MANAGED CARe ORGANIZATION
CONTACT MATRIX
The Center for Evidence to Practice manages this MCO contact matrix to assist Louisiana’s behavioral health provider organizations and other stakeholders in communication with the Managed Care Organizations. Effective and efficient communication is critical to successful implementation of EBPs and navigating who to contact at the MCOs can be challenging, so we hope you find this resource useful.
Information last verified: June 2023. MCOs will update this information as deemed necessary on an annual basis.
Mco contact matrix: categories
Click the buttons below to view the Contact Matrix categories.
Aetna Better Health | Louisiana Healthcare Connections | United Healthcare Community Plan | Healthy Blue | AmeriHealth Caritas of Louisiana | Humana Healthy Horizons | |
General Requests | Provider Relations Department 2400 Veterans Memorial Blvd, Suite 200 Kenner, LA 70062 Email Us (855) 242-0802 | Louisiana Healthcare Connections 8585 Archives Ave, Suite 310 Baton Rouge, LA 70809 More Information (866) 595-8133 | United Healthcare 3838 N Causeway Blvd, Suite 2600 Metairie, LA 70002 (855) 469-7622 | Almarie Ford, Senior Business Change Manager LA 3850 N Causeway Blvd Suite 600 Metairie, LA 70002 (504) 834-1271, ext 106-122-4049; (504) 377-8443 Email A. Ford | AmeriHealth Caritas Louisiana 10000 Perkins Rowe Bldg G Fl 4 Baton Rouge, LA 70810 (888) 756-0004 Email Us | Humana Healthy Horizons in Louisiana One Galleria Blvd., Suite 1000 Metairie LA 70001 |
Customer Services | (855) 242-0802 | (866) 595-8133 | (866) 675-1607 | (888) 342-6207 | (888) 756-0004 | 1-800-448-3810 |
Provider Relations | Adrian Lozano, Provider Relations Liaison (504) 402-3417 Email A. Lozano | (866) 595-8133 | Behavioral Health Network Team Email Us | Randall Guillory, Director, Provider Solutions (504) 836-8882, ext 504-836-8862 Email R. Guillory | Stacie Serangue, Director of Provider Network Management 225-300-9157 Email S. Zerangue | Cathy Burns, Director of Provider Engagement Email: 1-504-677-6458 |
Provider Training/ Development | Adrian Lozano, Provider Relations Liaison (504) 402-3417 Email A. Lozano | (866) 595-8133 |
| Nicholas Daigle, Manager, Provider Network Management/Relations (504) 834-1271, ext 504-836-8868 Email N. Daigle | Christopher McNeil, Program and Innovation Analyst 225-436-2721 Email C. McNeil | Cathy Burns, Director of Provider Engagement Email: 1-504-677-6458 |
Case Management | Cher Dampier, Supervisor of Clinical Health Services (855) 242-0802 Email C. Dampier Lance Miguez, Manager of Clinical Health Services (959) 299-6527 | (855) 595-8133 ext 69016 (877) 668-2079 | (866) 675-1607 | Brook Deykin, Manager, HCMS, LA Medicaid Clinical Leader (504) 834-1271, ext 106-122-4051 Email B. Deykin | Cicely Evans, Manager, Integrated Health Care Management - Behavioral Health 225-300-9269 Email C. Evans | Referrals & Requests for Escalation Email:
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CHILD-SPECIFIC INFORMATION:
Aetna Better Health | Louisiana Healthcare Connections | United Healthcare Community Plan | Healthy Blue | AmeriHealth Caritas of Louisiana | Humana Healthy Horizons | |
Child Services | Jodi Carter Jones, Director of Clinical Services (855) 242-0802 Email J. Jones | Provider Relations (866) 595-8133 | Provider Relations (866) 675-1607 | John Krentel, Program Director, LA Medicaid Behavioral Health (504) 583-2060 Email J. Krentel | Cicely Evans, Manager, Integrated Health Care Management, Behavioral Health (225) 300-9269 Email C. Evans | Email:
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Clinical Director | N/A | Dr. Marcus Wallace, Medical Director Email M. Wallace | N/A | Dr. Cheryll Bowers-Stevens, Manager, Medical Director, Medicaid Enterprise Clinical Load (504) 836-8881 Email C. Bowers-Stephens | Betty Muller MD, Behavioral Health Medical Director (225) 300-9602 Email B. Muller | Nicole Thibodeaux, Director, Health Services Email: 1-504-219-8017
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Foster Care Liaison | N/A | Toya Pierce Email T. Pierce | N/A | Almarie Ford, Senior Business Change Manager, LA (504) 834-1271, ext 106-122-4049; 504-377-8443 Email A. Ford |
Cicely Evans, Manager, Integrated Health Care Management, Behavioral Health (225) 300-9269 Email C. Evans | Shawnell Ware, BH Liaison, DCFS/OJJ/LDOE Email: 1-504-432-7685 |
CONTRACTING INFORMATION:
| Aetna Better Health | Louisiana Healthcare Connections | United Healthcare Community Plan | Healthy Blue | AmeriHealth Caritas of Louisiana | Humana Healthy Horizons |
Contracting | Stacy Germany, Network Manager (225) 397-5493 Email S. Germany | Providers can learn more about how to become a provider and benefits of partnering with Louisiana Healthcare Connections by going here: |
| Scott Thevenot, Director, Network Relations, Medicaid Provider Relations (225) 763-2141 Email S. Thevenot | Stacie Zerangue, Director of Provider Network Management (225) 300-9157 Email S. Zerangue | Heather McArthur, Director Provider Behavioral Health Contracting Email: 1-504-219-5446
Jason Young Director Provider Behavioral Health Contracting Email: 1-813-375-2953 |
Provider Relations | Adrian Lozano, Provider Relations Liaison (504) 402-3417 Email A. Lozano | (866) 595-8133 | Behavioral Health Network Team Email Us | Nicholas Daigle, Manager, Provider Network Management & Relations (504) 836-8868 Email N. Daigle | Stacie Zerangue, Director of Provider Network Management (225) 300-9157 Email S. Zerangue | Cathy Burns, Director of Provider Engagement Email: 1-504-677-6458 |
UTILIZATION MANAGEMENT INFORMATION:
| Aetna Better Health | Louisiana Healthcare Connections | United Healthcare Community Plan | Healthy Blue | AmeriHealth Caritas of Louisiana | Humana Healthy Horizons |
Utilization Management | Kelly Gay, Manager of Behavioral Health Utilization (959) 299-6416 Email K. Gay
| Charlotte Herring, Clinical Program Manager and LA Utilization Management (504) 849-1532 Email C. Herring | Brenda Tompkins, Director HCMS, LA Medicaid Clinical Leadership (504) 836-8873 Email B. Tompkins | Fyaye Colbert, Behavioral Health - Integrated UM Supervisor (855) 285-7466 Email F. Colbert | Brandy Holmes Associate Director of UM Email: [email protected] | |
Notes on Utilization Management |
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| Higher Levels of Care: IP, Residential, IOP, Crisis Intervention, ACT Therapeutic Group Home and OP ECT only |
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Quality Improvement/ Assurance | Frank Vanderstappen (855) 242-0802 | Providers can access several ways Louisiana Healthcare Connections strives to maintain the highest quality and improve healthcare: | Hayley Clothier, Associate Director of Clinical Quality (615) 493-9559 Email H. Clothier </td > | Christin Cantavespri, Director, GBD Quality Management, LA/AR, Medicaid quality-improvement (504) 834-1271 ext 106-122-4009 Email C. Cantavespri | Mary Scorsone, Director of Quality Management (225) 300-9115 Email M. Scorsone | Cindy Greenstein Director, Quality Improvement Email: 1-337-344-0078 |
Complaints | Grievance and Appeals Department (855) 242-0802 Email Us | Appeals and Grievance (866) 675-1607 | Warnettie Harper, Grievance and Appeals Coordinator (504) 834-1271 ext 106-122-4046 Email W. Harper | Faye Colbert, Behavioral Health - Integrated UM Supervisor (855) 285-7466 Email F. Colbert | Provider Services 1-800-448-3810
Mail: PO Box 14822 Lexington, KY 40512 | |
Preauthorization Contact | (855) 242-0802 Email Us | Fax: (877) 401-8175 |
| Fatemah Robert, Manager (504) 841-69178 Email F. Robert | Faye Colbert, Behavioral Health - Integrated UM Supervisor (855) 285-7466 Email F. Colbert | Provider Services 1-800-448-3810 |
CREDENTIALING INFORMATION:
| Aetna Better Health | Louisiana Healthcare Connections | United Healthcare Community Plan | Healthy Blue | AmeriHealth Caritas of Louisiana | Humana Healthy Horizons |
Credentialing | Adrian Lozano, Provider Relations Liaison | The most concise information on how to become a provider and requirements, providers are encouraged to access through: | Behavioral Health Network Team Email Us | Vickie Welch, Credentialing Manager (615) 316-3467 Email V. Welch | Stacie Zerangue, Director of Provider Network Management (225) 300-9157 Email S. Zerangue | Shawna Powell Manager Credentialing Operations Email: 1-502-580-9523 |
BILLING INFORMATION:
| Aetna Better Health | Louisiana Healthcare Connections | United Healthcare Community Plan | Healthy Blue | AmeriHealth Caritas of Louisiana | Humana Healthy Horizons |
Contact | Aetna Better Health of Louisiana (855) 242-0855 | Medical Necessity Appeal: Louisiana Healthcare Connections, ATTN Medical Necessity 8585 Archives Ave, Suite 310 Baton Rouge, LA 70809 Paper Claims Submission: Louisiana Healthcare Connections ATTN: Claim Processing Department P. O. Box 4040 Farmington, MO 63640 Electronic Claims Submission: Louisiana Healthcare Connections c/o Centene EDI 1 (800) 225-2573 ext 25525 Email Us
| Louisiana Provider Services Line (866) 675-1607
| Naomi Devoe, Provider Network Manager (225) 763-2141 ext 106-123-9058 Email N. Davoe | Kelli Nolan, Provider of Network Operations (225) 300-9279 Email K. Nolan | Provider Services 1-800-448-3810
Claim Payment Inquiry Provider Call Center 1-800-448-6262 |
Finance Department | Adrian Lozano, Provider Relations Liaison (504) 402-3417 Email A. Lozano | David Chategnier Email D. Chategnier | William Stevens, Director of Finance, Community and State Finance (504) 849-1514 Email W. Stevens | Christine Coleman, GBD Finance Director (504) 836-8855 Email C. Coleman | Shannan Herring, Director, Finance (225) 300-9220 Email S. Herring | Bill Stevens Market CFO Email: 1-225-936-0336 |
PHARMACEUTICAL INFORMATION:
| Aetna Better Health | Louisiana Healthcare Connections | United Healthcare Community Plan | Healthy Blue | AmeriHealth Caritas of Louisiana | Humana Healthy Horizons |
Pharmaceuticals | Vanessa Smith, Pharmacy Director (504) 667-4544 | US Script Prior Authorization (888) 929-3790 (866) 399-0929 Help Desk (877) 690-9330 | Travis Oritz, Pharmacy Director (504) 849-1546 Email T. Oritz | Jeannine Murray, Plan Interm Pharmacy Director (317) 507-1484 Email J. Murray | Jeanine Plante, Market Pharmacist (225) 300-9197 Email J. Plante | Tiffany Marshall Pharmacy Director Email: 1-318-658-2480 |
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