ENROLLED
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
ACT No. 311
Regular Session, 2013
HOUSE BILL NO. 392
BY REPRESENTATIVES STUART BISHOP AND ANDERS
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
AN ACT1
To enact Part XI of Chapter 3 of Title 46 of the Louisiana Revised Statutes of 1950, to be2
comprised of R.S. 46:460.41 through 460.42, relative to the medical assistance3
program; to provide for managed care organizations which provide health care4
services to medical assistance program enrollees; to provide for payment for services5
rendered to newborns; and to provide for related matters.6
Be it enacted by the Legislature of Louisiana:7
Section 1. Part XI of Chapter 3 of Title 46 of the Louisiana Revised Statutes of 1950,8
comprised of R.S. 46:460.41 through 460.42, is hereby enacted to read as follows: 9
PART XI. CONTINUITY OF CARE FOR NEWBORNS ENROLLED IN 10
MEDICAID MANAGED CARE11
§460.41. Definitions12
As used in this Part, the following terms shall have the meaning ascribed to13
them in this Section unless the context clearly indicates otherwise:14
(1) "Department" means the Department of Health and Hospitals.15
(2) "Health care provider" or "provider" means a physician licensed to16
practice medicine by the Louisiana State Board of Medical Examiners or other17
individual health care practitioner licensed, certified, or registered to perform18
specified health care services consistent with state law.19
(3) "Managed care organization" shall have the same meaning as provided20
for that term in 42 CFR 438.2 and shall also mean any entity providing primary care21
case management services to Medicaid recipients pursuant to a contract with the22
department.23 ENROLLEDHB NO. 392
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(4) "Medicaid" and "medical assistance program" mean the medical1
assistance program provided for in Title XIX of the Social Security Act.2
§460.42. Claims payment for care rendered to newborns; reporting3
A. Each managed care organization shall compensate, at a minimum, ninety4
percent of the Medicaid fee-for-service rate in effect for each service coded as a5
primary care service rendered to a newborn Medicaid beneficiary within thirty days6
of the beneficiary's birth regardless of whether the Medicaid provider rendering the7
services is contracted with the managed care organization, but subject to the same8
requirements as a contracted provider.9
B. On or before January 1, 2014, and annually thereafter, the department10
shall report to the House and Senate committees on health and welfare the incidence11
and causes of all re-hospitalizations of infants born premature at less than12
thirty-seven weeks gestational age and who are within the first six months of life.13
SPEAKER OF THE HOUSE OF REPRESENTATI VES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED: