Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary
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What is BAYOU HEALTH?
Recipients
Providers
Health Plans
Pharmacy
Informational Bulletins
Public-Private Partnerships
Reporting and Accountability
Coventry Healthcare of LA CCN Proposal
Proposal Certification Statement
Ethical Statement
Table of Contents
B.4-1:
Registration from the Office of the Commissioner of Insurance for the State of Louisiana
B.4-2
Lists Pending or Recent Litigation Against Coventry and/or Its Subsidiaries
B.4-3:
Form 8K
B.6-1:
Form 10-K 2010 Annual Report
B.6-2:
Form 10-Q Quarterly Report, Q1 2011
B.7-1:
Unconditional Guarantee Performance Statement
B.8-1
,
B.8-2
,
B.8-3
: Chart A Series of Organizational Charts
B.10-1:
Resumes
and
Job Descriptions
of Key Employees and Positions
B.11:
Major Subcontractor Response/Attachments
B.12-1:
Corporate Compliance Organizational Chart
B.13-1:
Press Releases
B.15-1:
Financial Calculations
B.16-1:
Medicaid/CHIP Contracts within the last five (5) years
B.16-2:
Non-Medicaid/CHIP Contracts within the last five (5) years
B.17-1:
Contract Termination/Non-Renewal
B.23-1:
NCQA Health Plan Report Cards
B.24-1:
Coventry's Missouri Medicaid Plan (HealthCare USA) External Quality Review Report
.
B.25-1:
Regulatory Actions and Sanctions
B.29:
Coventry Health Care of Louisiana, Inc.'s COA
B.30-3:
Certificates of Insurance
B.31-1:
2009 Independently Audited Financial Statements
B.31-2:
2010 Independently Audited Financial Statements
B.31-3:
March 2010 Quarterly Statutory Financial Statements
B.31-4:
June 2010 Quarterly Statutory Financial Statements
B.31-5:
September 2010 Quarterly Statutory Financial Statements
B.31-6:
March 2011 Quarterly Statutory Financial Statements
B.31-7:
2010 Annual Statutory Financial Statement
C.1-1:
Network Project Plan
C.3-1:
Risk Register Template
.
C.5-1
Corporate Medicaid Team Resumes
C.6-1:
Implementation Manager Resume
G.1-1:
Hospital Provider Network GSA A
G.1-2:
Hospital Provider Network GSA B
G.1-5:
PCP Provider Network GSA B
G.1-6:
PCP Provider Network GSA C
G.1-7:
FQHC Provider Network GSA A
G.1-8:
FQHC Provider Network GSA B
G.1-9:
Specialist Provider Network GSA A
G.1-10:
Specialist Provider Network GSA B
G.1-11:
Specialist Provider Network GSA C
G.1-12:
Rural Hospital Geo Access Report GSA A
G.1-13:
Rural Hospital Geo Access Report GSA B
G.1-14:
Rural Hospital Geo Access Report GSA C
G.1-15:
Urban Hospital Geo Access Report GSA A
G.1-16:
Urban Hospital Geo Access Report GSA B
G.1-17:
Urban Hospital Geo Access Report GSA C
G.1-18:
PCP Geo Access Report GSA A
G.1-19:
PCP Geo Access Report GSA B
G.1-20:
PCP Geo Access Report GSA C
G.1-21:
FQHC Geo Access Report GSA A
G.1-22:
FQHC Geo Access Report GSA B
G.1-23:
Specialist Geo Access Report GSA A
G.1-24:
Specialist Geo Access Report GSA B
G.1-25:
Specialist Geo Access Report GSA C
G.11-1:
Provider Training PowerPoint
G.13-1:
Quality Profile Reports
G.15-1:
LON Form
G.15-2:
Transportation Provider Guideline
G.15-3:
Quality Management Program
G.15-4:
URAC Certificate of Accreditation
J.1-1:
Asthma Action Plan
J.7-1:
HEDIS® Measures
K.1-1:
Healthy Families Are Our Business Brochure
K.1-2:
Understanding How to Get the Right Health Care Brochure
K.1-3:
Language Assistance Brochure
K.1-4:
First Aid Brochure
K.1-5:
Advance Directive Brochure
K.1-6:
EPSDT Check-Up Reminders
K.1-7:
Dental Check-Up Reminders
K.1-8:
The Bear Facts Member Newsletter
K.1-9:
KidsHealth Brochure
K.1-10: KidsHealth Bike Safety (In
Spanish
and
English
)
L.2-1:
HealthCare USA Phone Trends
N.1-1:
Chart C Series Member Grievance and Appeals Process Flow Charts
O.1-1:
Program Integrity Plan
Q.1-1:
Batch Rejection Report
R.1-1:
Sample Functional Specification and Technical Solution Design
R.1-2.:
Louisiana Medicaid CCN Program Work Plan
R.5-1:
Explanation of Benefits
R.5-2:
Remittance Advice
R.7-2:
2011 Quarterly Release Schedule
R.9-1:
Inbound File Enrollment Process Flow Chart
R.9-2:
Claim Adjudication Process Flow Chart
R.9-3:
Current Process Readiness
