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Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

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Statewide Initiatives



211 - Get Connected. Get Answers.

Pharmacy

The Louisiana Department of Health and Hospitals added pharmacy as a benefit under the three Prepaid Bayou Health Plans - Amerigroup, AmeriHealth Caritas and Louisiana Healthcare Connections - effective Nov. 1, 2012. Pharmacy services remain in legacy Medicaid for recipients in the two Shared Savings Bayou Health Plans - Community Health Solutions and United Healthcare - and pharmacy provider relations support will continue to be handled by the Medicaid fiscal intermediary, Molina.

Pharmacy News

Pharmacy Resources

  • Preferred Drug List (PDL) and Formulary Information
  • MEVS Help Guide
  • DHH Executive Counsel Opinion on Taxation of Pharmaceutical Benefits
  •  

    Questions can be directed by plan as follows:

    Amerigroup

    • General Provider Issues - Call Provider Relations - 1-800-454-3730
    • Pharmacy Contracting Issues - Call CVS/Caremark - 1‐480‐391‐4623
    • Amerigroup Member with Issues - Have the Member Call Member Services - 1-800-600-4441
    • Claims/Billing Issues - Call CVS/Caremark - 1‐800-364-6331

    AmeriHealth Caritas

    • General Provider Issues - Call PerformRx Provider Relations - 1-888-684-5502
    • Pharmacy Contracting Issues - Call PerformRx - 1‐800‐555‐5690
    • AmeriHealth Caritas Member with Issues - Have the Member Call Perform Rx Member Services - 1-888-452-1040
    • Claims/Billing Issues - Call PerformRx - 1-888-922-0007

    Louisiana Healthcare Connections

    • General Provider Issues - Call Provider Relations -1-866-595-8133
    • Pharmacy Contracting Issues - Call USScript - 1‐877‐690‐9330
    • Louisiana Healthcare Connections Member with Issues - Have the Member Call Member Services - 1-866-595-8133
    • Claims/Billing Issues - Call Provider Relations - 1-866-595-8133

    Community Health Solutions

    • General Provider Issues - Call Provider Relations - 1-855-247-5248
    • Pharmacy Contracting Issues - Call Molina Provider Relations - 1‐877‐690‐9330
    • Community Health Solutions Member with Issues - Have the Member Call Member Services - 1-855-247-5248
    • Claims/Billing Issues - Call Provider Relations 1-855-247-5248

    United Healthcare

    • General Provider Issues - Call Provider Relations - 1-866-675-1607
    • Pharmacy Contracting Issues - Call Molina Provider Relations - 1‐877‐690‐9330
    • United Healthcare Member with Issues - Have the Member Call Member Services - 1-866-675-1607
    • Claims/Billing Issues - Call Provider Relations 1-866-675-1607

    Any other pharmacy-related questions can be directed to the Medicaid Pharmacy Program at 1-800-437-9101. Pharmacists seeking clarification on average acquisition costs in the fee-for-service Medicaid program should contact the Myers & Stauffer Pharmacy Reimbursement Help Desk at 1-800-591-1183

    Providers can also submit questions by email to bayouhealth@la.gov, and the appropriate staff will address any issues or concerns. Staff are typically able to respond within one business day.

    DHH continues to hold a provider phone call at noon each Wednesday to address providers' Bayou Health questions. Any provider is welcome to call in, and pre-registration is not required. The call in number is 1-888-278-0296, and the access code is 6556479#.

    Pharmacists and prescribing providers are strongly encouraged to review Informational Bulletins pertaining to the pharmacy integration:

    Transition of Care Procedures

    Pharmacy Education & Outreach Materials

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