HLS 14RS-995 ORIGINAL
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
Regular Session, 2014
HOUSE BILL NO. 688
BY REPRESENTATIVE STUART BISHOP
MEDICAID: Provides requirements relative to primary care case management within the
Medicaid managed care program
AN ACT1
To enact R.S. 46:460.81, relative to the Medicaid managed care program; to provide for2
primary care case management; to provide for requirements of the Department of3
Health and Hospitals; to provide for definitions; to provide for designation of laws;4
and to provide for related matters.5
Be it enacted by the Legislature of Louisiana:6
Section 1. R.S. 46:460.81 is hereby enacted to read as follows: 7
ยง460.81. Primary care case management; requirements of the department8
A. The department shall maintain a primary care case management program9
for so long as it operates a Medicaid managed care program that provides services10
to Medicaid enrollees through managed care organizations. The department shall11
offer all primary care case management options to a Medicaid enrollee at any time12
when he is allowed to enroll in the Medicaid managed care program.13
B. For the purposes of this Section, the terms "primary care case14
management program" and "managed care organization" shall have the meaning15
ascribed in 42 CFR 438.2.16
Section 2.(A) The Louisiana State Law Institute is hereby directed to designate R.S.17
46:460.51 and 460.52 as Subpart A of Part XIII of Chapter 3 of Title 46 of the Louisiana18
Revised Statutes of 1950, and is further directed to entitle such Subpart "General19
Provisions".20 HLS 14RS-995 ORIGINAL
HB NO. 688
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
(B) The Louisiana State Law Institute is hereby directed to redesignate R.S.1
46:460.61 and 460.62 as Subpart B of Part XIII of Chapter 3 of Title 46 of the Louisiana2
Revised Statutes of 1950, and is further directed to retain the title of such Subpart as3
"Provider Credentialing".4
(C) The Louisiana State Law Institute is hereby directed to redesignate R.S.5
46:460.71 as Subpart C of Part XIII of Chapter 3 of Title 46 of the Louisiana Revised6
Statutes of 1950, and is further directed to retain the title of such Subpart as "Claim7
Payment".8
(D) The Louisiana State Law Institute is hereby directed to designate R.S. 46:460.81,9
as enacted by this Act, as Subpart D of Part XIII of Chapter 3 of Title 46 of the Louisiana10
Revised Statutes of 1950, and is further directed to entitle such Subpart "Primary Care Case11
Management".12
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
Stuart Bishop HB No. 688
Abstract: Requires the Dept. of Health and Hospitals (DHH) to maintain a primary care
case management program as long as it operates a Medicaid managed care program.
Proposed law requires DHH to do all of the following:
(1)Maintain a primary care case management program for so long as it operates a
Medicaid managed care program that provides services to Medicaid enrollees
through managed care organizations.
(2)Offer all primary care case management options to a Medicaid enrollee at any time
when he is allowed to enroll in the Medicaid managed care program.
Proposed law provides that the terms "primary care case management program" and
"managed care organization" shall have the meaning ascribed in federal law (42 CFR 438.2).
(Adds R.S. 46:460.81)