Healthybluela.com View all Health

Welcome Healthy Blue – Louisiana Medicaid

Details: Medicaid. Visit the Healthy Blue website for Medicaid and LaCHIP members. You can: You’ll need to access the secure portion of the member website. Member Services: 1-844-521-6941 (TTY 711) Monday through Friday from 7 a.m. to 7 p.m.

› Verified 4 days ago

› Url: https://www.healthybluela.com/healthyblue/welcome.html Go Now

• Get more: Myhealthybluela sign inGo Now

Healthy Blue Dual Advantage (HMO D-SNP) Medicare Plan

Details: Healthy Blue is proud to be part of your community. And now you have more health care choices with us. We have a new plan for Louisiana residents who qualify for both Medicare and Medicaid. Healthy Blue Dual Advantage is a Medicare Advantage HMO Dual Eligible Special Needs Plan (D-SNP) with $0 premiums. Yes, you read that right—you pay no

› Verified 5 days ago

› Url: https://medicare.healthybluela.com/ Go Now

• Get more: Healthy blue louisiana providersGo Now

Disease Management Healthy Blue Louisiana

Details: The Disease Management/Population Health Program (DM/PHP) provides services for Healthy Blue members. These services are based on a system of coordinated care management interventions and communications designed to assist physicians and others in managing members with chronic conditions.

› Verified 2 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/patient-care/health-education/disease-management Go Now

• Get more: Myhealthybluela healthy rewards laGo Now

Behavioral Health Healthy Blue Louisiana

Details: Integrated healthcare. Healthy Blue facilitates integrated physical and behavioral health services as a vital part of healthcare. Our mission is to address the physical and behavioral healthcare of members by offering a wide range of targeted interventions, education and enhanced access to care to ensure improved outcomes and quality of life for members.

› Verified 4 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/patient-care/behavioral-health Go Now

• Get more: Healthy blue for providersGo Now

Patient Care Overview Healthy Blue Louisiana

Details: Behavioral health. The behavioral health provider network at Healthy Blue includes psychiatrists, psychologists, social workers, psychiatric nurses, other mental health providers and employee assistance healthcare professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization

› Verified 6 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/patient-care Go Now

• Get more: Healthy blue provider portal louisianaGo Now

Provider Resources Healthy Blue Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 3 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/resources Go Now

• Get more: Healthy blue provider lineGo Now

Healthy Blue Dual Advantage (D-SNP) Healthy Blue Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 1 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/resources/healthy-blue-dual-advantage Go Now

• Get more: Member healthy blue laGo Now

Provider Communications Healthy Blue Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 8 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/communications Go Now

› Get more:  Health LifeGo Now

Prior Authorization Requirements Healthy Blue Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 3 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/resources/prior-authorization Go Now

› Get more:  Health LifeGo Now

Join Our Network Healthy Blue Louisiana

Details: 800-508-6785. Superior Vision, offered by Versant Health, is an independent company providing routine and medical optometry services on behalf of Healthy Blue. DentaQuest is an independent company providing dental benefit management services on behalf of Healthy Blue.

› Verified Just Now

› Url: https://provider.healthybluela.com/louisiana-provider/join-our-network Go Now

› Get more:  Health LifeGo Now

Healthy Blue Medicaid Managed Care Provider Manual

Details: Healthy Blue is an expert in the Medicaid market, focused solely on meeting the health care needs of financially vulnerable Louisianans. We’re dedicated to offering real solutions that improve health care access and quality for our members, while proactively working to reduce the overall cost of care to taxpayers. Healthy Blue does

› Verified Just Now

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_ProviderManual_4.pdf?v=202101122247 Go Now

› Get more:  Health LifeGo Now

Prior Authorization Lookup Tool Healthy Blue Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 5 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/resources/prior-authorization/prior-authorization-lookup-tool Go Now

› Get more:  Health LifeGo Now

Member Eligibility & Pharmacy Healthy Blue

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 5 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/member-eligibility-and-pharmacy Go Now

› Get more:  Health LifeGo Now

Electronic Data Interchange Healthy Blue in Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 8 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/claims/electronic-data-interchange Go Now

› Get more:  Health LifeGo Now

Healthy Louisiana and LaCHIP

Details: health services provided in a primary care provider (PCP) or medical office or for routine outpatient behavioral health services provided by behavioral health specialists. Precertification is required for the following specialty behavioral health services: • Anesthesia for electroconvulsive therapy • Inpatient psychiatric subacute

› Verified Just Now

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_HealthyBlueQRC_1.pdf?v=202101122247 Go Now

› Get more:  Health LifeGo Now

Member Rights And Responsibilities Healthy Blue Louisiana

Details: Let health plan know right away if the member has a Worker’s Compensation claim or a pending personal injury or medical malpractice lawsuit or been involved in an auto accident. Learn and follow health plan and Medicaid rules. Learn and follow plans and …

› Verified 4 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/patient-care/rights-and-responsibilities Go Now

› Get more:  Health LifeGo Now

Healthy Blue Medicaid Managed Care

Details: Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. WEBPBLA-0039-17 August 2017 Healthy Blue behavioral health covered benefits The matrix below lists the available behavioral health benefits for members enrolled in Healthy Blue programs.

› Verified 4 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_BHCoveredBenefits_LA.pdf?v=202101272128 Go Now

› Get more:  Health LifeGo Now

Maternal Child Services Healthy Blue Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified Just Now

› Url: https://provider.healthybluela.com/louisiana-provider/patient-care/maternal-child-services Go Now

› Get more:  Health LifeGo Now

Contact Us Healthy Blue Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 4 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/contact-us Go Now

› Get more:  Health LifeGo Now

Search Medical Policies and Clinical Guidelines

Details: Health plans or lines of business which determine there is not a need to adopt a clinical utilization management guideline may instead use the guideline for educational purposes or to review the medical necessity of services for any provider who has been notified that his or her claims will be reviewed due to billing practices or claims that

› Verified 4 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/medical-policies-and-clinical-guidelines Go Now

› Get more:  Health LifeGo Now

Telehealth & COVID-19 Billing and Reimbursement

Details: Telehealth & COVID-19 Billing and Reimbursement A SPECIAL WEBINAR FROM RECORDED ON: MONDAY, APRIL 20, 2020. BLAPEC-1779-20 April 2020

› Verified Just Now

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_COVID19_TelehealthBillingReimbursement_11.pdf Go Now

› Get more:  Health LifeGo Now

Behavioral Health Outpatient Treatment Request Form

Details: Behavioral Health Outpatient Treatment Request Form . https://providers.healthybluela.com. Healthy Blue is the trade name of Communty Care Health Plan of Louisiana, Inc. an independent lcensee of the Blue Cross and Blue Shield Association. BLAPEC-1986-20 August 2020. Submit completed form using our preferred method online at

› Verified 1 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_BHOutpatientTreatmentForm_6.pdf?v=202101122247 Go Now

› Get more:  Health LifeGo Now

Healthy Blue Dual Advantage (HMO D-SNP)

Details: behavioral health services to members. •Basic behavioral health services are provided in the primary care setting by a PCP. •Specialized behavioral health services are provided by a licensed behavioral health provider such as a psychiatrist, psychologist, medical …

› Verified 3 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CARE_ProviderOrientation.pdf?v=202101310147 Go Now

› Get more:  Health LifeGo Now

Training Academy Healthy Blue Louisiana

Details: Our health education and outreach approach emphasizes healthy behaviors, preventive care and wellness. Additionally, we offer eight NCQA accredited Disease Management (DM) Programs that incorporate outreach, education, care coordination and follow-up to improve treatment compliance and enhance self-care.

› Verified Just Now

› Url: https://provider.healthybluela.com/louisiana-provider/resources/training-academy Go Now

› Get more:  Health LifeGo Now

Healthy Blue system issues that affect reimbursement

Details: Healthy 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-2560-21 June 2021 Healthy Blue system issues that affect reimbursement

› Verified 2 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_PU_SystemIssuesAffectingReimbursement_61021.pdf Go Now

› Get more:  Health LifeGo Now

Louisiana 2021 Dual Advantage plan changes

Details: * Tivity Health, Inc. is an independent company providing the SilverSneakers fitness program on behalf of Healthy Blue. CVS Pharmacy, Giant Eagle, Kroger, Target and Walmart are independent companies providing pharmacy services on behalf of Healthy Blue.

› Verified 5 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_PU_SABU2021.pdf?v=202101310147 Go Now

› Get more:  FitnessGo Now

Behavioral Health Initial Review Form for Inpatient and

Details: Behavioral Health Initial Review Form for Inpatient and PHP Page 2 of 5 Precipitant to admission (Be specific. Why is the treatment needed now?) Risk of harm to self If present, describe: If prior attempt, date and description: Risk rating (Select all that apply.) ☐ …

› Verified 5 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_InitialNoteReviewForm.pdf?v=202101310147 Go Now

› Get more:  Health LifeGo Now

Reimbursement Policy Definitions Healthy Blue Louisiana

Details: Reimbursement policy definitions. These are standard terms used within the majority of the reimbursement policies. View the individual policy for specific policy-related definitions. Provider and/or state contract definitions supersede the definitions listed below. Benefits: services covered by a health benefit plan and which the member may be

› Verified 5 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/claims/reimbursement-policies/definitions Go Now

› Get more:  Health LifeGo Now

Louisiana Department of Health Informational Bulletin 20-5

Details: Louisiana Department of Health Healthy Louisiana Page 1 of 27 Revisions are underlined. Deleted text indicated by strikethrough. Louisiana Department of Health Informational Bulletin 20-5 Revised May 28, 2021 Due to the COVID-19 emergency declaration, temporary changes in provider policy and managed care

› Verified 9 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_STATECOVID19IBProviderPortal_52621a.pdf?v=202106011915 Go Now

› Get more:  Health LifeGo Now

Claims and Billing Tool

Details: Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. BLA-RP-0191-20 December 2020 Reimbursement Policy Subject: Claims Timely Filing Effective Date: 05/04/18 Committee Approval Obtained: 08/07/20 Section: Administration

› Verified 2 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_ClaimsTimelyFiling.pdf?v=202101282004 Go Now

› Get more:  Health LifeGo Now

Healthy Louisiana Mental Health Rehabilitation Member

Details: services from one provider unless my health plan makes an exception. I may change providers if I am not satisfied with the services. If assistance is needed with finding an MHR provider, review the list of providers located at your health plan’s website below or call your plan for assistance. 1.

› Verified 5 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_MHRehabMemberChoiceForm_10.pdf Go Now

› Get more:  Health LifeGo Now

Applicable modifiers on claims for behavioral health services

Details: Healthy 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-0815-18 April 2018. Applicable modifiers on claims for behavioral health services . Healthy Louisiana plans require behavioral health providers to bill according to the Medicaid

› Verified 6 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_Applicablemodifiersforclaimservices_7.pdf Go Now

› Get more:  Health LifeGo Now

Authorization to Release or Obtain Health Information

Details: Creating health information for disclosure to a third party. Other: (Specify)_____ I authorize the release of the following protected health information. (Place an “X”in the box(es) that apply to the information you want released or you want to obtain.)

› Verified Just Now

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_ReleaseofInformationForm_5.pdf?v=202101122247 Go Now

› Get more:  Health LifeGo Now

Aantage Provider Newsletter

Details: Healthy Blue is the trade name of Community Care Health Plan of ouisiana Inc. an independent licensee of the Blue Cross and Blue hield Association. Provider Newsletter https://roviershealthlela.com Provier ervice Mediid 1-844-521-694 Medire reerence te ac o or tiet’s ember rd BLA-NL-0324-21 Table of Contents COVID-19 information Page 2 Medicaid:

› Verified 5 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LA_June2021ProviderNL.pdf?v=202105271745 Go Now

› Get more:  Health LifeGo Now

Waste, Fraud & Abuse Healthy Blue Louisiana

Details: Healthy 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 independent company providing administrative support services on behalf of Healthy Blue.

› Verified 5 days ago

› Url: https://provider.healthybluela.com/louisiana-provider/waste-fraud-and-abuse Go Now

› Get more:  Health LifeGo Now

Billing policy for nonlicensed behavioral health providers

Details: Healthy 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-0587-17 October 2017 Billing policy for nonlicensed behavioral health providers Healthy Blue does not independently credential nonlicensed providers or allow nonlicensed

› Verified 6 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_BillingpolicynonlicensedBHproviders_3.pdf Go Now

› Get more:  Health LifeGo Now

Behavioral Health Non-licensed Practitioners

Details: Behavioral Health Non-licensed Practitioners https://providers.healthybluela.com Healthy 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-1763-20 April 2020

› Verified 4 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_BH_NonlicensedPractitioners_13.pdf?v=202101122247 Go Now

› Get more:  Health LifeGo Now

Behavioral Health Concurrent Review Form for Inpatient

Details: Behavioral Health Concurrent Review Form for Inpatient, RTC, PHP and IOP . Page 2 of 6 . Discharge planner phone: Diagnosis (psychiatric, chemical dependency and medical) Risk of harm to self (within the last 24 to 48 hours) If present, describe: If prior attempt, …

› Verified 3 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_BHConcurrentReviewForm_6.pdf Go Now

› Get more:  Health LifeGo Now

Getting in front of substance use with Screening, Brief

Details: SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and screening for individuals with risky alcohol and drug use. SBIRT also helps get patients to more intensive substance use treatment quickly if they’re at high risk for developing a substance use disorder or are already dependent upon substances.

› Verified 3 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_PU_SubstanceAbuseScreeningInterventionReferral_49.pdf?v=202102030042 Go Now

› Get more:  Health LifeGo Now

Subs tance Abuse Level of Care Tool

Details: ☐ Mental health ☐Provider judgement ☐ Accessibility ☐ Language/cultural considerations ☐ Physical health ☐ Other (Describe.): _____ Briefly explain discrepancy: 3. Describe plan for achieving goals noted above during requested length of stay (including specific time frames/appointments) . 4.

› Verified 6 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_SubstanceAbuseLevelofCareTool_12.pdf?v=202101122247 Go Now

› Get more:  Mental healthGo Now

Medic Ce Aantage Provider ewsletter

Details: a members’ health. Jaime Marcotte, Medicare Retrospective Risk Program Lead, is managing this project. If you have any questions regarding this program, please contact Jaime at [email protected] or 1-843-666-1970. * Optum and Ciox Health are independent companies providing medical record review services on behalf of Healthy Blue.

› Verified 9 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LA_CAID_May2021ProviderNL.pdf?v=202104291536 Go Now

› Get more:  Health LifeGo Now

Medicare Advantage and Part D

Details: Like all Medicare health plans, our plan protects you by having yearly limits on your out-of-pocket costs for medical and hospital care. Services you get from doctors or facilities in our plan go toward your yearly limit. If you reach the limit on out-of-pocket costs, you will not have to pay any out-of-pocket costs for covered Part A and Part B

› Verified 5 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CARE_SummaryofBenefits2021.pdf?v=202101310147 Go Now

› Get more:  Health LifeGo Now

Behavioral Health Initial Review Form for Inpatient and

Details: Behavioral Health Initial Rev iew Form for Inpatient and Partial Hospital Programs Page 2 of 6 . Discharge planner name: Discharge planner phone: Diagnosis (psychiatric, chemical dependency and medical) Precipitant to admission (Be specific. Why is the treatment needed now?) Risk of harm to self If present, describe:

› Verified 5 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_BHInitialReviewForm_7.pdf?v=202101122247 Go Now

› Get more:  Health LifeGo Now

Reimbursement Policy

Details: Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. BLA-RP-0176-20 May 2021 Reimbursement Policy Subject: Global Surgical Package for Professional Providers Effective Date: 04/21/20 Committee Approval Obtained: 04/21/20 Section: Surgery

› Verified 6 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_RP_GlobalSurgical.pdf?v=202105181834 Go Now

› Get more:  Health LifeGo Now

Healthy Blue Member Handbook: Integrated Health Services

Details: Healthy Blue . Member Handbook: Integrated Health Services . For Physical and Behavioral Health Services . 1-844-521-6941 (TTY 711) 3850 N. Causeway Blvd., Suite 600

› Verified 4 days ago

› Url: https://provider.healthybluela.com/dam/medidocuments/LALA_CAID_MHB_ENG.pdf Go Now

› Get more:  Health LifeGo Now

Clinical Utilization Management Guidelines

Details: Healthy 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-1671-20 April 2020 Clinical Utilization Management Guidelines Attached is a list of the Clinical UM Guidelines the health plan has adopted.

› Verified 9 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_MedicalPoliciesClinicalUtilizationMgmt_3.pdf Go Now

› Get more:  Health LifeGo Now

CG-MED-23 Home Health

Details: Medically Necessary: Home health services are considered medically necessary when all of the following criteria A through D are met: . The individual is confined to the home: The individual’s overall physical/medical condition poses a serious and significant impediment to receiving intermittent or occasional, skilled, medically necessary services outside the home setting.

› Verified 3 days ago

› Url: https://provider.healthybluela.com/dam/medpolicies/abcbs/active/guidelines/gl_pw_a053760.html Go Now

› Get more:  Health LifeGo Now

New digital provider enrollment tool added to Availity for

Details: Healthy 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-2212-20 January 2021 New digital provider enrollment tool added to Availity for Louisiana Summary of change: In June 2021, Healthy Blue will add a new functionality to the Healthy

› Verified 4 days ago

› Url: https://provider.healthybluela.com/dam/publicdocuments/LA_CAID_DigitalProviderEnrollmentArticle_6921.pdf Go Now

› Get more:  Health LifeGo Now

Related topics