Welcome Louisiana Providers
Louisiana Provider Resources
Optum Network Manual
Network Manual
LA Medicaid Behavioral Health Provider Manual
Clinical Criteria
Best Practice Guidelines
BP Guidelines
Coordination of Care (COC)
LA Medicaid ABA
LA Medicaid ABA Provider Portal
Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.
LA Dialectical Behavior Therapy (DBT) Billing Guidelines
For the latest Health Plan Advisories related to the COVID-19 crisis and related changes to the offering of services, please visit the links below. UHC guidance is reflective of the HPAs unless you have been otherwise notified.
State-Level Resources
Louisiana Department of Health’s COVID-19 Website
Medicaid Updates for Providers
Louisiana Department of Health Informational Bulletins
American Rescue Plan Act (ARPA) Provider Incentive Program
Authorization for Electronic Funds Transfer (ACH)
LA Medicaid - APRA All MCO Memo
MCO Invoice: American Rescue Plan Act of 2021 (ARPA) Provider Incentives
UHC ARPA Incentive EBP Payment Coversheet
All authorizations for Psychiatric Residential Treatment Facilities, Mental Health Inpatient, and Residential Substance Abuse must be requested by calling 1-866-675-1607. For additional information, please review the Provider Quick Reference Guide for LA Medicaid.
Louisiana Commercial-Specific Resources
Louisiana Crisis Response System
Louisiana Medicaid Provider Enrollment
Louisiana Medicaid-Specific Resources
- New member incentive for completing follow-up appointments after hospitalization - new
- ATLAS (Addiction Treatment Locator, Assessment and Standards Platform)
- Changes to the Authorization Process for UnitedHealthcare Community Plan Mental Health Rehabilitative Services
- LA Office of Behavioral Health (OBH) regional provider tours October 3 -
October 11 - LA MHR Portal Form Enhancement
- New Enrollment Requirements for All UnitedHealthcare Community
Plan Providers - Substance Abuse and Mental Health Service Administration (SAMHSA) DEA X Waiver Training
- LDH Notice Class Action Lawsuit_20211011
- People's Health Changes for 2024
- ABA Cultural Competency Training - 2024
- Behavioral Health Crisis Services Contracting Training
- Changes to Billing for SUD IOP Program Treatment (ASAM 2.1)
- Cultural Competency Training Presentation
- Cultural Competency Training Resources
- MHR Prior Auth FAQ
- Member Choice Form Memo—effective September 1, 2018
- LA MHR Prior Authorization Training
- MHR and EBP Prior Authorization Requirement Flyer—effective September 1, 2018
- Personal Care Services Contracting and Billing
- Provider Quick Reference Guide for LA Medicaid
- Provider Network Monitoring Tool Element
- LA DOJ CCM Monitoring Tool
- ABA Provider Quality Monitoring Tool
- Behavioral Health Audit Tool Elements
- Clinical Program Guidelines Record Supplemental Site Audit Tooll
- Human Resources (HR) File Review Site Audit Tool
- Organizational Provider Site Audit Tool
- Beahvioral Health Provider Quality Monitoring Tool
- Behavioral Health Provider Training Q&A
- Behavioral Health Service License Rule Revisions
- Billing Aid for Crisis Intervention Services
- Billing Training Presentation
- CMS 1500 Billing Aid
- Evidence-Based Practices Billing Guide
- Integration of Assertive Community Treatment (ACT) and Individual Placement and Support (IPS) Services
- Evidence-Based Practices Billing Training Deck
- Integration of Physical Health and Behavioral Health
- LA Behavioral Health Provider Training Deck
- LA Provider Appeal and Reconsideration Information
- Level of Care Guidelines Provider Notification
- License Level Memo
- Medicaid Billing Guidelines for Medicare Psychiatric Days Exhausted
- Member Rights and Responsibilities
- Mental Health Rehabilitation (MHR) Billing Reminder
- Mental Health Rehabilitation Redesign Billing Guidance
- Newsletter for LA Providers - November 2017
- Newsletter for LA Providers - November 2018
- Post Discharge Provider Education Material
- Prior Authorization Requirement for Peer Support Services Training
- Timely Access to Care
The new NILC roster submission process will take effect 10/31/23. Please review the NILC Roster Submission Training Deck for directions on how to submit your NILC roster.
NILC Roster Submission Training Deck
LA UHCCP: ACT 503 Implementation Training
Louisiana Department of Health Behavioral Health Provider Manual