PDF)
September 13, 2019
Participate in a Provider Data Information Form (PDIF) and Louisiana Department of Health (LDH) Patient Acceptance Form webinar (PDF)
September 13, 2019
Listening Tour 2.0 (PDF)
September 9, 2019
Important pharmacy change (PDF)
August 30, 2019
Prior authorization requirements requests  (PDF)
August 21, 2019
Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) personal care service (PCS) rate change  (PDF)
August 16, 2019
Louisiana Medicaid hospital fee schedule updates (PDF)
August 16, 2019
Telehealth services modifier change (PDF)
August 7, 2019
Provider training on top denials and tips on how to resolve them (PDF)
August 2, 2019
Important billing and claims processing updates (PDF)
July 26, 2019
Reminder: Provider training on top denials and tips on how to resolve them (PDF)
July 25, 2019
Updated AmeriHealth Caritas Louisiana Member Reassignment Policy (PDF)
July 19, 2019
Provider training on top denials and tips on how to resolve them (PDF)
July 19, 2019
Evidence-Based Practices Tracking (PDF)
July 13, 2019
Updated Tropical Storm Barry Information for Providers (PDF)
July 12, 2019
Updated Tropical Storm Barry Information for Providers (PDF)
July 12, 2019
Updated CALOCUS/LOCUS and SBIRT Training Schedules (PDF)
July 11, 2019
Tropical Storm Barry Update (PDF)
July 11, 2019
July 2019 Tropical Storm Barry Information for Medicaid Pharmacy (PDF)
July 3, 2019
Reminder: Participate in a Provider Data Information Form (PDIF) and Louisiana Department of Health (LDH) Patient Acceptance Form Webinar (PDF)
June 14, 2019
Behavioral Health Clinical Practice Guidelines Now Available (PDF)
June 14, 2019
Participate in a Webinar on the Provider Data Information Form (PDIF) and Louisiana Department of Health (LDH) Patient Acceptance Form (PDF)
June 14, 2019
Whole Health Action Management (WHAM) Program Available to AmeriHealth Caritas Louisiana Members (PDF)
June 10, 2019
Effective July 1, 2019, changes will be made to the Louisiana Medicaid Single Preferred Drug List (PDL). (PDF)
June 10, 2019
Attention Deficit Hyperactivity Disorder (ADHD) eLearning module is now available for AmeriHealth Caritas Louisiana providers. (PDF)
June 10, 2019
Collecting Social Determinants of Health (SDOH) Data to Address Members’ Unmet Needs (PDF)
May 24, 2019 
Important Billing and Claims Processing Updates (PDF)
May 16, 2019 
Peer Support Specialist training application deadline is Friday, May 31, 2019 (PDF)
May 15, 2019 
CLIA Number to Be Required on Laboratory Claims (PDF)
May 15, 2019 
Changes to Urine Drug Testing Coverage (PDF)
April 26, 2019 
AmeriHealth Caritas Louisiana member reassignment policy (PDF)
April 23, 2019 
Community Psychiatric Supportive Treatment and Psychosocial Rehabilitation Providers Must Include Rendering Provider’s National Provider Identification Number When Submitting Claims (PDF)
April 19, 2019 
New Alternate Payment Methodology for Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Providers (PDF)
April 18, 2019 
New in NaviNet! Providers can now go online to complete and submit the LDH Patient Attestation form. (PDF)
April 10, 2019 
Imperial Calcasieu Human Services Authority Pre-Solicitation for Treatment Services (PDF)
April 10, 2019 
Treatment Planning and Clinical Documentation Training (PDF)
April 3, 2019 
Participate in a Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Provider Training (PDF)
March 29, 2019 
Breast Pump Coverage Requirements (PDF)
March 29, 2019 
CMS 1500 Claims May Have Denied In Error with Denial Code Z14 (PDF)
March 29, 2019 
Correction to Provider Alert sent March 27, 2019, Re: Additional codes and rate changes added to the Applied Behavioral Analysis (ABA) fee schedule (PDF)
March 27, 2019 
RETRACTED - Authorization requirements when AmeriHealth Caritas Louisiana is primary or secondary insurance (PDF)
March 27, 2019 
Update: Additional codes and rate changes added to the Applied Behavioral Analysis (ABA) fee schedule (PDF)
March 21, 2019 
Updated behavioral health provider audit tool elements have been released by the Louisiana Department of Health (LDH) (PDF)
March 21, 2019 
Reminder: Participate in a Claim Inquiry Tool and Claim Dispute Process Webinar (PDF)
February 28, 2019 
Effective May 1, 2019, AmeriHealth Caritas Louisiana will begin using the Louisiana Department of Health’s Preferred Drug List (PDL) (PDF)
February 14, 2019 
Participate in a Claim Inquiry Tool and Claim Dispute Process Webinar (PDF)
February 14, 2019 
Update: 2019 Healthcare Common Procedure Coding System (HCPCS) Codes (PDF)
February 11, 2019 
Preschool Post-Traumatic Stress Disorder (PTSD) Treatment Training (PDF)
January 31, 2019 
Behavioral Health claims may be denied when billing CPT code H0036 (PDF)
January 29, 2019 
Psychosocial Rehabilitation (PSR) or Community Psychiatric Supportive Treatment (CPST) Services may begin to see claim denials (PDF)
January 14, 2019 
Register for a Claim Inquiry Tool and Claim Dispute Process Webinar (PDF)
January 10, 2019 
HEDIS® Annual Medical Record Data Collection Reminder (PDF)
January 3, 2019 
Updated Applied Behavior Analysis (ABA) Codes (Including information regarding prior authorizations) (PDF)
January 2, 2019 
Medicaid Behavioral Health Services Provider Manual Revisions (PDF)
2018
December 27, 2018 
Updated Applied Behavior Analysis (ABA) Codes (PDF)
December 20, 2018 
2019 Healthcare Common Procedure Coding System (HCPCS) Codes (PDF)
December 14, 2018 
Holiday Schedule (PDF)
December 14, 2018 
Influenza Vaccination Care Gap Addition (PDF)
December 10, 2018 
Reminder: Transition from fax to email notifications begins January 1, 2019 (PDF)
November 28, 2018
The Fall/Winter 2018 edition of the Provider Post is now available (PDF)
November 27, 2018
Reminder: Requirements for licensed and unlicensed specialized behavioral health services providers (PDF)
November 21, 2018
Webinar on the new requirements for licensed and unlicensed specialized behavioral health services Providers (PDF)
November 20, 2018
Electronic Funds Transfer (EFT) Webinar (PDF)
November 19, 2018
Participate in a Provider Data Information Form (PDIF) Webinar (PDF)
November 15, 2018
Update to requirements for providers rendering psychosocial rehabilitation (PSR) services or community psychiatric support and treatment (CPST) (PDF)
November 12, 2018
Webinar on the new requirements for licensed and unlicensed specialized behavioral health services providers (PDF)
November 9, 2018
Reminder: Requirements for licensed and unlicensed specialized behavioral health services providers (PDF)
November 2, 2018
Pharmacy and Therapeutic Committee updates (PDF)
November 2, 2018
Requirements for licensed and unlicensed specialized behavioral health services providers (PDF)
October 31, 2018
Louisiana Department of Health (IPAT) Survey Reminder (PDF)
October 24, 2018
Louisiana Department of Health Integrated Practice Assessment Tool Survey Notice (PDF)
October 5, 2018
Billing and claims processing updates (PDF)
October 4, 2018
Instructional videos now available for expanded NaviNet functionalities (PDF)
October 4, 2018
Appropriate use of claim modifiers 25 and 59 (PDF)
October 1, 2018
Mental Health First Aid Course training available on October 3 (PDF), October 10 (PDF), and October 16 (PDF)
September 28, 2018
Participate in a Provider Data Information Form (PDIF) Webinar (PDF)
September 25, 2018
Regional provider trainings start on October 10 (PDF)
September 21, 2018
AmeriHealth Caritas Louisiana to convert to Diagnosis Related Group System (DRG) (PDF)
September 20, 2018
LDH Peer Support Training (PDF)
September 12, 2018
Requirements for providers rendering psychosocial rehabilitation (PSR) services and community psychiatric support and treatment (CPST) (PDF)
September 7, 2018
Provider training: Federally qualified health center (FQHC) and rural health clinic (RHC) (PDF)
September 7, 2018
Provider training: Durable medical equipment (DME) (PDF)
September 7, 2018
Reminder: Federal and state changes for Home Health Services program (PDF)
September 4, 2018
Tropical Storm Gordon update (PDF)
August 17, 2018
Louisiana Department of Health 2018 Behavioral Health Symposium (PDF)
August 15, 2018
Register for upcoming provider trainings on August 23, 24, and 29
August 6, 2018
Louisiana Department of Health (LDH) provider feedback request (PDF)
August 3, 2018
Dulera, Clemastine, Lexapro, and more removed from formulary (PDF)
August 1, 2018
Medicaid Behavioral Health Services Provider Manual revisions (PDF)
August 1, 2018
Improvements to Intensive Case Management (ICM) program activities in NaviNet (PDF)
July 30, 2018
Reminder: Member’s choice in provider form and policy (PDF)
July 30, 2018
Some labs terminated from the AmeriHealth Caritas Louisiana network (PDF)
July 20, 2018
Sildenafil prior authorization change (PDF)
July 20, 2018
Revised prior authorization requirements for speech-, occupational-, and physical-therapy services (PDF)
July 20, 2018
Total parenteral nutrition (TPN) claims (PDF)
July 17, 2018
Portable oxygen code updates (PDF)
June 8, 2018
Important billing and claims processing updates (PDF)
June 8, 2018
Louisiana Department of Health (LDH) facility need review (FNR) requirements for community psychiatric support and treatment (CPST) and psycho-social rehab (PSR) providers (PDF)
June 8, 2018
Preschool post-traumatic stress disorder (PTSD) treatment training (PDF)
June 7, 2018
Clinical Laboratory Improvement Amendments (CLIA) claims requirements (PDF)
May 15, 2018
Hepatitis C preauthorization criteria (PDF)
May 15, 2018
Important pharmacy change (PDF)
May 11, 2018
Intensive case management (ICM) webinar — May 17 – 31 (PDF)
May 7, 2018
Claims inquiry tool and claims dispute process webinar — June 5 (PDF)
May 4, 2018
New NaviNet provider data information form enhancement (PDF)
May 2, 2018
Claims inquiry tool and claims dispute process webinar — May 24 (closed) (PDF)
April 27, 2018
Errors or rejections related to electronic submission of third party liability claims (PDF)
April 25, 2018
Updates to PCP Quality Enhancement Program (QEP) (PDF)
April 20, 2018
Access to ADHD toolkit now available online! (PDF)
April 18, 2018
Earn more by using CPT CAT II codes when care is provided to members with diabetes or hypertension (PDF)
April 10, 2018
Intensive Case Management Reimbursement program via NaviNet (PDF)
April 10, 2018
Intensive Case Management program webinar (PDF)
March 30, 2018
Changes to prior authorization requirements for physician-administered infusions and injectables (PDF)
March 27, 2018
Claim denials due to missing Clinical Laboratory Improvement Amendments (CLIA) information (PDF)
March 26, 2018
Louisiana Medicaid Drug Utilization Review program (PDF)
March 21, 2018
Change in non-emergency medical transportation (NEMT) subcontractor (PDF)
March 13, 2018
Important billing and claims processing updates (PDF)
March 9, 2018
Reminder: Clinical Laboratory Improvement Amendments (CLIA) requirements when filing claims (PDF)
February 9, 2018
Reminder: March 1, 2018, implementation of CALOCUS and LOCUS (PDF)
February 6, 2018
Federally qualified health centers (FQHCs) and rural health centers (RHCs) physician billing for inpatient services (PDF)
February 2, 2018
NaviNet enhancement: Admission and discharge alerts (PDF)
January 30, 2018
Importance of updating demographic information (PDF)
January 26, 2018
2018 Healthcare Common Procedure Coding System (HCPCS) codes (PDF)
January 26, 2018
Continuity of care for applied behavior analysis (ABA) services, effective February 1, 2018 (PDF)
January 23, 2018
HEDIS® annual medical record data collection reminder (PDF)
January 22, 2018
Modifications to the pre-authorization process for mental health rehabilitation (MHR) services (PDF)
January 16, 2018
Modified utilization management provisions due to weather (PDF)
January 12, 2018
HCPCS 99291 payable with revenue codes 450 or 459 (PDF)
January 12, 2018
Modified utilization management provisions this holiday weekend for members impacted by flu (PDF)
2017
December 29, 2017
Methylphenidate and Quillichew removal from formulary (PDF)
December 22, 2017
New NaviNet electronic claim inquiry enhancement (PDF)
December 22, 2017
Corrections to December 2017 Provider Post — long-acting, reversible contraceptives (LARCS) and hospital outpatient services (PDF)
December 13, 2017
Holiday schedule (PDF)
December 7, 2017
Zepatier removal from formulary (PDF)
December 6, 2017
Change in dental subcontractor (PDF)
December 4, 2017
Provision of required documentation for the purposes of PASRR (PDF)
November 29, 2017
Update: New process effective November 1, 2017, for DME manually priced procedures (PDF)
November 10, 2017
Psychiatric residential treatment facility (PRTF) guidelines (PDF)
November 10, 2017
2017 Access to Care campaign for expansion members to establish relationships with their physicians (PDF)
November 10, 2017
2017 Access to Care campaign for expansion members to establish relationships with their FQHC/RHC provider (PDF)
November 3, 2017
Specialized behavioral health services available to nursing facility residents (PDF)
November 3, 2017
Reminder: behavioral health treatment record review requirements (PDF)
November 3, 2017
Reminder: new process effective 11/01/17 for DME manually priced procedures (PDF)
November 2, 2017
IPAT introduction letter to providers 2017 (PDF)
October 31, 2017
Flu season billing (PDF)
October 26, 2017
Criminal background checks & behavioral health licensing (PDF)
October 19, 2017
Revised Behavioral Health Service Provider (BHSP) Licensure (PDF)
October 7, 2017
Medical and pharmacy processes for providers located in or serving areas affected by Hurricane NateAdjusted Claims Denied for Missing Original Claim Number (PDF)
October 2, 2017
Adjusted claims denied for missing original claim number (PDF)
September 1, 2017
Claims denied for missing information in box 32 of CMS 1500 (PDF)
August 28, 2017
Medical and pharmacy processes for providers located in or serving areas affected by severe weather (PDF)
August 7, 2017
Regional provider training on August 23, 2017 (PDF)
August 1, 2017
Regional provider training on August 16, 2017 (PDF)
July 26, 2017
Important billing and claims processing updates (PDF)
July 17, 2017
Corrected claims must contain appropriate identifiers to avoid rejection (PDF)
June 30, 2017
LDH partnering with LAMMICO to reduce preterm birth rates (PDF)
June 30, 2017
Mental health rehabilitation provider town hall meetings (PDF)
June 27, 2017
Modifications to the pre-authorization process for mental health rehabilitation (MHR) services (PDF)
April 24, 2017
Morphine equivalent dosing (MED) limit for opioids (PDF)
March 27, 2017
Timeline for Compliance with Federal Institutions of Mental Disease Requirements (PDF)
March 24, 2017
EDI vendor who submits to Change Healthcare at no cost today may now have to pay a "fee" (PDF)
March 24, 2017
Reprocessing of incorrectly recouped OB anesthesia claims that required consent for sterilization forms for DOS between 6/1/15 to 8/12/16 (PDF)
February 21, 2017
Louisiana Department of Health opioid prescription limits (PDF)
February 9, 2017
Medical and pharmacy processes for providers located in, or serving areas affected by severe weather (PDF)
January 6, 2017
Did you know members rate the care they receive from providers through the CAHPS survey? (PDF)
2016
December 20, 2016
Holiday schedule (PDF)
December 16, 2016
Regional Provider Trainings in January 2017 (PDF)
December 12, 2016
Increased functionality coming soon to Jiva (PDF)
November 23, 2016
Electronic Health Records (EHR) Incentive Payment Program deadline (PDF)
You have until December 31, 2016, to take advantage of phase one of this opportunity.
November 03, 2016
Global Maternity Procedure codes for claims billed to Medicaid as Secondary Payer (PDF)
October 31, 2016
Provider Post - October 31, 2016 (PDF)
2016 HEDIS Improvement Campaign, new coverage for women with breast cancer, open enrollment, and more
October 18, 2016
Integrated Practice Assessment Tool survey (PDF)
Louisiana Department of Health informational bulletin
October 04, 2016
Code ZE6 (missing/incomplete/invalid CPT/HCPC code) claim denials (PDF)
October 04, 2016
Regional provider training on October 21, 2016 (PDF)
September 01, 2016
Regional provider training on October 3, 2016 (PDF)
September 01, 2016
Provider Post - September 1, 2016 (PDF)
Zika prevention, third party liability (TPL) updates, and more
August 23, 2016
Medical and pharmacy processes for providers located in or serving areas affected by the recent flooding (PDF)
August 15, 2016
State of emergency - Flood notice to providers (PDF)
July 29, 2016
Spiriva 18 Mcg Cp-Handihaler removal from formulary (PDF)
July 25, 2016
Claim payments for community psychiatric supportive treatment (CPST) services - CPT code H0036 (PDF)
July 22, 2016
Regional provider training on August 10th, 2016 (PDF)
July 19, 2016
Update - Behavioral health clinical practice guidelines (PDF)
July 15, 2016
Continuity of care policy for Medicaid expansion population (PDF)
July 14, 2016
Behavioral health treatment record review requirements (PDF)
July 01, 2016
Delayed electronic fund transfer (EFT) payments (PDF)
June 30, 2016
Billing of same-day services (PDF)
June 09, 2016
Notice of Pregnancy (NOP) Form (PDF)
May 20, 2016
Billing and ordering guidance for long-acting reversible contraceptives (PDF)
Louisiana Department of Health informational bulletin
May 10, 2016
Submission process for voided fee for service (FFS) non-emergency ambulance transportation (NEAT) claims (PDF)
May 06, 2016
Enhancements to NaviNet Plan Central, Eligibility and Benefits, and Claim Status Inquiry (PDF)
May 03, 2016
Partner with us to prevent health care fraud, waste and abuse (PDF)
May 02, 2016
Quick-start guide to electronic prior authorization requests through ZeOmega® Jiva (PDF)
April 20, 2016
Cardiovascular care - Educational CME credit opportunity (PDF)
March 25, 2016
Claims processing edits for provider taxonomy - suspended (PDF)
March 25, 2016
Electronic remittance advice (ERA) modifications (PDF)
March 23, 2016
How can NaviNet help you? (PDF)
March 11, 2016
Retro emergency ambulance claim process (PDF)
March 09, 2016
Managing updates to enrollees' TPL files (PDF)
March 04, 2016
ICD-10 policy and claims payment system updates (PDF)
March 03, 2016
CAHPS survey (PDF)
March 02, 2016
Z60 error code correction (PDF)
February 29, 2016
Community Psychiatric Supportive Treatment (CPST) (PDF)
February 23, 2016
Behavioral health continuity of care (PDF)
February 11, 2016
Delivering culturally competent cardiovascular care webinar (PDF)
February 02, 2016
Behavioral health accepted modifiers (PDF)
January 15, 2016
Emdeon rebranded as "Change Healthcare" (PDF)
January 15, 2016
ICD-10 policy and claims payment system updates (PDF)
Providers