Medicaid Complaints Louisiana

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Complaints Department of Health State of Louisiana

    http://www.ldh.la.gov/index.cfm/page/254
    The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana. ... Complaints. To File a Complaint about a Health Care Facility. ... Medicaid Customer Service 1-888-342-6207 Healthy Louisiana 1-855-229-6848.

Medicaid Department of Health State of Louisiana

    http://ldh.la.gov/index.cfm/subhome/1/n/331
    Medicaid is the state's health coverage for low-income residents who meet certain eligibility qualifications. Louisiana Medicaid customer service hotline representatives at 1-888-342-6207 are available from 8 a.m. until 4:30 p.m. Callers on hold at 4:30 p.m. will be helped when a

FRAUD AND ABUSE - LaMedicaid.com

    https://www.lamedicaid.com/provweb1/about_medicaid/fraud.htm
    To maintain the integrity of Louisiana Medicaid, providers must understand and follow Louisiana Medicaid's policy concerning fraud and abuse. The following lists the different types of fraud and abuse and sets forth specific sanctions for providers who commit fraud and who abuse Medicaid.

File a Complaint CMS

    https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/Enforcements/FileaComplaint
    To file an Administrative Simplification HIPAA-related paper complaint rather than an electronic one, please complete the OMB approved form 0938-0948 (PDF) and return to the Centers for Medicare and Medicaid Services (CMS) with any related supporting documentation.

Complaints and Appeals Louisiana Healthcare Connections

    https://www.louisianahealthconnect.com/members/medicaid/resources/complaints-appeals.html
    Louisiana Healthcare Connections offers Louisiana Medicaid and affordable health plans. Get covered with Louisiana Healthcare Connections today. ... Complaints and Appeals. An Appeal is a request to review a service that has been denied, limited, reduced or terminated. Appeals may be filed by a member (parent or guardian of a minor member), a ...

Filing an Appeal Louisiana Healthcare Connections

    https://www.louisianahealthconnect.com/members/medicaid/resources/complaints-appeals/filing-appeal.html
    To file an Appeal by phone, call Member Services at 1-866-595-8133 (Hearing Loss: 711).You can also file an Appeal in person or in writing, at: Louisiana Healthcare Connections, 8585 Archives Avenue, Suite 310, Baton Rouge, LA 70809.

How to Apply for Medicaid and CHIP USAGov

    https://www.usa.gov/medicaid
    How to Apply for Medicaid and CHIP. Medicaid is a federal and state health insurance program for people with a low income. The Children’s Health Insurance Program (CHIP) …

Five Louisiana residents arrested for Medicaid fraud WGNO

    https://wgno.com/news/local/five-louisiana-residents-arrested-for-medicaid-fraud/
    Mar 21, 2019 · BATON ROUGE – Cooperation from three law enforcement agencies made it possible to arrest five Louisiana residents on Medicaid fraud charges. The …

Louisiana Department of Health - Medicaid Behavioral ...

    https://www.lla.la.gov/PublicReports.nsf/C32E5F4F552A2FE3862583DF00659725/$FILE/0001C860.pdf
    validity of complaints we received. After reviewing records for the Walk With Me Community Improvement Center (WWM), we found WWM appeared to have billed the Louisiana Medicaid Program (Medicaid) for 9,043 units of specialized behavioral health services the company either did not provide or provided using unqualified staff members.

Medicaid Home Medicaid.gov

    https://www.medicaid.gov/
    The Center for Medicaid and CHIP Services (CMCS) is one of six centers within the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services (HHS). CMCS serves as the focal point for all national program policies and operations related to Medicaid and the Children's Health Insurance Program (CHIP).

Stop Louisiana Medicaid Fraud LA Healthcare ...

    https://www.medicaidfraudhotline.com/louisiana-report-medicaid-fraud.php
    Is Your Louisiana Employer or other Medical Provider Guilty of Medicaid Fraud? Medicaid Fraud is illegal. Hospitals and medical professionals who defraud Louisiana Medicaid steal valuable dollars from Louisiana taxpayers and take quality care services away from families and individuals who rely on Louisiana Medicaid for their health care needs.

Contact Us Medicaid.gov

    https://www.medicaid.gov/about-us/contact-us/index.html
    The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs.

Medicare.gov – the Official Government Site for Medicare ...

    https://www.medicare.gov/MedicareComplaintForm/home.aspx
    Submit feedback or complaints about your Medicare health plan or prescription drug plan directly to Medicare using this form. ... The Centers for Medicare & Medicaid Services values your feedback and will use it to continue to improve the quality of the Medicare program. If you have any other feedback or concerns, or if this is an urgent matter ...

Filing complaints about a doctor, hospital, or provider ...

    https://www.medicare.gov/claims-appeals/file-a-complaint/filing-complaints-about-a-doctor-hospital-or-provider
    Filing complaints about a doctor, hospital, or provider Improper care or unsafe conditions You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns).

Contact Us - The official website of Louisiana

    https://www.louisiana.gov/contact-us/
    Louisiana.gov is maintained by the State of Louisiana Division of Administration. ... Apply for Medicaid and/or LaChip benefits, check the status of an application, report any household changes, request a new card or renew benefits through the Louisiana Department of Health. ... Check the status of previously filed complaints against insurance ...

CHILDREN’S CHOICE WAIVER PROVIDER MANUAL

    https://www.lamedicaid.com/provweb1/Providermanuals/manuals/CCW/CCW.pdf
    LOUISIANA MEDICAID PROGRAM ISSUED: 03/12/15 REPLACED: 02/24/14 CHAPTER 14: CHILDREN’S CHOICE TABLE OF CONTENTS PAGE(S) 5 Page 4 of 5 Table of Contents Fraud and Abuse Quality Management INCIDENTS, ACCIDENTS AND COMPLAINTS 14.10 Internal Complaint Policy Complaint Disclosure Statement

Home Healthy Louisiana

    https://www.myplan.healthy.la.gov/
    To get the app, search for Healthy Louisiana on Google Play or the App Store.. Use the app to choose a health plan and provider. Available now: A new version of the app with updates and new tools. Now you can: Use the app in Spanish; Find providers based on your current location

PROCEDURES - civilservice.louisiana.gov

    http://www.civilservice.louisiana.gov/files/HRHandbook/Procedure/3-Grievance%20Procedure.pdf
    address internal problems and complaints. Authority Provisions of a grievance procedure are based on the authority contained in the Louisiana State Constitution, Article X, Section 10, Paragraph (A) (1), as well as Civil Service Rule 3.1(m). This rule reads as follows:

State official scraps Louisiana Medicaid contract awards ...

    https://www.thecentersquare.com/louisiana/state-official-scraps-louisiana-medicaid-contract-awards-citing-fatally-flawed/article_a4b6aa5a-3c68-11ea-ba63-9babb81bcb36.html
    Jan 21, 2020 · A state official has thrown out multibillion-dollar contracts the Louisiana Department of Health awarded to manage the care of most of the state’s Medicaid population. The decision, made in response to complaints from two losing bidders, can be appealed and the dispute could end up in court.



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