For the most recent updates and information from the Department of Health and Hospitals, visit the Louisiana Medicaid Web site at www.lamedicaid.com
Medicaid Provider Enrollment Portal Anticipated to Launch in July 2021
Louisiana Medicaid is working to finalize the new provider enrollment portal. The anticipated launch date is July 2021. The enrollment portal is being designed to meet Centers for Medicare and Medicaid Services (CMS) requirements for screening and enrolling Medicaid providers and must be used by all Medicaid providers, including those who do not participate in fee-for-service.
The state’s fiscal intermediary and current provider enrollment vendor, Gainwell Technologies, will send providers an invitation to the mailing address on file when it is time for them to visit the portal and complete the enrollment process.
Message from DentaQuest (one of Louisiana's dental benefit program managers): Guided by our mission to improve the oral health of all, DentaQuest has been a trusted partner in dental care for more than four decades.
As we’ve grown, our products and services have expanded to include group and individual plans in the commercial market, as well as Medicaid, Medicare Advantage, CHIP and dual-eligible programs. We have extensive expertise working with health plans on and off exchanges.
DentaQuest is excited to expand our partnerships in Louisiana as we begin administration of the Louisiana Medicaid Dental Program January 1, 2021. As one of two administrators selected by the Louisiana Department of Health (LDH) to administer the program we are committed to providing a seamless experience for providers to continue care for their Medicaid patients.
So, don’t wait begin the process today to participate with DentaQuest as a provider for Medicaid Children and Adults. It is easy to begin the application process using app central on our website - http://www.dentaquest.com/dentists/
Visit our website for additional information: http://www.dentaquest.com/state-plans/regions/louisiana/
We are here to assist you in any way we can - 800-508-6785 – Louisianaproviders@DentaQuest.com
Dental Benefits Covered by each of Healthy Louisiana's 5 Health Plans
Healthy Louisiana (previously called Bayou Health) is the way most of Louisiana's Medicaid and LaCHIP recipients receive health care services. In Healthy Louisiana, Medicaid recipients enroll in a Health Plan. These Plans differ from one another in several ways, including their provider networks, referral policies, health management programs and extra services and incentives offered. Each of these Plans is accountable to the Louisiana Department of Health (LDH).
Healthy Louisiana features five health plans, and each offers dental benefits for Adults 21 years and older, beyond the traditional adult denture services and dental care for children and adolescents that have been available under Medicaid in Louisiana previously.
The five Healthy Louisiana plans are:
- Aetna Better Health
- Healthy Blue (formerly Amerigroup Real Solutions)
- Amerihealth Caritas Louisiana
- Louisiana Healthcare Connections
- UnitedHealthcare Community Plan
A dentist is NOT required to be a certified provider with MCNA (broad coverage to children under 21 years of age) to enroll as a Healthy Louisiana dental provider. Because of this, there is an opportunity for dentists to participate in one or more of these Healthy Louisiana plans.
HOW TO CONTRACT WITH MCNA DENTAL (one of Louisiana's dental benefit program manager)
In 2014, MCNA Dental was selected by the Louisiana Department of Health and Hospitals to administer its Medicaid and CHIP dental programs statewide. MCNA would like to invite all Louisiana dentists to join the MCNA network of dentists. For your convenience, the documents that must be completed and submitted for credentialing are available on our website http://www.mcnala.net/
- Credentialing Application (Please submit one application per dentist)
- W-9 Form
- Direct Deposit EFT Form
In order to ensure your facility is listed in their provider directory, please complete each of the documents and fax them to 1-504-335-2263, or email them to MCNALA@mcna.net.
HOW TO CONTRACT WITH HEALTHY LOUISIANA (Louisiana's medical Medicaid program managers, updated 10/23/19)
All five Healthy Louisiana plans offer a limited dental benefit in addition to the current Medicaid Dental Benefit managed by MCNA.
Amerigroup and Aetna contract with DentaQuest to manage the dental benefit. Information relative to credentialing and benefits offered can be found on the Dentist Page link at www.dentaquest.com/Louisiana or by contacting the credentialing hotline at 1-800-233-1468.
AmeriHealth Caritas of Louisiana (ACLA) contracts with FCL Dental d/b/a DINA Dental. Contact 1-877-587-9331, visit www.fcldental.com, or e-mail firstname.lastname@example.org to receive additional information on joining FCL as a partnering provider.
Louisiana Healthcare Connections contracts with Envolve Dental to manage their dental benefit. For information relative to credentialing and benefits offered, go to https://dental.envolvehealth.com/providers.html or contact the Envolve Dental contracting team at 1-855-688-6589 or DentalContracting@EnvolveHealth.com.
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United Healthcare Community Plan of Louisiana (UHC) ask interested dental providers to contact the United Healthcare Dental Provider Services line at 1-844-275-8751.
Health Professional Shortage Area (HPSA)
HPSAs are defined service areas that demonstrate a critical shortage of primary care physicians, dentists, or mental health providers. An HPSA can be a distinct geographic area such as a parish or grouping of census tracts, a specific population group within a defined geographic area (such as a population under 200% poverty), or a specific public or non-profit facility such a state hospital. You can learn more about HPSAs by visiting the Louisiana Department of Health and Hospitals (DHH) website.