Louisiana Medicaid Management Information System (LMMIS)
Contents
1. Tool and will not alter the information on the Provider Enrollment File If you want to update the Provider Enrollment File click here For both Accepting New Patients and PCP columns the values used will be Y N and where Y Yes N No and provider did not specify For dentists this field will default to Y yes accepting new patients Dentists must update this field if not accepting new patients and update each time there is a change in that status July 13 2010 7 Provider Locator Tool for Public Usage User Manual Note For Home and Community Based Services for Elderly and Adults with Onset Disabilities and Home and Community Based Services for Children and Adults with Developmental Disabilities provider groups the Accepting New Patients column is not displayed because such services must be approved in advance by OCDD and OAAS respectively If View Info under the Additional Contact Info column is highlighted blue you can click it to view more specific information regarding that provider An example is provided below Provider Name BEILE JOANNE Contact Name contact name Contact Phone 225 123 4567 Toll Free Number 225 7069 6541 Fax Number 225 963 8582 email address email ddd Accepting New Medicaid Patients ho Languages Spoken Can Accommodate Special Needs Website Managed Care Plans Please use the CommunityGARE Search Tool to find out if this PC2. tool above will help you find medical providers that are currently active in the Louisiana Medicaid program An active provider is one i i button WI Il that has received at dr one paid visit within the last six months l l i provided if d isplay th e Not all Medicaid providers in the list are accepting new patients Providers have been given the opportunity to keep their new patient acceptance yo u n eed to status up to date but itis bestto contact the provider before your first visit search download Remember only certain services are covered by the Medicaid program Click here for a complete listing of services Some specialty care requires res u Its IN a a referral from your CommunityCARE doctor For more information click here to go to the CommunityCARE Web site or contact the Adobe CommunityCARE Specialty Care Resource Line at 1 877 455 9955 i TM p ri ntab e HOME AND COMMUNITY BASED SERVICES Read e r i fo rm at g For more information on waiver services click here for the Office of Aging and Adult Services OAAS or click here for the Office for Citizens with Developmental Disabilities OCDD If you have additional questions regarding waivers and services contact Medicaid toll free at 1 888 342 6207 PROVIDERS To view the Provider Locator Tool User Manual for instructions on updating the additional contact information screen click here This option will only update the additional contact information on the Provider Locator
3. web sites and services Web Site Description Link to Medicaid services web page Provides a complete listing of services Link to CommunityCARE web page The official CommunityCARE web site Link to OAAS web page More information on waiver services is provided at the web site for the Office of Aging and Adult services OAAS Link to OCDD web page More information on waiver services is provided at the web site for Citizens with Development Disabilities OCDD Link for Providers to update contact This link is for providers only Providers may information update their contact information by following the link to the Provider Enrollment page of www lamedicaid com July 13 2010 4 Provider Locator Tool for Public Usage User Manual 6 0 CONDUCTING A SEARCH 6 1 Provider Groups Pull Down Menu When you choose a Provider Group the pull down menu you see is based on the Service Type you selected If you selected Medicaid a pull down menu similar to the one shown below is displayed AMBULANCE TRANSPORTATION CHIROPRACTOR DENTIST FAMILY PLANNING CLINIC FOOT SPECIALIST HOME HEALTH AGENCY HOSPICE HOSPITALS INTERMEDIATE CARE FACILITY FOR PEOPLE WITH DD LABS AND X RAYS MEDICAL EQUIPMENT MENTAL HEALTH SERVICES NON EMERGENCY MEDICAL TRANSPORTATION NURSE HOME VISIT PROGRAM NURSE MIDWIFE NURSING HOMES PERSONAL CARE SERVICES PHARMACY PHYSICIAN SERVICES PUBLIC HEALTH CLINICS REPEAL bie CENTERS If
4. Currently no provider applications available Restricted Provider Applications Provider Locator Information Batch Eligibility Verification System Electronic Clinical Data Inquiry Claim Status Inquiry Prescriber Practices and Disease Management Admin Electronic Prior Authorization Provider Ownership Enrollment July 13 2010 1 Provider Locator Tool for Public Usage User Manual 2 0 PROVIDER LOCATOR INFORMATION MAIN PAGE The Provider Locator Information Main Page provides helpful links and text boxes where you can update the existing contact information that the public user will be provided with when using the Provider Locator application Provider File Links to the PE 50 NPI peer Provider Name Jane Doe form Provider Phone 555 555 5555 Provider Address 5555 Lincoln Park Baton Rouge LA 55555 pnn If the provider information displayed above is incorrect and needs updating click here Provider Locator Additional Contact Information Contact Name john doe Contact Phone Toll Free Phone a00 555 5555 Fax Number 225 555 5559 johndoe email com jonndoe emsilcom Hidden for waiver providers Email Address Confirm Email Address Accepting New Medicaid Patients Required Yes O No Can Accommodate Special Needs Required OiYes No Website Managed Care Flans BCBS To change the Contact Name for instance simply click on the text box with the
5. DEPARTMENT OF ee HEALTH AND HOSPITALS PER MOLINA Medicaid X Louisiana Medicaid Management Information System LMMIS Provider Locator Tool User Manual Date Created September 22 2008 Date Revised July 13 2010 Prepared By Technical Communications Group Provider Locator Tool for Public Usage User Manual Molina Medicaid Solutions and the Louisiana Department of Health and Hospitals Proprietary Data Notice The information contained in this document is proprietary to Molina Medicaid Solutions and the Louisiana Department of Health and Hospitals The information in this document shall not be reproduced shown or disclosed outside Molina Medicaid Solutions or Louisiana DHH BHSF without written permission Information contained in this document is highly sensitive and of a competitive nature NO WARRANTIES OF ANY NATURE ARE EXTENDED BY THIS DOCUMENT Any product and related material disclosed herein are only furnished pursuant and subject to the terms and conditions of a duly executed license or agreement to purchase services or equipment The only warranties made by Molina Medicaid Solutions if any with respect to the products programs or services described in this document are set forth in such license or agreement Molina Medicaid Solutions cannot accept any financial or other responsibility that may be the result of your use of the information in this document including but not limited to direct indirect special or co
6. P is accepting new patients Close Window This window lists detailed information about the provider more specific than the initial search results screen You can add update your own additional information in the Provider Locator Information Main Page through www lamedicaid com See section 2 0 of this manual for details Note that all of the fields in this window correspond to those in the Provider Locator Additional Contact Information section of that same page July 13 2010 8 Provider Locator Tool for Public Usage User Manual The Print Results button will bring up a printer friendly document of the search results Adobe Reader is required to view this document and a link is provided to download the software if a user does not have it A sample of the Print Results screen is below Provider Locator by EAST BATON ROUGE Parish Provider Group DENTIST Specialty Type No Specialty Selected BEILE JOANNE CITY OF BATON ROUGE DEPT Contact Name contact name Contact Name JOHN SMITH Address 363 S ACADIAN THRUWAY Address 555 MAIN PLAZA BATON ROUGE LA 70807 BATON ROUGE LA 55555 Phone 225 123 4567 Phone 225 216 6000 Toll Free 225 789 6541 Toll Free 0 Fax 225 963 8582 Fax Email email address email ddd Email email address com The Parish or Region is displayed whichever was chosen as a search field from the map in the upper left hand corner as well as what group and specialty were selected Note that the information here wi
7. beria DN j amp on ty Yor St Mary Eat L Vermition ameron Terrebonne Step Two Choose a Provider Group from the drop down menu Step Three Optional Enhance your search by choosing a Specialty from the drop down menu Step Four Click on the F Region on the July 13 2010 Provider Locator Tool for Public Usage User Manual 4 1 Service Type Tips Medicaid services include those offered through Medicaid LaCHIP LaMOMS the Medicare Savings Program the Medicaid Purchase Plan or the TAKE CHARGE program Home and Community Based Services is an alternative to medical residential facilities that grants the recipient a waiver to receive medical care in their home or community There are five waiver programs Elderly and Disabled Adult Adult Day Health Care Personal Care Services Children s Choice and New Opportunity Waiver and each has a limited number of Spaces available Applicants must meet specific program qualifications and register with the Office for Citizens with Developmental Disabilities or Office for Aging and Adult Services to access these services Show All allows you to select Show All to search the entire provider database if you are unsure if your service is Medicaid or Home and Community Based Services 5 0 CONVENIENT LINKS At the bottom of the interactive map links in blue are provided to the following other
8. existing contact name and type in the new name Repeat the process for Contact Phone Contact Toll Free Phone Contact Fax Number Contact Email Address Confirm Contact Email Address Languages Spoken and Managed Care Plans Then choose the Yes or No radio button for Accepting New Medicaid Patients not applicable to waiver providers and Can Accommodate Special Needs The Website field can direct potential recipients to where they will find extra information regarding your services July 13 2010 2 Provider Locator Tool for Public Usage User Manual 3 0 ACCESSING THE APPLICATION The public may access the Provider Locator Tool for Public Usage at the DHH Office of Management and Finance Medicaid Health Services Finances web site at http www lamedicaid com provweb1 provider_demographics provider_map aspx 4 0 PROVIDER LOCATOR MAIN PAGE The Provider Locator Tool for Public Usage enables users to search for Medicaid and or Home and Community Based Services providers via an interactive map of Louisiana showing regions and parishes Users can select exactly what type of service they need and be shown a list of all active providers in their area Active providers are identified as those who are enrolled in Medicaid at the time of the web search and have had a paid claim during the six months prior to the web search Service Type details are explained in Section 4 1 FIND A PROVIDER Step One To start looking for a provider yo
9. gy Cardiac Electrophsiology Cardiovascular Disease Click and drag the scroll bar eee to see more specialties for Dermatology Diagnostic Lab Immunology Physician Services Emergency Medicine Endocrinology amp Metabolism Family Practice Gastroenterology General Practice General Surgery Geriatric Medicine Geriatrics Gynecologic oncology Gynecology Osteopaths only Hand Surgery i Hematology Infectious Disease Internal Medicine Manipulative Therapy Osteopaths anly Maternal amp Fetal Medicine Medical Oncology Neonatal Perinatal Medicine Nephrology Neurological Surgery Click on the specialty that is closest to the service that you want Remember that selecting a specialty is optional Alternatively if you selected the Home and Community Based Services or Show All service type then chose the Home and Community Based Services for the Elderly and Adults with Onset Disabilities provider group then the Provider Specialties drop down menu is similar to the one displayed below July 13 2010 6 Provider Locator Tool for Public Usage User Manual Optional Choose a Specialty WAIVER COMPANION SERVICE EDA ENVIRONMENTAL HOME MODIFICATIONS EDA PERSONAL CARE SERVICES PCS LTPCS AND PCS EPSDT PERSONAL EMERGENCY RESPONSE SYSTEMS Click on the specialty that is closest to the service that you want Remember that selecting a specialty is optional 6 3 Search Results Page After you make your searc
10. h selections click on the area of the map closest to the area where you want the service to be performed For instance if we selected service type Medicaid provider group Dentist no provider specialty and then click on the East Baton Rouge Parish area of the map we will get a response similar to the one shown below Control your search results with these buttons If you ve SEARCH RESULTS Parish EAST BATON ROUGE Provider Group DENTIST changed Region 2 Specialties Optional Choose a Specialty v the ren Change the 1 Accepting Additional 1 specialty Address New Contact Sites specialty Patients Info after here if running a applicable search use BAHLINGER PAUL VDDS 1119 TAMARI DR BATON ROUGE LA 70815 225 275 3837 7 BERGERON RANDALL ADDS 7930 WRENWOOD STEB BATON ROUGE LA 70809 225 924 3635 the BLACK ALLEN TDDS 8211 KELWOOD AVE BATON ROUGE LA 70806 225 926 2132 BUI THUY ANH DDS 329 JAN MAR DR BATON ROUGE LA 70814 225 275 4665 Refresh BURGER LAUREN DDS 8220 GOODWOOD BLVD STE 4B BATON ROUGE LA 70806 225 927 1515 CARLSON ROBERT HDDS 5188 HIGHLAND RD BATON ROUGE LA 70809 225 274 9948 button to CASADABAN MICHAEL CDDS 5227 FLANDERSDR BATON ROUGE LA 70809 225 769 3600 VI ew th e Records per page 10 i NEW Return to results the map here N Th e Pri nt Adobe Acrobat Reader software is required to view download reports Click here to download Results MEDICAID SERVICES Use the link i The search
11. ll match the Additional Contact Info screen for that provider July 13 2010 9
12. nsequential damages Exercise caution to ensure the use of this information and or software material complies with the laws rules and regulations of the jurisdictions with the respect to which it is used The information contained herein is subject to change without notice upon DHH approval Revisions may be issued to advise of such changes and or additions Molina Medicaid Solutions is a registered trademark of Molina Healthcare Inc Copyright 2010 Molina Medicaid Solutions All rights reserved July 13 2010 Provider Locator Tool for Public Usage User Manual PROJECT INFORMATION Document Title Louisiana Medicaid Management Information System LMMIS Provider Locator Tool for Public Usage User Manual Technical Communications Group Molina LMMIS QA September Based on an initial help file Hakan 22 2008 Borazanci 2009 Borazanci 2009 Borazanci 10 2009 Borazanci 11 2010 2010 Borazanci July 13 2010 Provider Locator Tool for Public Usage User Manual TABLE OF CONTENTS LO INFRODUC HON iiini ee 1 1 Accessing the Provider Location Information Application 1 2 Provider Applications Area LLuuununsnmaaeaemeledateide 2 0 PROVIDER LOCATOR INFORMATION MAIN PAGE rnnnnnnnrnnnonnnennnnrnnnennnennnnennne 3 0 ACCESSING THE APPLICATION rnnnnnnnnnnnennnennnnnnnnnnnnnnnnnnennnennnnnnnnnnnnnnnnnnnnnnennnen 4 0 PROVIDER LOCATOR MAIN PAGE arvnanvnannnnnnnnnnnvenannnnnnnnnnnnnnnvennnennnnnnnnnnnnn
13. u must first pick a service type from the three 3 choices listed below If you do not know Choose a which service you need choose Show All Service Service Types Type Medicaid Home and Community Based Services Show All Medicaid Step 1 Choose one of the Provider Groups from the drop down menu below Home and Community Base Services or Provider Groups Show All Step 2 optional Enhance your search by choosing a specialty from the Provider Specialties drop down menu baw Step 3 Click on the parish or region on the map below AMBULANCE TRANSPORTATION x Provider Specialties NOTE Home and Search by Parish Search by Region Community Based Services may only i i Moreh Claiborne Union AEE amp at Region I I G Er Fw Region 2 Lincoln t l m Ouachita pie EEE Region 3 Bienville Jackson SER Region 4 select Sas GHB Region 5 De Soto Region 6 providers by wine eae S EER nesen 6 H Aui E Region 7 Region GEE Region 8 I 3 Oo La Salle S GE region 9 L o Avoyelles E j West lt a 7 Feliciana fact Washington ga Feliciana 4 c p Pointe Vw za 2 i Ke Z East pr St Landry OUPSS Baton Tan tipahoa STN J ii res p fx x Jefferson Acadia ye s ent Davis j St Martini Iberville Ascension r men EN gt i ng Se anc om VPs ET a So i j er St I
14. vennnene AT SEVICE TYDE TIDS aS 5 0 CONVENIENT LINKS se 6 0 CONDUCTING A SEARCH usa 6 1 Provider Groups Pull Down Menu rnnrnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnennunnnnnnunnne 602 Provider Specialis ad 63 SEACH Results PAGO siran x ccce cere ecre seis zeae ts waren i i July 13 2010 Provider Locator Tool for Public Usage User Manual 1 0 INTRODUCTION The Provider Locator Information Application enables providers to update and maintain the data that is presented to users in the public usage side of this application where public users are enabled to search for providers who accept LA Medicaid by service type and region location 1 1 Accessing the Provider Location Information Application In order to access and use the Provider Location Information Application providers must register and obtain a valid account at www lamedicaid com If you do not have an account you can learn how to register and create your account by control clicking here 1 2 Provider Applications Area Once you have logged into your account on www lamedicaid com you will be provided with a list of options similar to the ones shown below rd bel reste a Look for the link labeled Provider Locator Information Change Password Change Account Info Provider Logout Help Provider Logout Provider Applications Area The application s listed below are for authorized use only Click on an applicatiog rfk to access the application Provider Applications
15. you selected Home and Community Based Services the pull down menu shows only two Provider Groups Provider Groups Home and Es Based Services for the Elderly sar Adults with arara Disabilities If you selected Show All a pull down menu similar to the one shown below is displayed AMBULANCE TRANSPORTATION CHIROPRACTOR DENTIST FAMILY PLANNING CLINIC FOOT SPECIALIST HOME HEALTH AGENCY HOSPICE HOSPITALS INTERMEDIATE CARE FACILITY FOR PEOPLE WITH DD LABS AND X RAYS MEDICAL EQUIPMENT MENTAL HEALTH SERVICES NON EMERGENCY MEDICAL TRANSPORTATION NURSE HOME VISIT PROGRAM NURSE MIDWIFE NURSING HOMES PERSONAL CARE SERVICES PHARMACY PHYSICIAN SERVICES PUBLIC HEALTH CLINICS REHABILITATION CENTERS VISION SERVICES Home and Community Based Services for the Elderly and Adults with Physical Disabilities AMBULANCE TRANSPORTATION v July 13 2010 Provider Locator Tool for Public Usage User Manual Once you ve made your selection click on the Provider Group closest to the type of service you want 6 2 Provider Specialties Once you have selected a Provider Group the Provider Specialties drop down menu is enabled and its contents depend on the Provider Group that you selected For instance if you selected the Physician Services provider group the Provider Specialties drop down menu is similar to the one displayed below Optional Choose a Specialty Adolescent Medicine Allergy j Anesthesiolo
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