Lamoms Take Charge Plus And Breast And Cervical Cancer
The LaMOMs program provides no-cost health coverage for prenatal and delivery care to pregnant women. The Take Charge Plus program provides coverage for family planning services including birth control, STI/STD testing and treatment, sterilization, vaccines, and cervical cancer screenings and treatment.
See the income eligibility chart above to find out if you qualify for LaMOMS or Take Charge Plus.
Alternatively, if you are a woman who does not qualify for Medicaid but does not have access to good health insurance and has concerns about breast and cervical cancer, you may qualify for no-cost screenings and treatment. You can apply if you are screened and found to need treatment for breast or cervical cancer. You can start by scheduling a screening at 1-888-599-1073.
What If I Have Questions About My Healthy Louisiana Plan
If you have questions about your Healthy Louisiana plan, contact your plans customer service department.
- Aetna Better Health 1-855-242-0802 TTY: 711 Available 24 hours a day, 7 days a week
- AmeriHealth Caritas 1-888-756-0004 Available 24 hours a day, 7 days a week.
- Healthy Blue 1-844-521-6941 Available Monday Friday, 7:00 a.m. – 7:00 p.m.
- Louisiana Healthcare Connections 1-866-595-8133 Available Monday Friday, 7:00 a.m. – 7:00 p.m.
- UnitedHealthcare Community 1-866-675-1607 Available Monday Friday, 7:00 a.m. 7:00 p.m
Where Can I Find Information About A Nursing Home’s Health Or Fire
Health and fire-safety inspections with detailed and summary information about deficiencies found during the three most recent comprehensive inspections and the last three years of complaint investigations are found on the Medicare.gov Nursing Home Compare website.
Nursing Home Compare allows consumers to search for a nursing home based on location and compare the quality of care they provide and their staffing. Nursing Home Compare has detailed information about every Medicare and Medicaid-certified nursing home in the country.
For information about Louisiana nursing homes or any other nursing home inquiry, contact the LDH Health Standards Section, Nursing Home Program Desk at 225-342-0114 or visit the Louisiana Nursing Home Association website. Nursing home providers are required to post the results of their most recent inspection in the facility.
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Unitedhealthcare Senior Care Options Plan
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.
Healthy Louisiana Transportation Services
Healthy Louisiana works with LogistiCare to help get you to your medical appointments. As a Louisiana Medicaid member, you can get free rides to doctors appointments, mental health providers, urgent care offices, pharmacies, and other covered services. To get a ride through Logisticare, you will need your Healthy Louisiana plan member ID number, your address and contact information, your destinations address and contact information, the date and time of your appointment, whether or not you have a wheelchair or other equipment, and the name of a caregiver or guardian who will be accompanying you . Those under the age of 16 must be accompanied by an adult.
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Prior Authorization And Notification Resources
For BH Auth Inquiries: 866.675-1607
Medicaid Provider Enrollment Portal
If you file claims with Louisiana Medicaid, you must enroll in the new Medicaid Provider Enrollment Portal to continue being reimbursed. In fall 2021, Louisiana Medicaid mailed letters to providers about this enrollment requirement.
To simplify the process, UnitedHealthcare Community Plan of Louisiana has partnered with Louisiana Medicaid for a provider enrollment drive that will devote time to each provider type over the next few months. During this time, we will be sharing resources, training, and answers to commonly asked question. Our goal is to have each provider enroll during their designated provider week, if not sooner.
If you have any questions or concerns, you can reach out to Louisiana Medicaid.
Your “one call” resource line. Contact for information regarding:
- Behavioral Health referral
- Getting a member a ride
- Language interpreter services
- Reach a community-based case manager
- Referrals to specialists
If your office relocates or closes for an extended period, please contact us at 1-877-369-1302.
Claims and Appeals
Salt Lake City, UT 84131-0341
Claims Appeals Address
Salt Lake City, UT 84131-0364
Utilization Management Appeals Address
Are your patients prepared for hurricane season?
We want to help make sure your patients are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding.
Wellhop For Mom & Baby
Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.Heres how it works:
- Join video conversations every other week with women who have similar due dates and a group leader.
- Chat and share experiences with moms from your group on the Wellhop app or website.
- Visit the Wellhop library. Youll find articles, videos and more.
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When To Contact Your State Medicaid Agency
In order to assist you in getting a timely response, please contact your State Medicaid Agency for any questions on the following:
If you need assistance in any of the areas noted, you will need to contact the agency for Medicaid/CHIP in your state of residence or the state you have questions about in order to receive assistance. Please contact your state for all state-related Medicaid questions.
How To Get Both Medicare And Medicaid In Louisiana
If you are eligible for Medicaid but you are also over the age of 65 or have been diagnosed with ALS or ESRD, you can ALSO get Medicare coverage. When you have both Medicare and Medicaid coverage, you are considered dual-eligible and can enroll in a Medicare Advantage dual-eligible special needs plan.
To get more information about saving money on health care by enrolling in Medicare Advantage, set up an appointment with a licensed agent in your area or call us at 833-438-3676.
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Pharmacy And Prescription Benefits
Medicaid Louisiana covers most prescription drugs. If you have both Medicare and Medicaid, you will get your prescriptions through your Medicare Part D or prescription drug plan. If you are getting your prescriptions covered through Medicaid , you have coverage for all except cosmetic drugs, cough and cold, anorexics, fertility drugs, experimental drugs, erectile dysfunction, narcotics, and some over the counter drugs. Most people will be responsible for a copay of anywhere from $.50 to $3.00.
How Can I Find A Doctor That Accepts Medicaid
For Healthy Louisiana plan members, contact the member services department with questions about how to access care.
For information on dental benefits please contact your dental plan.
For members enrolled with MCNA Dental call 1-855-702-6262 .
For Legacy Medicaid members, call 1-877-455-9955 to find a specialist in your area.
It is important to remember that not all doctors who are active in the Medicaid program are taking new patients. When you call for an appointment, be sure to ask if the doctor is taking new Medicaid patients.
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Healthy Louisiana Plan Eligibility
You must qualify for Medicaid to be a member of this health plan.
Medicaid is a program for people with low to moderate incomes who meet certain eligibility requirements.
To see if you qualify for Medicaid, call the Medicaid hotline toll free at 1.888.342.6207 or visit the Louisiana Medicaid website.
UnitedHealthcare is helping members who may be affected by severe weather and flooding. If you need help please call member services at , TTY 711.
Additional information can be found on our Hurricane Resource Page. Helpful Frequently Asked Questions can be viewed here. Behavioral Health Resources can be viewed here.
A free emotional-support help line is also available to everyone at , TTY 711 and is open 24 hours a day, seven days a week. The service is free of charge and open to anyone. Trained Optum mental health specialists can help you manage stress and anxiety. Callers may also be referred to community resources to help with other concerns, including financial and legal matters.
Louisiana members who have questions about coronavirus, can contact Louisiana 211 Network by dialing dial 211. For the most current information about the outbreak as it becomes available, text keyword LACOVID to 898-211 or visit the Louisiana Office of Public Health at: .
Get the details
See What Unitedhealthcare Has To Offer
Its your health. Its your choice.
Everyone deserves affordable health care, including you.
Working adults, people with disabilities, pregnant women, and children who qualify for Medicaid should check out UnitedHealthcare Community Plan of Louisiana.
We have the Medicaid benefits and extras that can make a real difference in your life. All at no cost to you.
- Find a doctor you trust in our network
- Unlimited doctor visits
- Transportation to and from doctor appointments
- 24/7 NurseLine to answer your health questions
- Members age 21 and older can get behavioral health crisis care 24/7 by calling 1-866-232-1626, TTY 711.
Sometimes, you might need a little extra help. Get extras not covered by Medicaid.
- Earn rewards for keeping you and your baby healthy
- Earn gift cards for getting preventive services
- Support and treatment to encourage a healthy lifestyle
- Members age 21 and older can get pain management treatment and exercises
We also offer resources to help you make the most of your plan. Including:
- Member advocates
- Mobile crisis response system available for ages 21 and older by calling 1-866-232-1626, TTY 711
Visit healthy-dot-L-A-DOT-GOV for more information.
Helping you live a healthier life.
We are here for you, Louisiana
Remember to choose UnitedHealthcare Community Plan.
And get the Plan that gets you more.
To learn more about UnitedHealthcare Community Plan, visit UHCCP-dot-com-forward slash Louisiana
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Medicaid / Healthy Louisiana
Louisiana Receives Approval for Unique Strategy to Enroll SNAP Beneficiaries in Expanded Medicaid CoverageWednesday, June 1, 2016 Contact: Samantha Faulkner 225.342.9010,
Baton Rouge, La. Yesterday, the U.S. Department of Health and Human Services announced that Louisiana has received final federal approval to enroll residents in Medicaid using data from the Supplemental Nutrition Assistance Program , more commonly known as food stamps. With this approval, Louisiana has become the first state in the country to receive approval to both determine Medicaid income eligibility and enroll people receiving SNAP benefits using this special fast-track enrollment process.
The authority granted by the Centers for Medicare and Medicaid Services allows the state to enroll individuals who are certain to be eligible for Medicaid without the need for a full Medicaid application because the financial eligibility requirements for Medicaid and SNAP are nearly identical and non-financial eligibility requirements are also already met.
Governor John Bel Edwards thanked CMS for expediting the approval of the state plan amendment, the formal request to make a change to the Medicaid program, to allow for the automatic enrollment of SNAP enrollees, as it will allow more people to get health care coverage as soon as July 1.
Questions and Answers
A Plan That Goes Beyond The Doctors Office
With Humana Healthy Horizons in Louisiana, you get high-quality medical, behavioral health, and pharmacy coverage, and more, including access to:
- Go365 for Humana Healthy Horizons®, a program that rewards you for completing healthy activities
- Health coaches and programs
- Specialized care management programs
If you need help connecting to a doctor or meeting your familys needs, were here to support you in all you do.
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Important Information For Families Impacted By Hurricane Ida
If you live in one of the 25 parishes that FEMA approved for disaster relief because of Hurricane Ida, you now have until 6 p.m. on to change your health plan or dental plan. Or you can do nothing and keep the plans you have now.
You can change your health plan, your dental plan, or both. This is not to renew your Medicaid coverage. It is a chance to change health plans or dental plans with no reason needed. If you do not want to change plans or if you already changed your plan during Open Enrollment and want to keep it, you do not have to do anything.
If you want to change your health plan or dental plan, you now have until 6 p.m. on .
This new date applies to Healthy Louisiana members whose primary residence is in these parishes:
Medicaid Purchase Plan Louisiana
Louisianas Medicaid Purchase Plan allows those with severe disabilities to go to work but still qualify for Medicaid. To qualify, you must have a Social Security-qualifying disability, be between the ages of 16 and 65, have less than $10,000 in assets, and earn less than $1,012 per month or $1,372 for a household of two.
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What If I Am Not A U S Citizen
To be eligible for Medicaid in Louisiana, you must be resident of Louisiana and either U.S. citizen or a non-citizen who is lawfully present in the U.S. Non-citizens can qualify for coverage for emergencies and labor and delivery services if income requirements are met.Medicaid and LaCHIP coverage may be available to children up to age 19 who are lawfully residing and are otherwise eligible.
How Does The Medically Needy Spend
Medically Needy provides Medicaid eligibility to qualified individuals and families who may have too much income to qualify for regular Medicaid programs. Individuals and families who meet all Medicaid program requirements, except that their income is above those program limits, can spend-down or reduce their income to Medicaid eligibility levels using incurred medical expenses.
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Mental Health Coverage Through Magellan Of Louisiana
Depending on your plan, you can get some mental health services covered by Healthy Louisiana. Some examples of covered services are mental illness, substance abuse, addictive disorders, drug and alcohol misuse, and mental disorders like autism.
Magellan of Louisiana is the MCO for LaCHIP. The MCO has mental health, substance abuse, and therapy providers. to find a Magellan provider near you.
How Do I Report An Address Change
Call Medicaid Customer Service toll free at 1-888-342-6207 or go online by visiting the Medicaid Self-Service Portal to update your address.
If you do not have an online account, you can create an account at any time. Creating an online account allows you to check the status of your application, report any household changes, report an address change, request a replacement Medicaid ID card, and renew your Medicaid benefits.
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How To Change Your Plan
If you are already enrolled in a plan and want to change to a different plan, you must meet 1 of the following requirements:
- You have been a member of your current plan for 3 months or less, or
- Youre having problems finding the care you need
If you believe you meet 1 of the above requirements:
- Call the Enrollment Broker at 1-855-229-6848 , Monday Friday, 8 a.m. 5 p.m.
If you do not meet 1 of the requirements above and still want to change your plan, you may change your plan during [open enrollment each year.
Dental Vision And Hearing Care
We help you keep your smile, sight and hearing at their best. Benefits include:
- Dental. Covered cleanings, checkups and dental work are provided by MCNA Dental or DentaQuest for members under the age of 21. We also offer coverage for adults, including dental exams, cleanings, and x-rays *
- Vision. Routine exams and glasses and contacts are covered for members under the age of 21.
- Hearing. Tests, exams and hearing aids are covered for members to age 21.
* Value added benefit offered by UnitedHealthcare Community Plan.
Get the medical care and equipment you need to live safely at home. Benefits may include:
- Equipment and Supplies. In-home medical and safety equipment are covered for medically necessary equipment.
- Home Health Care. Medical and personal care at home, if necessary.
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Will Medicaid Provide Payment For A Family Member Who Needs Nursing Home Care
Louisiana’s Medicaid Program provides payment for special long term care support services, as well as full Medicaid health coverage, to eligible people who, because of their medical condition, require assistance with activities of daily living . Long-term care supports may be provided either in a facility or in an individual’s own home or in the community. Visit Medicaid Long-Term Care.
Answer These Questions To Help You Choose A Health Plan:
- Do you want to keep your doctor or clinic, or do you want a new one?
- Does the health plan have the doctors, hospitals and specialists you use? To find out, go to Find a provider.
- Do you need a Primary Care Provider who speaks a certain language?
- Does anyone in your family have special health needs?
- What extra services does the health plan have? To see each health plans extra services, go to Compare plans. Or read a PDF of the medical comparison chart.
- Does the health plan offer all the prescription medicines you take? For the list of medicines that all health plans offer, and for links to each health plans preferred drug list, click here.
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How Does Medicaid Work
The Medicaid program does not provide health care services for everyone. Your application will be reviewed for all Medicaid programs. If you are found eligible for Medicaid, you will get:
- A letter in the mail from Medicaid telling you about your coverage
- A Medicaid ID card
- A Healthy Louisiana plan ID card, if you enroll in a plan.
Each time you go to your health care provider or pharmacy, take your Medicaid ID and Healthy LA plan ID cards with you. Show them at all medical visits before you receive any service. The health care provider or pharmacy will tell you if they accept your Medicaid benefits. You should also ask your health care provider or pharmacy if the service or prescription is covered by Medicaid before receiving the service or filling a prescription.
Medicaid does not pay money to you instead, it sends payments directly to your health care provider or pharmacy.
