Welcome to Magellan Medicaid Administration Pharmacy Portal

The Magellan Medicaid Administration Pharmacy portal, administered by Prime Therapeutics, provides support for the Louisiana Medicaid managed care plans' (Aetna Better Health, AmeriHealth Caritas Louisiana, Healthy Blue Louisiana, Humana Healthy Horizons in Louisiana, Louisiana Healthcare Connections, and UnitedHealthcare Community Plan) pharmacy benefit.

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Forms And Documents

LA MCO D.0 Payer Specs

0.75 MB Oct 26' 2023

LA Medicaid COB Processing Requirements

0.09 MB Nov 06' 2023

LDH_60-day_Provider_Notice

0.13 MB Aug 09' 2023

LDH_Plan_Reminder 11.6.23

0.15 MB Nov 07' 2023

Louisiana Department of Health 30-Day Provider Notice

0.19 MB Oct 26' 2023

Louisiana Department of Health Specialty List

0.26 MB Oct 26' 2023

Louisiana PBM MCO Provider Manual

1.96 MB Oct 06' 2023

Louisiana Pharmacy Directory 10-09-2023

0.22 MB Oct 16' 2023

LA Grievance and Complaint Form

0.68 MB Oct 30' 2023

LA_AUD_Form

0.69 MB Oct 30' 2023

LA_DAA_HepC_Therapy_Worksheet

0.55 MB Oct 30' 2023

LDH_30-day_Provider_Notice

0.19 MB Oct 30' 2023