This site is part of the Louisiana Department of Health and Hospitals Network
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This page includes prior authorization documents, a link to MHR forms, and a link to the Training and Events page.


Prior Authorization Documents (01/19/2012)
Service Guidelines for Youth 5 Years and Under (04/11/2011)
Guidelines for Youth 5 and Under (04/11/2011) Download file   |  View Details
Prior Authorization Documentation (02/15/2011)
Prior Authorization Process (02/15/2011) Download file   |  View Details
Health Insurance Claim Form (1500) Instructions (10/12/2009)
Health Insurance Claim Form (HICF 1500) Instructions (10/12/2009) Download file   |  View Details
Fee Schedule (11/30/2010)
MHR Fee Schedule and Guildlines (11/30/2010) Download file   |  View Details
MHR Service Areas (12/29/2007)
Service Areas by Parish (12/29/2007) Download file   |  View Details
Service Denial Codes (12/29/2007)
Denial Codes (12/29/2007) Download file   |  View Details
CALOCUS Manual (12/29/2007)
CALOCUS (12/29/2007) Download file   |  View Details
OCS Child Abuse and Neglect Reporting Form (06/09/2008)
Reporting Form (06/09/2008) Download file   |  View Details

 

MHR Forms:

Requests for authorizations must be submitted utilizing standard MHR forms.

  Click here for MHR Forms

 

To learn more about the prior authorization process and how to complete the required forms, visit the Main Training and Events page for a description of the available workshops and a calendar of events.

Go to main Training & Events page
 

 

 

Links to other Access and Authorization pages:

  Go to Service Access and Authorization Main page

  Go to Utopia and MHRSIS Data Systems page

 

 

 

Document Viewers & Readers:

To download the following readers/viewers, click the links below. A NEW browser window will open. Follow the instructions.

  Microsoft Word

  PowerPoint Viewer

  Adobe Acrobat Reader

 

 
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