Centene / Louisiana Healthcare Connections
Welcome to the Centene / Louisiana Healthcare Connections page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Website to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Gina Braswell.
Update on COVID-19
PLEASE NOTE: Effective January 1, 2018 the Louisiana Medicaid Program has changed their policy to cover PET SCAN for Oncology Diagnoses only. Please see the below for reference.
LOUISIANA MEDICAID PROGRAM ISSUED: 12/xx/17
REPLACED: 04/01/14
CHAPTER 5: PROFESSIONAL SERVICES
SECTION 5.1: COVERED SERVICES PAGE(S) 4
Documents
- Frequently Asked Questions - Effective 3/1/2018
- Quick Reference Guide for Imaging Facilities
- Quick Reference Guide for Ordering Physicians
- Pediatric Tip Sheet
- Prior Authorization Checklist
- Test Request Tip Sheet
- Utilization Review Matrix-2021
- Peer-to-Peer Process
Cardiac
- Checklist
- Frequently Asked Questions
- Quick Reference Guide for Ordering Physicians
- Quick Reference Guide for Imaging Facilities
- Provider Education Presentation
Physical Medicine
Effective March 1, 2019, physical medicine services (physical therapy, occupational therapy and speech therapy) will no longer be managed through a post-service review process. Therefore, beginning March 1, 2019, Louisiana Healthcare Connections will implement a prior authorization of outpatient physical medicine services for its Medicaid membership.
- Date Extension Announcement for Physical Medicine Providers (New)
- Physical Medicine Provider Training PPT
- Physical Medicine Frequently Asked Questions
- Physical Medicine Quick Reference Guide
- Physical Medicine Tip Sheet/Checklist
RadMD Documents
RadMD is our user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need. Whether submitting imaging exam requests or checking the status of a prior authorization request, you will find RadMD to be an efficient, easy-to-navigate resource.
Search for resources by solution below:
Recorded General Trainings
We have a series of training videos that discuss the components of requesting a prior authorization request. Click here to access these videos.
Recorded RadMD Demos
Need additional help using RadMD? Click here to access a series of RadMD demos that demonstrate how to properly submit a prior authorization request.
Click the link below to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
Clinical Guidelines
- Clinical Guidelines
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Refer to the Utilization Review Matrix document to view specific codes managed by NIA
- Click here to view NIA’s Physical Medicine guidelines
Clinical Training Modules
We have a series of clinical training modules that will help you avoid delays and ensure that you have the right information before submitting your prior authorization request. Click here to access them.