Thank you for the care you provide to Peoples Health plan members. This section of our website, as well as the Provider Portal, provides you with access to important information that you may find useful in coordinating member care.
Model of Care for Special Needs Plans (SNPs)
Peoples Health SNPs, which comply with and are structured according to the regulations of the CMS Managed Care Manual, provide specialized care for patients who have Medicare and who also qualify for Medicaid on the basis of income or disability. SNP patients tend to have more complex needs and include those who are frail, are disabled, have multiple comorbidities, have chronic illnesses, or are near the end of life. Most SNP patients benefit from lower out-of-pocket costs for most covered healthcare services and prescription drugs. They are eligible for benefits and waiver services through Louisiana Medicaid.
We created a SNP model of care that addresses these special needs via access to and utilization of affordable care, health education and assistance with management of complex health needs.
The Provider Portal is a Web-based portal that offers a secure, password-protected, centralized location where providers can view and download important resources for all their Peoples Health communications needs.
You can log on to the Provider Portal at www.providers.peopleshealth.com using your Member Viewer ID and password or a Peoples Health-assigned ID and password. Member Viewer has been incorporated into the Provider Portal, and if you’re accustomed to using Member Viewer, you will continue to access the same information in Member Viewer in its new location. You will simply have additional resources at your fingertips.
Via the Provider Portal, you can:
- Access patient clinical information in Member Viewer.
- Reference and download important resources, such as Medical Necessity and Pharmacy Request forms; Provider Reference Guide, Physician Team Referral Guides and Quick Reference Guides; all plan documents; policy and procedure guidelines; and current and past issues of Peoples Health publications, including the Provider Quarterly and Physician Bulletin.
- Access quick links to network hospital and provider listings and to the Peoples Health Authorization Requirements Search, where providers can search authorization requirements for specific procedure codes.
- Stay up to date on the latest Peoples Health news. The Provider Portal’s home page is updated regularly with important news and reminders about changes in processes or tools available to providers.
If you have any questions about using the Peoples Health Provider Portal or would like to request access, please contact your provider representative toll-free at 1-800-631-8443.