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Provider Handbook
Complete Provider Handbook
(PDF)
View/Print sections of the Provider Handbook
Table of Contents
(PDF)
Introduction
(PDF)
About LaCare, NPI Number, Telephone Numbers and Definitions
Section I
(PDF)
Physician Office Standards & Requirements
Section II
(PDF)
Member Eligibility
Section III
(PDF)
Covered Benefits
Section IV
(PDF)
Referral & Authorization Requirements
Section V
(PDF)
Claims Disputes and Provider Complaints
Section VI
(PDF)
Provider Services
Section VII
(PDF)
Quality Management, Credentialing, and Utilization Management
Section VIII
(PDF)
Special Needs & Case Management
Section IX
(PDF)
Member Rights and Responsibilities
Section X
(PDF)
Provider Medical Necessity Appeals, Member Appeals, Complaints & Grievances
Section XI
(PDF)
Regulatory Provisions
Section XII
(PDF)
Accessing Other Medicaid Covered Services and Community Resources not covered by LaCare
Appendix
(PDF)
1 - KIDMED Periodicity Schedule
(PDF)
2 - Immunization Policies and Procedures Manual
(PDF)
3 - Louisiana Department of Health and Hospitals Immunization Schedule
(PDF)
4 - Recommended Immunization Schedule for Persons Aged 0 Through 6 Years
(PDF)
6 - Referral Form
(PDF)
8 - Observation Billing Guidelines
(PDF)
9 - Hospital Notification of Emergent/Urgent Admissions
(PDF)
10 - Medicaid Program Acknowledgment of Receipt of Hysterectomy Information
(PDF)
11 - Consent for Sterilization
(PDF)
12 - Certification of Informed Consent - Abortion
(PDF)
13 - Department of Health and Hospitals Newborn Eligibility System User Manual
(PDF)
14 - Obstetrical Needs Assessment Form
(PDF)
16 - Mobile Phlebotomy Service Providers
(PDF)
17 - National Quality Forum Serious Reportable Events in Health Care
(PDF)
18 - Preventable Serious Adverse Event Screening Codes
(PDF)
19 - Multiple Claims Project Sheet
(PDF)
20 - Provider Change Form
(PDF)
21 - Patient Consent for Provider to File a Grievance
(PDF)
22 - Louisiana Domestic Violence Facts
(PDF)
23 - Non-Participating Provider Emergency Services Payment Guidance
(PDF)
26 - Claim Filing Instructions
(PDF)
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