Healthy Blue Louisiana Forms Pdf

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Forms Healthy Blue Louisiana

(9 days ago) WebHealthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc. an independent licensee of the Blue Cross and Blue Shield Association. Availity, LLC is an …

https://provider.healthybluela.com/louisiana-provider/resources/forms

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Today’s date: Member information - Healthy Blue Louisiana

(Just Now) WebToday’s date: Member information. Medicaid Managed Care. Precertification Request. Healthy Blue Precertification phone: 1-844-521-6942Fax:1-877-269-5705. To prevent …

https://provider.healthybluela.com/docs/gpp/LA_CAID_UniversalPrecertificationForm.pdf?v=202107071912

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Member Handbooks and Helpful Resources Healthy Blue …

(5 days ago) WebWe invite you to join us for our next meeting. To be part of the discussion or to learn more about the committee, please call Healthy Blue at 877-440-4065 (TTY 711), Monday …

https://www.myhealthybluela.com/la/benefits/member-resources.html

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Behavioral Health Outpatient Treatment Request Form

(1 days ago) WebBehavioral Health Outpatient Treatment Request Form . https://providers.healthybluela.com. Healthy Blue is the trade name of Communty Care …

https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_BHOutpatientTreatmentForm_6.pdf?v=202101122247

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Claim Payment Appeal — Submission Form - Healthy Blue …

(8 days ago) WebMail this form, a listing of claims (if applicable) and supporting documentation to: Healthy Blue Payment Appeals P.O. Box 61599 Virginia Beach, VA 23466-1599. …

https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_ClaimPaymentAppealForm_1.pdf?v=202101122212

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Home Healthy Blue Louisiana Medicaid

(4 days ago) WebWe help you get the care you need like doctor visits, medicines, therapy and more. In Louisiana, the overall Medicaid program is called Healthy Louisiana. In Louisiana, we: …

https://www.myhealthybluela.com/la/louisiana-home.html

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Quick start guide - Healthy Blue Louisiana Medicaid

(5 days ago) WebCall our 24/7 NurseLine anytime, anywhere, even on holidays, at 866-864-2544 (TTY 711). You may also call our 24-hour Behavioral Health Crisis Line at 844-812-2280 (TTY 711). …

https://www.myhealthybluela.com/la/lala_caid_newwelcomebrochurebhso_eng.pdf

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Home Healthy Blue Louisiana

(8 days ago) WebHealthy Blue Louisiana Provider. Membership reassignment. For members who have been reassigned to a new MCO by the Louisiana Department of Health effective January 1, …

https://provider.healthybluela.com/louisiana-provider/home

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How to Enroll Healthy Blue Louisiana Medicaid

(5 days ago) WebMail your completed transfer form to: Healthy Louisiana P.O. Box 77678 Baton Rouge, LA 70879-9908; Make your change by December 29, 2022 to stay with Healthy Blue come …

https://www.myhealthybluela.com/la/benefits/enroll.html

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Welcome Healthy Blue – Louisiana Medicaid

(4 days ago) WebPrint your member ID card. Download your member handbook. And more. You’ll need to access the secure portion of the member website. Member Services: 1-844-521-6941 …

https://www.healthybluela.com/healthyblue/welcome.html

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How to Renew Healthy Blue Louisiana Medicaid

(4 days ago) WebComplete your online renewal. You can also renew by calling the Louisiana Department of Health at 1-888-342-6207 Monday through Friday from 8 a.m. to 4:30 p.m. or visiting a …

https://www.myhealthybluela.com/la/benefits/renew.html

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Healthy Blue Member Handbook: Integrated Health Services

(6 days ago) WebHealthy Blue Member Handbook: Integrated Health Services . For Physical and Behavioral Health Services. myhealthybluela.com. 17662 122. child health program …

https://www.myhealthybluela.com/la/lala_caid_mhb_eng.pdf

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Behavioral Health Crisis Services Treatment Request Form

(6 days ago) WebHealthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. BLAPEC-2959-22 …

https://provider.healthybluela.com/docs/gpp/LA_CAID_BHOutpatientTreatmentForm.pdf?v=202203101952

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November 2019[January 2020] © Healthy Blue All rights …

(6 days ago) Webdetermined eligible for Louisiana Medicaid or CHIP, behavioral health and substance use or who belong to mandatory or voluntary managed care populations. This includes the …

https://ldh.la.gov/assets/medicaid/MCPP/6.18.20/250-HBL-ProviderManualFinal6.18.20.pdf

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Quick start guide - Healthy Blue Louisiana Medicaid

(Just Now) WebCall 24/7 NurseLine anytime, anywhere, even on holidays, at 866-864-2544 (TTY 711). You may also call our 24-hour Behavioral Health Crisis Line at 844-812-2280 (TTY 711). The …

https://www.myhealthybluela.com/la/lala_caid_newwelcomebooklet_eng.pdf

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Healthy Louisiana Mental Health Rehabilitation Member …

(7 days ago) WebProviders Information: A Member Choice form is required prior to receiving any mental health rehabilitation services. . This form requires member/legal guardian signature, …

https://www.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/pdfs/medicaid-provider/Member-Choice-Form-Healthy-Louisiana.pdf

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Materials and forms for Providers Aetna Medicaid Louisiana

(4 days ago) WebFind all the forms a member might need — right in one place. Go to member forms. Aetna Better Health ® of Louisiana. Providers, get materials and forms such as the provider …

https://www.aetnabetterhealth.com/louisiana/providers/materials-forms.html

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Prior Authorization - Louisiana Medicaid for Providers Humana

(8 days ago) WebPrior authorizations can be requested by phone, fax, mail, or electronic submission: Phone submissions: 1-800-424-1664. Faxed submissions: 1-800-424-7402. Electronic …

https://www.humana.com/provider/medical-resources/louisiana-medicaid/prior-authorization

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Outpatient Authorization Request Form - Blue Cross and Blue …

(5 days ago) WebBlue Cross and Blue Shield of Louisiana, an independent licensee of the Blue Cross Blue Shield Association, offers Blue Advantage (PPO). The information on this form is …

https://providers.bcbsla.com/-/media/Files/Providers/Blue%20Advantage%20Resources/2022-12%20Outpatient%20Authorization%20Request%20Form%20pdf.pdf

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Louisiana Medicaid Preferred Drug List (PDL)/Non-Preferred …

(6 days ago) WebMCOs: Aetna Better Health of Louisiana, AmeriHealth Caritas Louisiana, Healthy Blue, Humana, LA Healthcare Connections, United Healthcare: contact Magellan Medication …

https://ldh.la.gov/assets/HealthyLa/Pharmacy/PDL_January_1_2024_Version_1_1-1-2024.pdf

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Prior Authorizations Blue Cross and Blue Shield of Louisiana

(3 days ago) WebHealth insurance companies design prior authorization processes to evaluate the medical necessity of certain services. Blue Cross’ authorization process ensures that members …

https://www.bcbsla.com/prior-authorizations

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