Aetna Better Health of Louisiana covers behavioral health services. These services include specialized behavioral health services provided by psychiatrists, psychologists, licensed clinical social workers, licensed professional counselors, mental health clinics, and mental health rehabilitation service providers (public or private). We also cover inpatient hospital services for acute medical detoxification.
If you would like to join our Behavioral Health provider network, contact our provider relations department at 1-855-242-0802. You may also send an email directly to our network contracting department.
Aetna Better Health of Louisiana is committed to having an integrated care model that looks at all that affects a person – physical, emotional, lifestyle, beliefs and values. We treat behavioral and physical health together.
We work with members and providers to focus on prevention and wellness:
- Screening for issues that could lead to illness and treating them early with whole-person approach
- Providing classes and services with providers and others to help members learn to better manage their own care
Basic behavioral health
Basic Behavioral Health Services are provided in medical clinics, such as primary care or ob/gyn clinics, by medical professionals or behavioral health consultants. Common services that may be offered in medical clinic settings include screening for common mental health conditions, screening for alcohol or substance use issues, medication management and coordination of referrals to specialized behavioral health services.
Specialized behavioral health
Specialized Behavioral Health Services are provided by licensed mental health or addiction professionals in a setting that is most suitable to the individual and family members’ need. Non-emergent services may be provided in outpatient clinics or in intensive treatment programs. Some members may also be eligible for Home and Community Based Services. Crisis intervention services are available to all members, including inpatient hospital treatment for the most serious cases. Our Behavioral Health Crisis Line is available at 1-855-242-0802, 24/7.
Claims for FQHC & RHC
For our FQHC and RHC providers, you will need to list the rendering provider on your claims.
All of our prescribers and dispensers of medicines for members with substance use disorders are encouraged to register for and use the Louisiana Board of Pharmacy Prescription Monitoring Program (PMP). Depending on the specific member’s medical history and diagnosis, other PMP queries should be conducted at the prescriber’s discretion, or at the request of DHH (e.g., for DCFS involved members).
Please note: Due to the implementation of the DHH Behavioral Health Contract effective 12/1/2015, all Bayou Health MCO’s are required to obtain a Prior Authorization (PA) for all members <6 years old and > 18 years old when ADHD medications are prescribed.
Behavioral health prior authorization
We have created a dedicated fax line for your behavioral health needs. If you are a behavioral health provider, you may fax your behavioral health prior authorization requests, assessments, and other clinical information to us at 1-844-634-1109. Aetna Better Health of Louisiana will require prior authorization for CPST, PSR, FFT, and Homebuilders services beginning on 01/01/2018. To obtain authorization, please submit the ABHLA prior authorization form along with the intake assessment, CALOCUS/LOCUS, treatment plan, and other pertinent clinical documentation via fax to 1-844-634-1109. Authorization will be required for new and existing services. We will allow a 60 day transition period for these requests
Behavioral Health Service Authorization Requirements - A list of behavioral health services and corresponding codes covered in Louisiana Medicaid benefits.
We also require that the member choice form be submitted for all members receiving MHR services. For existing members, please submit the form immediately; for new members please submit the form with your prior authorization request. Forms can be faxed to 844-634-1109
Training for behavioral health providers
Aetna Better Health of Louisiana will accept your behavioral health assessments, Locus Score Sheet and Plan of Care documentation in whatever format you choose to use.
- Admission Criteria by ASAM Level
- Adolescent Suicide Assessment Protocal 20 Form
- Behavioral Health Attestation Form
- Bayou Health Behavioral Health Assessment
- Cultural Competency english spanish hcp workgroup questionnaire Final
- Hamilton Rating Scale for Depression
- Informed consent for treatment
- Initial evaluation template
- Member Choice Form Healthy Louisiana
- Patient Health Questionnaire
- Safety Plan Template
- SIRP Progress Note
- Suicide Risk Assessment
- Treatment Plan