1. A. A provider, or their agent, may only appeal to the Division of Administrative Law a notice of action or a notice of the results of the informal hearing issued by the department that terminates or denies the provider’s enrollment in Medicaid. Other actions by the department related to Medicaid provider enrollment and screening are not appealable.

   1. 1. If the provider, or their agent, timely requests an administrative appeal, then the provider, or their agent, has the right to challenge the basis for the termination or denial imposed by the department related to the provider’s Medicaid enrollment, provider enrollment application, and/or the revalidation application.
   2. 2. The provider, or their agent, must specifically state the basis for the appeal and the actions challenged on appeal.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Health, Bureau of Health Services Financing, LR 50:980 (July 2024).