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Click on the Plan Name for Case Management/Pregnancy Resources
Eligibility for Care/Case manager: Pregnant OR Special or Serious healthcare needs OR medical conditions
Care management details: Patient is assigned an RN or Licensed Mental Health Professional to learn more about the patient's condition, CM will work with patient's provider/agency to make sure patient is the getting right services and devise a care plan with patient.
Pregnant Enrollees Programs: Promise Program encourages pregnant enrollees to make early and frequent prenatal and post-natal visits. The program will include case management, text4babySM, and Promise program rewards. Dedicated Case Managers educate pregnant members about local community programs. Participants will receive personalized text4baby messages during pregnancy and after the baby is born to remind them of appointments and provide education on topics such as the baby’s growth, development, nutrition, well-child visits, and immunizations. The Promise Program will also provide coverage of long-acting contraception.
Reward Programs/Incentives for attending appointments: Promise Reward Program-
Transportation: Yes; 1-877-917-4150 (3 days prior)
Mental Health/Substance Use Crisis Line- 855-242-0802
Member Services: 855-242-0802
Website: https://www.aetnabetterhealth.com/louisiana/members/handbook
NOTES: 1-855-242-0802 to request CM services. $25 per month over the counter medicine and products. Promise Reward Program-earn gift card before and after birth of child. Promise reward gifts for attending appointments such as breast pumps, cribs, strollers. Refer to WIC for nutrition support and breast pumps.
AmeriHealth Caritas of Louisiana
Eligibility for care/case manager: Call 888-643-0005 or 888-756-0004 to see if eligible for services
Care management details: For special medical conditions. Rapid Response Team/888-643-0005
Pregnant Enrollees Programs: Bright Start Program
Reward Program/Incentives for attending appointments: Health Care Reward Program- Patient can earn rewards by doing things that help the patient stay healthy as part of our Heath Care Rewards program. Funds can be placed on our reloadable AmeriHealth Caritas Louisiana CARE Card
Transportation: 1-888-913-0364
Mental Health/Substance Use Crisis Line: 844-211-0971
Member Services: 888-756-0004
Website: https://www.amerihealthcaritasla.com/member/eng/getting-started/index.aspx
NOTES: Refer to WIC for nutrition support and breast pumps.
Eligibility for care/case manager: Call Member Services
Case management details: Licensed Nurse assist with managing patient condition by locating providers and resources. Assessing the patient's healthcare needs. Developing a plan of care. Giving the patient and family the information and training needed to make informed decisions and choices . Giving providers the information they need about any changes in health to help them in planning, delivering and monitoring services. Case Manager will follow up with patient within 72 hours of discharge for a behavioral health-related diagnosis. Provides aftercare planning for members prior to discharge from a 24-hour facility for behavioral healthcare.
Pregnant Enrollee Programs: New Baby, New Life Program for pregnant and postpartum women
Reward Programs/Incentives: New Baby, New Life Program and My Advocate Program
New Baby, New Life Program
My Advocate Program
Community Events
Transportation: 866-430-1101 (48 hrs prior to appointment)
Mental Health/Substance Use Crisis Line: 844-812-2280
Member Services: 844-521-6941
Website: https://www.myhealthybluela.com/la/benefits/medicaid-plan.html
NOTES: Refer to WIC for nutrition support and breast pumps.
Louisiana Healthcare Connections
Eligibility for care/case manager: Perinatal support or Special healthcare needs
Care management details: One on one care with a RN or LSW. Individualized plan of care
Pregnant Enrollee Programs: Start Smart for Your Baby® (Start Smart) Program is a special program for women who are pregnant. Start Smart staff can answer questions if enrollee is having a problem. or arrange for a home visit if needed.
Reward Programs/Incentives for pregnant women: My Health Pays Rewards Program-Pregnant and postpartum women earn rewards by completing prenatal and postpartum visits and screens.
Transportation: 1-855-369-3723
Mental Health/Substance Use Crisis Line: 844-677-7553
Member Services: 866-595-8133
Website: http://www.louisianahealthconnect.com/
NOTES: Healthy Rewards for attending appointments. Language/interpreter services
United Healthcare Community Plan
Eligibility for care/case manager: Perinatal OR Long-term conditions
Care management details: Personal help managing health conditions
Reward Programs/Incentives: Healthy First Steps Program and Baby Block Program
Transportation: 866-726-1472 (Call 2 business days before appointment)
Mental Health/Substance Use Crisis Line: 866-675-1607
Member Services: 866-675-1607
Website: https://www.uhccommunityplan.com/la/medicaid/healthy-louisiana
NOTES: Language/interpreter services are available. For Special Needs Population call 800-318-8821 for services which includes pregnant women and women who just gave birth, homeless adults, etc. Services include a case manager, specialist as needed, and a special needs coordinator. Healthy Rewards for attending appointments. Behavioral Health Services 800-888-1965.