Feb 2012

Changes Starting March 1, 2012

Cenla Chemical Dependency Council, Inc will as of March 1 become a provider for Magellan Health Services. CCDC is currently providing services under contract with the state of LA via DHH/OBH to provide services. Starting March 1, 2012 all services will be billed through Magellan of Louisiana.

Prior to March 1, 2012 Cenla CDC will have to follow new protocols for getting clients that are seen authorized for services. This will require that all clients apply for medicaid. Even if you are declined to be covered, this is a required process in order for other pools of money to be used to pay providers for services.

Below is some information from Louisiana Behavior Health and Magellan Health Care.

The Louisiana Behavioral Health Partnership (LBHP) is scheduled for implementation on March 1, 2012, pending the approval of Medicaid state plan amendments and waivers submitted to the Centers for Medicare & Medicaid Services (CMS).

The LBHP will be administered by Magellan, which is the Statewide Management Organization (SMO) procured via the State’s request for proposals (RFP) process to administer the LBHP. Magellan has demonstrated experience and success in providing managed behavioral health care services within complex, publicly-funded behavioral health programs.

Magellan will manage behavioral health services for Medicaid and Non-Medicaid eligible populations including those Medicaid eligible children who will need coordination of services provided by multiple agencies including OBH, DCFS, OJJ and DOE, or funded through state general funds and block grants, including services for individuals with co-occurring mental health and addictive disorders. Providers will need to enroll with Magellan, obtain authorizations for care and submit claims to Magellan in order to obtain payment beginning on March 1, 2012.

Ultimately these plans are meant to insure that there is no gap in client services and that all providers will continue to be paid for providing services.