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March 5, 2013

Re-Enrollment for Louisiana Medicaid Providers Open

The Department of Health and Hospitals (DHH) announced that Medicaid provider enrollment through the new claims payment system, Provider Recipient Integrated System for Medicaid (PRISM), is now available at www.medicaid.la.gov/PRISM. The PRISM claims system will replace the current Medicaid Management Information System (MMIS) that is operated by Molina. PRISM will be implemented in phases, with full operations expected in fall 2014. One of the first phases is a required Medicaid provider re-enrollment, which began Feb. 28. All Louisiana Medicaid Provider Enrollment activity (new enrollments, changes, re-enrollment of all existing providers) will be performed by DHH contractors CNSI and Noridian Administrative Services. CNSI is the contractor administering PRISM.

Every Louisiana Medicaid provider is required to re-enroll in the new Medicaid claims system to comply with Medicaid provider enrollment requirements of the Affordable Care Act (ACA) and to continue provider Medicaid reimbursement after the 2014 transition to claims payment through PRISM.

This re-enrollment requirement applies to all providers, regardless of what type of Medicaid provider they are, and whether they are in the Bayou Health plans, the legacy fee-for-service system, or both. Providers can enroll in the new system entirely online, but DHH is offering both web-based and face-to-face enrollment training for those who would like more guidance.

The PRISM website, www.medicaid.la.gov/PRISM, contains pertinent information for providers about the new system, including training materials, training schedules, answers to frequently asked questions, and PRISM Provider Enrollment Unit contact information.



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