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Applications must be submitted by September 30, 2022. Enroll Now! The state, through the Department of Health, is more effectively managing Medicaid enrollees' health care through Healthy Louisiana. Louisiana's Medicaid providers deliver a valuable service to the state's Medicaid recipients, and their continued input and participation are critical as the State works to create a care delivery system that leads to better health outcomes and more effectively coordinates services and treatment. The program includes five managed care organizations (MCO) to improve recipient health outcomes, and add benefits for recipients. The Health Plans are:
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Quick Links Contact LDH Directly Regarding Provider Relations >> Request for Policy Change Form >> Clinical Policy Request for Consideration Form >> Claims and Billing >> Contract Information >> Presentations & Resources >> Useful Contacts >> Latest News >> FAQs >> Quality Committee >> Administrative Simplification Committee >> Subscribe to Newsletter Subscribe to have important information updates delivered to your inbox. The UnitedHealthcare Community Plan is managed by UnitedHealthcare Insurance Company, which has a membership of 40 million people. The plan provides low-cost medical coverage to Medicaid and Medicare Advantage recipients and is one of the largest providers of Medicaid coverage to states in the U.S. The Medicare Advantage plans combine the benefits of Original Medicare with additional features while allowing recipients to use their Medicaid benefits. UnitedHealthcare Community Plan options are available in Arizona, Delaware, Florida, Hawaii, Iowa, Kansas, Louisiana, Maryland, Massachusetts, Michigan, Mississippi, Nebraska, Nevada, New Jersey, New Mexico, New York, Ohio, Pennsylvania, Rhode Island, Tennessee, Texas, Washington, and Wisconsin. Network size differs from state to state. For example, in New York the plan serves 43 counties through 235 hospitals and over 65,000 doctors. UnitedHealthcare Community Plan partners with local communities to improve health awareness for women and children. The company helps educate the elderly on health programs they can access and participates in the Farm to Fork Program in Mississippi to help encourage healthy eating habits. UnitedHealthcare Community Plan also helps local communities obtain grants. Like many insurance companies, UnitedHealthcare Community Plan’s product offerings include HMO plans. We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure to check back frequently for updates.” Prior Authorization and Notification ResourcesCurrent Policies and Clinical Guidelines
Provider Administrative Manual and GuidesCOVID-19 Resources for Providers
Expand All add_circle_outline Provider Service Center888-362-3368, available Monday – Friday from 6:00 a.m. – 6:00 p.m. Claims AddressMedicaid and NJ FamilycareUnitedHealthcare Community Plan UnitedHealthcare Dual Complete ONEUnitedHealthcare
Dual Complete® ONE Claims Appeal AddressPart C Appeals and Grievance Department Part D Appeals and Grievance Department UM AppealsMedicaid and NJ FamilycareUnitedHealthcare
Community Plan UnitedHealthcare Dual Special Needs (HMO SNP)UnitedHealthcare Dual Complete One All ProvidersFor Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210. Credentialing and Recredentialing for Managed
Long-Term Care Services and Supports (MLTSS) ProvidersAll documentation, inquires, and communication related to MLTSS credentialing and recredentialing information can be emailed to us at .
Behavioral Health ProvidersLearn how to join the Behavioral Health Network, review Community Plan Behavioral Health information, or submit demographic changes at Community Plan Behavioral Health. Facility/Hospital-Based Providers, Group/Practice Providers and Individually-Contracted Clinicians |