The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Brandi Cannon.
DIGEST
SB 59 Engrossed 2022 Regular Session Fred Mills
Present law provides for the Louisiana Medicaid managed care program and the payment of claims
submitted by participating healthcare providers.
Proposed law retains present law and further provides that a Medicaid managed care organization
or its contractor, assignee, or agent is prohibited from requiring any enrolled provider to be subject
to prepayment review unless the requirement is implemented directly by the La. Dept. of Health and
in accordance with the provisions of the Medical Assistance Programs Integrity Law.
Proposed law provides that "prepayment review" means requiring a healthcare provider to provide
medical record documentation in conjunction with, or after, the submission of a claim for payment
for medical services rendered but before the claim has been adjudicated by the Medicaid managed
care organization.
Effective August 1, 2022.
(Adds R.S. 46:460.76)