Provider Data Accuracy

Louisiana Health Connect Guidelines

Submitting provider data updates is a contractual requirement for all providers in Louisiana Health Connect network. In addition to audits by the LDH, Louisiana Healthcare Connections is increasing the frequency and volume of secret shopper audits to confirm provider directory data. This step is necessary to ensure our members have reliable access to the care they need. The provider data audits focus on information that is relevant to its members’ access to care:

  • the locations at which a practitioner works
  • acceptance of the health plan
  • acceptance of new patients
  • address
  • phone numbers
  • hours of operation
  • provider type and specialties.

If a provider is found to be out of compliance with this contractually required responsibility, Louisiana Healthcare Connections may issue remediation, assess penalties and/or terminate the provider’s network participation agreement.

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