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 838 Original 2020 Regular Session Lyons
Abstract: Provides for regulations and requirements concerning nonemergency medical
transportation services delivered through the Medicaid managed care program and for reports
on the funding of such services.
Present law requires the La. Department of Health (LDH) to submit an annual report concerning the
Medicaid managed care program, known commonly as the "managed care transparency report", to
the legislative committees on health and welfare. Establishes requirements for the content of the
report.
Proposed law retains present law and adds thereto a requirement that the annual managed care
transparency report include the following:
(1)The total amount of payments by each managed care organization (MCO) to nonemergency
medical transportation (NEMT) providers, itemized by provider.
(2)The total amount of payments by each MCO to transportation brokers and third-party
administrators in the NEMT program, itemized by payee.
Proposed law provides that LDH shall require by contract with each MCO that if the MCO hires or
subcontracts with any transportation broker or third-party administrator for the administration of any
aspect of its NEMT program, then that broker or administrator shall have its call center located in
Louisiana.
Proposed law provides that each MCO that hires or subcontracts with any transportation broker or
third-party administrator for the administration of any aspect of its NEMT program shall require that
the broker or administrator have minority business partnerships with its call center.
Proposed law provides that LDH shall require by contract with each MCO that the MCO, and any
transportation broker or third-party administrator with which the MCO subcontracts for the
administration of any aspect of its NEMT program, report to the department the reimbursement rates
and total payments made to individual providers of NEMT services.
Proposed law stipulates that in order to ensure fair competition among providers on a regional basis,
LDH shall limit NEMT services rendered by an individual provider to a specific geographic region
of the state. Requires LDH, through its contracts with MCOs, to provide for penalties to be assessed
to transportation brokers and third-party administrators that send, or attempt to send, a NEMT provider to render services outside of its designated region.
(Adds R.S. 40:1253.2(A)(1)(m) and R.S. 46:460.101 and 460.102)