Flu Season is Here: Discuss Immunizations with Members

October to May is cold and flu season. In Louisiana, most illnesses typically occur from December to March, according to the state Department of Health.

2026 Provider Manuals Now Available

Louisiana Blue released the updated provider manuals for use in 2026.

Breast Cancer Survival Rates Improve as Screenings and Treatments Expand

October is recognized nationally as Breast Cancer Awareness Month, a time for people to discuss the impact of the disease, the importance of early detection and ways to support survivors.

Our Behavioral Health Services are Changing in 2026

Beginning Jan. 1, 2026, Louisiana Blue will manage all authorization and case management processes for behavioral health services. This includes behavioral health services for Louisiana Blue and Blue Advantage members.

HEDIS Spotlight: Kidney Health

The HEDIS Kidney Health Evaluation (KED) measure evaluates patients 18 to 85 years old with diabetes (type 1 and type 2) who received a kidney health evaluation.

Reminder of Open Enrollment Dates

Medicare’s Annual Enrollment Period runs from Oct. 15 through Dec. 7

Upcoming Louisiana Blue Webinars

In the coming months, we will host several webinars for providers that are new to our networks, our Provider Credentialing and Data Management (PCDM) Department, the changes coming to our behavioral health processes in 2026 and more.

What Can iLinkBlue Do For You?

Learn more about some of the features of our secure, online tool iLinkBlue.

Medical Policy Update

We regularly develop and revise medical policies in response to changing medical technology. Benefit determinations are made based on the medical policy in effect at the time of the provision of services. Please view the following updated and new medical policies, all of which can be found on our Provider page at www.lablue.com/providers, under “Medical Management,” click “Medical Policies.”

Important Contact Information

Authorizations

See member’s ID card

BlueCard^® Eligibility

1-800-676-BLUE (1-800-676-2583)

FEP 1-800-272-3029

Fraud & Abuse

1-800-392-9249

fraud@lablue.com

Provider Relations

provider.relations@lablue.com

iLinkBlue & EDI

EDIservices@lablue.com

1-800-716-2299, Opt. 3

PCDM

1-800-716-2299, Opt. 2

Customer Care Center

1-800-922-8866

Claims Filing Address

P.O. Box 98029 Baton Rouge, LA 70809

Past Issues of Provider Newsletter

The content in this newsletter may not be applicable for Blue Advantage (HMO) and Blue Advantage (PPO), our Medicare Advantage products and provider networks. For Blue Advantage, we follow CMS guidelines, which are outlined in the Blue Advantage (HMO) | Blue Advantage (PPO) Provider Administration Manual, available on the Blue Advantage Provider Portal through iLinkBlue (www.lablue.com/ilinkblue).

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).