Louisiana Healthcare Connections Provider Manual (2024)

FAQs

Is Louisiana Healthcare Connections the same as Louisiana Medicaid? ›

We're Louisiana Healthcare Connections—your local Medicaid health plan. We serve people all across Louisiana, so we're connected to your family, your friends and your neighbors. We provide special support for newborns, extra benefits for adults and rewards you can spend for taking care of your health.

When you enroll in Medicaid, you can choose Louisiana Healthcare Connections as your health plan. You may qualify for Medicaid if you are: Are age 19-64 and make less than 138% of the Federal Poverty Level (about $16,000 for a single person living alone, or about $33,000 for a family of four.

To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at 1-866-595-8133 to speak directly to a customer service representative.

Effective October 28, 2023, Magellan Medicaid Administration Inc. will process all Medicaid MCO pharmacy claims. Magellan will serve as the single PBM for all six MCOs (Aetna, AmeriHealth Caritas, Healthy Blue, Humana Healthy Horizons, Louisiana Healthcare Connections, and United Healthcare).

Yes. You can use your Louisiana Medicaid card or your health plan card from Aetna Better Health, Amerihealth Caritas, Healthy Blue, Louisiana Healthcare Connections or UnitedHealthcare to get medical care outside of Louisiana.

This means the household income level can be as high as $2,969 per month in 2024 and she'll qualify for Medicaid (without being pregnant, as part of a household of two, the household income would have to be no more than $2,350 for the adults in that household to qualify for Healthy Louisiana).

No cost for most members. (Some may have a co-pay of between 50¢ and $3.) Louisiana Healthcare Connections does not require a referral to see a specialist.

1 Person in Household: Extremely Low Income $12,700 – Very Low (50%) Income $21,150 – Low (80%) Income $33,800. 2 Persons in Household: Extremely Low Income $16,460 – Very Low (50%) Income $24,150 – Low (80%) Income $38,600.

Centene Corporation (Centene) owns all of the issued and outstanding shares of the Company's stock through HLH. The Company was incorporated in October 2009 and is organized as a network model Health Maintenance Organization (HMO).

Is Ambetter the same as Louisiana Healthcare Connections? ›

Get affordable health insurance with Ambetter from Louisiana Healthcare Connections. Ambetter is available in select parishes in Louisiana.

Joining Louisiana Healthcare Connections Is Easy

There are three easy ways to apply for Medicaid and choose Louisiana Healthcare Connections: Call toll free 1-855-229-6848. Apply online at MyPlan.Healthy.la.gov. Visit an in-person application center.

Louisiana Healthcare Connections is the state's largest Medicaid Managed Care Organization and the #1 health plan members choose during open enrollment.

Your Wellcare By Allwell plan includes an over-the-counter (OTC) benefit that gives you money to purchase everyday personal care and wellness products like vitamins, bandages, and toothpaste without having to leave your home.

Among these, pharmacy benefit managers (PBMs) play a crucial role, handling reimbursem*nts and negotiations with drug manufacturers and pharmacies. Three major PBM players – CVS Caremark, Express Scripts, and OptumRx – collectively command a significant 79% market share, orchestrating much of the industry's dynamics.

What is Healthy Louisiana? Healthy Louisiana is the way most of Louisiana's Medicaid recipients receive health care services. As soon as you or family members are eligible for Medicaid, you need to choose a Healthy Louisiana Health Plan to manage your or your family member's health care.

What is Healthy Louisiana? Healthy Louisiana is the way most of Louisiana's Medicaid and LaCHIP recipients receive health care services. The state contracts with Health Plans that deliver these services through their provider networks.