Healthy Louisiana
The Louisiana Department of Health runs Medicaid. Most members are in a Healthy Louisiana plan, and that plan is the payer. Fee-for-service Medicaid is a separate submission. A Texas STAR plan will not pay a Louisiana member.
Medical Billing Services in Louisiana
Healthy Louisiana plans are not Texas STAR plans. The Louisiana Department of Health runs Medicaid. Most members are in a Healthy Louisiana plan, and that plan is the payer. Fee-for-service Medicaid is a separate submission. A Texas STAR plan will not pay a Louisiana member.
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What a claim follows in Louisiana
Healthy Louisiana plans are not Texas STAR plans.
Novitas, Jurisdiction H
Medicare Part A and Part B for a Louisiana practice go to Novitas Solutions, Jurisdiction H, with Texas, Arkansas, and Mississippi. This is the same Medicare contractor as Texas. It is not the same Medicaid program.
Workers' compensation
Louisiana is not a no-fault state. A work injury is billed to the employer's carrier under the Louisiana Workforce Commission. It is not a Healthy Louisiana claim.
A practice near the Texas line can hold both enrollments. The member's card still picks the program. Medicare for both states can go to Novitas Jurisdiction H. Medicaid cannot be swapped.
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Louisiana billing questions
What is Healthy Louisiana?
Louisiana's Medicaid managed-care program. The plan on the card is the payer. It is not Texas STAR.
Where does a Louisiana Medicare claim go?
Novitas Solutions, Jurisdiction H, the same contractor used for Texas Medicare.
Does a Louisiana practice change the fee?
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.