LAC 50:XXXIII.8701 – Reimbursement Methodology

A. The department or its fiscal intermediary shall make monthly capitation payments to the CSoC contractor.
1. 1. The capitation rates paid to the CSoC contractor shall be actuarially sound rates.
2. 2. The CSoC contractor will make payments to its contracted providers.
  1. a. 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 and Hospitals, Bureau of Health Services Financing, LR 38:368 (February 2012), amended by the Department of Health, Bureau of Health Services Financing and the Office of Behavioral Health, LR 44:1895 (October 2018).