April 13, 2011
The Department of Health and Hospitals (DHH) has issued the Requests for Proposals (RFP) for Coordinated Care Networks (CCN). DHH issued two separate RFPs, one for the CCN-Prepaid (CCN-P) model, and one for the CCN-Shared Savings (CCN-S) model. DHH will administer CCNs for Medicaid using both models, which will be implemented simultaneously. Insurance companies, shared-savings entities and other capable groups are welcome to submit proposals to operate a CCN, and through this competitive procurement process, the state will select the best-qualified entities to provide services for the Medicaid and LaCHIP recipients who will enroll in a CCN.
March 30, 2011
This downloadable and printable guide tells providers what they need to know as the State's Coordinated Care Network initiative moves forward. From interacting with potential networks and health plans to how to talk to patients about this process, Medicaid providers can find answers to their important questions.
March 29, 2011
Making Medicaid Better Newsletter 3.29.2011
March 24, 2011
The purpose of this RFP is to solicit proposals from qualified external quality review organizations (EQRO) to perform readiness reviews and undertake external quality review (EQR) activities consistent with federal regulations for Louisiana’s Coordinated Care Networks. The Coordinated Care Networks will consist of two models: Coordinated Care Network-Shared Savings (CCN-S) model and Coordinated Care Network-Prepaid (CCN-P) model. The EQRO will provide analysis and evaluation of aggregated information on the CCNs’ quality, timeliness, and access to certain Medicaid covered health care services. DHH anticipates having two (2) to three (3) CCN-P entities and two (2) to three (3) CCN-S entities in each of three (3) Geographic Service Area (GSA)s. The Contractor will provide services in all GSAs to all CCN-P and CCN-S entities.
March 23, 2011
The State of Louisiana (State) is undertaking the development of a Coordinated System of Care (CSoC) for Louisiana’s at-risk children and youth with significant behavioral health challenges or co-occurring disorders in or at imminent risk of institutionalization. Louisiana leaders acknowledge that the needs of these children and their families are currently being served through a fragmented service delivery model that is not well coordinated, is many times inadequate to meet their needs and is often difficult to navigate. Further, the current system does not allow for state departments to take a coordinated approach to deliver the necessary behavioral health services. This too often results in Louisiana’s children with the highest level of needs often detained in institutional settings.
March 10, 2011
Today, several groups representing health care providers and advocates released statements in response to the Governor's Fiscal Year 2012 executive budget announcement.
March 04, 2011
Making Medicaid Better Newsletter 3.4.2011
March 01, 2011
Today, Department of Health and Hospitals Secretary Bruce D. Greenstein issued the following statement in regard to a joint announcement from Louisiana Hospital Association, Metropolitan Hospital Council of New Orleans and Louisiana State Medical Society that these organizations support the state’s proposal to implement Coordinated Care Networks in Medicaid.
February 27, 2011
The Louisiana Ambulance Alliance and the Louisiana State Nurses Association endorsed the "coordinated care network" proposal.