Blue Advantage Resources | Providers | Blue Cross and Blue Shield of Louisiana

Plus sign that becomes an "X" when the accordion collapses to show more content

Blue Advantage Reimbursement Increase
Blue Advantage Relief Provisions
Blue Advantage Authorization Notice

2024 Blue Advantage FAQs
2023 Blue Advantage Provider Administrative Manual
2023 Blue Advantage Provider Quick Reference Guide
2024 Blue Advantage Provider Administrative Manual
2024 Blue Advantage Provider Quick Reference Guide
Blue Advantage Provider Portal User Guide

Forms

Behavioral Health Authorization Form
Home Health Authorization Request Form
Inpatient Authorization Request Form
Outpatient Authorization Request Form
Voluntary Refund Explanation Form

Webinars and Workshops

DSNP Annual Training
March 2024 New to Blue Advantage Webinar
January 2024 Blue Advantage PCP Incentive Coupon Webinar
December 2023 BA Provider Workshop
November 2023 BA Behavioral Health Webinar
December 2020 Blue Advantage Portal Webinar
July 2020 Risk Adjustment Webinar
February 2019 BA Utilization Management Strategy Webinar

New/Revised Medicare Advantage Medical Policies

The Medicare Advantage (MA) Plan must follow all traditional Medicare NCDs and LCDs applicable to the MA Plan’s service area per 42 CFR § 422.101. When coverage criteria are not fully established in traditional Medicare statutes, regulations, NCDs or LCDs (applicable to the MA Plan’s service area), internal coverage criteria can be developed. Internal coverage criteria may be similar or the same as criteria found in LCDs that are applicable outside the MA Plan’s service area, as long as, the criteria are based on current evidence in widely used treatment guidelines or clinical literature and is made publicly available. This policy is to serve as the summary of evidence, a list of resources and an explanation of the rationale that supports the adoption of the coverage criteria and is to be used by all plans and lines of business unless Federal or State law, contract language, including member or provider contracts, take precedence over the policy.

Allograft Injection for Degenerative Disc Disease
Baroreflex Stimulation Devices
General Clinical Guidelines Criteria
Inpatient Coverage Guidelines
Inpatient Rehabilitation Facility Services
Long Term Care Hospitals
Percutaneous Intradiscal Electrothermal & RF Annuloplasty, Biacuplasty, Intraosseous Basivertebr
Peroral Endoscopic Myotomy
Skilled Nursing Facility Guidelines
Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy
Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease

HMO Louisiana, Inc. offers Blue Advantage (HMO). Blue Cross and Blue Shield of Louisiana, incorporated as Louisiana Health Service & Indemnity Co., offers Blue Advantage (PPO). Both are independent licensees of the Blue Cross and Blue Shield Association.

Blue Advantage from HMO Louisiana, Inc. is an HMO plan with a Medicare contract. Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal.

Blue adVantage Support

Customer Services

Phone: 866-508-7145
Customer Services

For full BA online provider services, such as claim status checks, member eligibility, benefit verification or confirmation of prior authorization, use our Blue Advantage Provider Portal. Visit iLinkBlue, then click on “Blue Advantage” under the “Other Sites”

Customer Service

Need Help?

Sales

855-343-0361

Medicare Options

800-232-4967

Blue adVantage (HMO) | Blue adVantage (PPO)

Blue adVantage Support