LAC 50:XXXIII.7701 – Reimbursement Methodology | Midpage

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Louisiana Administrative Code

§ 7701

LAC 50:XXXIII.7701

Reimbursement Methodology

LR 47:1875 (December 2021)Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.State of Louisiana

A. The department, or its fiscal intermediary, shall make monthly capitation payments to the MCOs. The capitation rates paid to the MCOs shall be actuarially sound rates and the MCOs will determine the rates paid to its contracted providers. No payment shall be less than the minimum Medicaid rate.

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 and the Office of Behavioral Health, LR 47:1875 (December 2021).