§ 46:442 — Medicaid provider claims; period for filing

§442. Medicaid provider claims; period for filing
A. In administering the Medicaid program of this state, the Louisiana Department
of Health shall not limit the period within which a healthcare provider may submit a claim
for payment for a covered service rendered to a Medicaid program enrollee to less than three
hundred sixty-five days from the date the service was provided.
B. In accordance with the applicable provisions of this Part and Part VI-A of this
Chapter, if a payment for a claim is recouped by the department, a contractor of the
department, or any other entity acting at the direction or under the authority of the department
due to a determination by the department more than three hundred sixty-five days from the
date the service was provided that the claim was improperly billed but the services were
reasonable and necessary, the department shall ensure that the provider is afforded additional
time to re-file a corrected claim for that portion of the amount recouped to the extent
permitted by federal law.

Legislative History

Acts 2015, No. 21, §1; Acts 2016, No. 467, §1.