2023-06: Changes to Behavioral Health Utilization Review Process Effective April 10, 2023
Date: 03/06/23
Louisiana Healthcare Connections continues to seek ways to remove the administrative burden for providers where possible. Effective April 10, 2023, continuous reviews after denials will no longer be required. This is an effort to address providers’ concerns regarding the review process and reduce administrative burden.
As per the new process, once a denial decision is rendered, the provider will not be required to submit additional clinical documentation for concurrent review. Providers will be directed to their appeal rights outlined with the denial correspondence as the appeals process is not changing.
If providers have questions, they are encouraged to contact their dedicated provider network specialist or provider services at 1-866-595-8133.