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 Resources for Providers
Questions can be directed by plan as follows:
Louisiana Healthcare Connections
Community Health Solutions
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 email@example.com, 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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