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)]
HB 270 Original 2015 Regular Session Armes
Abstract: Provides relative to filing of Medicaid claims with the Dept. of Health and Hospitals and
with Medicaid managed care organizations contracted with the department.
Proposed law stipulates that in administering the state's Medicaid program, the Dept. of Health and
Hospitals (DHH) shall not limit the period within which a health care provider may submit a claim
for payment for a Medicaid-covered service to less than 365 days from the date the service was
rendered.
Proposed law provides that such prohibition on limiting the claim submission period to less than 365
days from the date of service shall apply relative to claims submitted directly to DHH, and to claims
submitted to all of the following entities:
(1)A Medicaid managed care organization contracted with the department.
(2)Any of the following entities as defined in federal Medicaid regulations:
(a)A prepaid ambulatory health plan.
(b)A prepaid inpatient health plan.
(c)A primary care case manager.
(Amends R.S. 46:460.51(intro. para.) and the heading of Subpart B of Part XIII of Chapter 3 of Title
46; Adds R.S. 46:442 and 460.70)