Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary

CCN Prepaid Procurement Library

The following information is listed for historical purpose and is not updated.

These documents are related to the Request for Proposals for a prepaid Coordinated Care Network issued on April 11, 2011. Three companies were subsequently selected for the Prepaid model (Amerigroup Louisiana, Inc., Amerihealth Mercy of Louisiana, Inc. and Louisiana Healthcare Connections, Inc.). Click here to see the Request for Proposals. 

Potential CCN-P Letters of Intent

• Aetna
• Amerigroup
• AmeriHealthMercy
• Children's Hospital
• Coventry Healthcare
• LouisianaCares
• Louisiana Healthcare Connections
• PPC Holdings Management
• United Healthcare
• WellCARE

CCN Prepaid Request for Proposals

• Request for Proposals - Prepaid
• CCN Prepaid Request for Proposals Appendices
• CCN RFP Question Submission Template
• CCN Prepaid Reporting Requirements

Louisiana Medicaid Databook

CCN Proposers' Conferences April 18 & 19

Coordinated Care Network Companion Guides

• CCN-P Financial Reporting Guide
• CCN-Prepaid Systems Guide updated 5.2.2011
• CCN State Fair Hearing Guide
• CCN Quality Guide to be created

Medicaid Policy, Procedure and Legislation

• Notice of Intent for Coordinated Care Networks submitted 2.14.2011
• Louisiana Medicaid State Plan Amendment
• Louisiana Medicaid Eligibility Manual
• Louisiana Medicaid Provider Manuals
• Act 1 of the 2010 Louisiana Legislature
• KidMed Manual
• Criminal History Records Check of Applicants and Employees
• State of Louisiana Emergency Operations Plan
• Emergency Operations Plan - Executive Order: BJ 08-32
• Emergency Operations Plan -  Amendment to Executive Order: BJ 08-32

Medicaid Enrollment

• Potential CCN Enrollment 2011 data
• Louisiana Medicaid Preferred Language by Parish

Traditional Medicaid Providers

• Louisiana Medicaid Provider Listing
• CommunityCARE 2.0 Linkages file updated monthly
  
• School Based Health Clinics
• Louisiana Medicaid Hospital Provider Payment 2008-2010
• State, Small Rural and Community Hospital Breakdown 
• Louisiana Medicaid Hospital Inpatient Per Diem updated 6.10.2011
• Louisiana Medicaid Provider SFY 2010 Top Percent of Claims posted 6.2.2011 
• Louisiana Medicaid Provider SFY 2010 Total Payments posted 6.2.2011

Quality Measures

• EPSDT Periodicity Schedule
• Annual EPSDT Screening Rates
• Louisiana Medicaid Baseline Quality Data
• CommunityCARE Baseline Data (updated 9.12.2011)
• CommunityCARE Incentive Based Measures by GSA
• CommunityCARE Incentive Based Measures by Region
  
• 2008 Delivery Types
• 2009 Delivery Types
  

Benefits and Services

• Medicaid Services Chart
• School Based Health Clinics Services
  

Fee Schedules

• DHH Transplant Rule
• Interim Outpatient Reimbursement Rates updated 6.1.2011
• Hospital Provider Per Diem Rates
• FQHC rates
• Rural Health Clinic Rates
• Fee Schedules for Outpatient Hospital Services
• Fee Schedules for Ambulatory Surgery Fees, Non-Rural, Non-State
• Medicaid Fee Schedules
• Rehabilitation Rates and Codes

CCN Provider Recruitment

• Letter of Intent for Prospective CCNs to Recruit Providers
• Memo to Potential CCNs Regarding Provider Recruitment
• CCN Resource Guide for Providers
• CCN-P Provider Subcontract Requirements

Resources

• Geographic Service Areas (map)
• CCN Prepaid Implementation Timeline
• CCN Contracts Checklist - Prepaid
• Disclosure Form
• Data Dictionary
• Louisiana Medicaid Ownership Disclosure
• Louisiana Federally Recognized Tribes
• Chronic Conditions (Reference RFP Question #306)
  
• Inpatient (IP) and Outpatient (OP) Cost Settlements Adjustments (Reference RFP Question # 235)
  
• Maternity Codes (Reference RFP Question #396)
  
• Category of Assistance Crosswalk (Reference RFP Question # 293)
  
• Final Category of Assistance Crosswalk (Reference RFP Question # 294)
  
• Hospitals Receiving Cost Settlements (Reference RFP Question # 289)
  
• Incurred But Not Reported Claims (Reference RFP Question # 603)
  
• Fee Schedule Adjustment
• Preventable Hospital Admission Study 2009 (Reference RFP Question #605)
• CCN Network Provider Spreadsheet - Proposal Submission Requirement G.1
• Interim Outpatient Reimbursement Rates (Reference RFP Question #387)