Managed Care Entity Resources | Louisiana Department of Health
Source: http://dhh.louisiana.gov/medicaid/mce-resources
Archived: 2026-04-23 17:09
Managed Care Entity Resources | Louisiana Department of Health
For Providers
Medicaid Providers
Managed Care Entity Resources
Managed Care Entity Resources
Reporting and Accountability
All contractors, including the managed care organizations (MCO), dental benefit program managers (DBPM) and the enrollment broker, must meet the requirements of their contract with the Louisiana Department of Health. If the contractor is deficient or non-compliant with these requirements, administrative actions, monetary penalties and sanctions may be assessed.
The summary or reports below is compiled from data submitted by managed care entities. Additional reports also can be found here including:
Healthy Louisiana Claims Reports
Mental Health Parity and Addiction Equity Act Compliance Plan
Enrollment Reports
EQR Reports
HEDIS Measures
Transparency Report
Diabetes and Obesity Report
Medical Loss Ratio (MLR) Reports
Encounter Data Reconciliation Reports
Louisiana Medicaid Contract Non-Compliance
Louisiana Medicaid managed care contractors must meet the requirements of their contracts with LDH. If a contractor is non-compliant with contract requirements, LDH may apply administrative actions or assess monetary penalties and intermediate sanctions to obtain the level of performance required for successful operation of the managed care program.
Guides and Manuals for Managed Care Entities
Marketing and Member Education Companion Guide
(Updated 12.5.25)
State Fair Hearing Companion Guide
(Updated 9.29.25)
System Companion Guide
Salesforce Quick Reference Guide
Salesforce MCE User Guide
Resources
Encounter Inquiry/Review Request
Health Plan Advisories
Informational Bulletins
Managed Care Access Monitoring Framework
Medicaid Services Chart
Medicaid State Plan
Prevalent Languages
Surgeon General
Evelyn Griffin, MD
Secretary
Bruce D. Greenstein
Powered by
Cicero Government
For Providers
Medicaid Providers
Managed Care Entity Resources
Managed Care Entity Resources
Reporting and Accountability
All contractors, including the managed care organizations (MCO), dental benefit program managers (DBPM) and the enrollment broker, must meet the requirements of their contract with the Louisiana Department of Health. If the contractor is deficient or non-compliant with these requirements, administrative actions, monetary penalties and sanctions may be assessed.
The summary or reports below is compiled from data submitted by managed care entities. Additional reports also can be found here including:
Healthy Louisiana Claims Reports
Mental Health Parity and Addiction Equity Act Compliance Plan
Enrollment Reports
EQR Reports
HEDIS Measures
Transparency Report
Diabetes and Obesity Report
Medical Loss Ratio (MLR) Reports
Encounter Data Reconciliation Reports
Louisiana Medicaid Contract Non-Compliance
Louisiana Medicaid managed care contractors must meet the requirements of their contracts with LDH. If a contractor is non-compliant with contract requirements, LDH may apply administrative actions or assess monetary penalties and intermediate sanctions to obtain the level of performance required for successful operation of the managed care program.
Guides and Manuals for Managed Care Entities
Marketing and Member Education Companion Guide
(Updated 12.5.25)
State Fair Hearing Companion Guide
(Updated 9.29.25)
System Companion Guide
Salesforce Quick Reference Guide
Salesforce MCE User Guide
Resources
Encounter Inquiry/Review Request
Health Plan Advisories
Informational Bulletins
Managed Care Access Monitoring Framework
Medicaid Services Chart
Medicaid State Plan
Prevalent Languages
Surgeon General
Evelyn Griffin, MD
Secretary
Bruce D. Greenstein
Powered by
Cicero Government