1. A. The department or other health oversight agency may review any payments the Medicaid program makes to providers. This is inclusive of any payments the managed care organizations make to any managed care providers. The PIU will administer the review process within the department pursuant to this chapter.
2. B. Any claim not supported by documentation demonstrating the medical necessity and the actual provision of the services claimed, is subject to recovery and other sanctions pursuant to this chapter.
3. C. Payment of a claim does not constitute acceptance that the claim is a valid claim.
4. D. No person has a property interest in any Medicaid program’s reimbursements or payments determined to be an overpayment or subject to payment review.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and 46:437.1-46:440.3.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Health, Bureau of Health Services Financing, LR 52:691 (May 2026).