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 Web site to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Justin Clifford.
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
Cardiac
- Checklist
- Frequently Asked Questions
- Provider Webinar Invitation
- 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
- RadMD Flyer
- RadMD Access for Ordering Providers to Request Prior Authorization
- RadMD Benefits and Logon
- RadMD Quick Start Guide
- RadMD Upload Feature
Recorded General Trainings
Recorded RadMD Demos
Click here 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