§815. Administrators
A. Each administrator contract with the office shall clearly establish an
administrative fee or a calculation for an administrative fee to be retained by the
administrator for performance of its duties. The administrator is prohibited from retaining
revenues directly attributable to the contract other than the administrative fee. This
prohibition includes revenues from rebates and other fee arrangements with third-party
administrators which revenues are directly attributable to the administrator's contract with
the office.
B.
(1)Each year, within thirty days of filing the report required by R.S. 42:814(A)(1),
the administrator shall remit to the office all revenues that are directly attributable to its
contract with the office, notwithstanding the administrative fee, t
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§815. Administrators
A. Each administrator contract with the office shall clearly establish an
administrative fee or a calculation for an administrative fee to be retained by the
administrator for performance of its duties. The administrator is prohibited from retaining
revenues directly attributable to the contract other than the administrative fee. This
prohibition includes revenues from rebates and other fee arrangements with third-party
administrators which revenues are directly attributable to the administrator's contract with
the office.
B.(1) Each year, within thirty days of filing the report required by R.S. 42:814(A)(1),
the administrator shall remit to the office all revenues that are directly attributable to its
contract with the office, notwithstanding the administrative fee, that were collected in the
calendar year covered by the report.
(2) Each year, within thirty days of filing the report required by R.S. 42:814(A)(2),
the administrator shall remit to the office any new revenues disclosed on such report that are
directly attributable to its contract with the office, notwithstanding the administrative fee.
C. Amounts received but not retained by the administrator as payment for network
access, or value-based clinical and provider quality performance programs based on national
benchmarks, shall not be considered as revenue for purposes of this Section.