patients with recurrent, relapsed, refractory, metastatic, or advanced cancer and/or clinical indications for hereditary malignancies ovarian or breast cancer, allowing physicians to use these analytically validated tools to guide patient treatment at their professional discretion.
RESOLUTION 401- ADOPTED AS AMENDED SUBJECT: Louisiana Mental Health Parity Act
RESOLVED, that the Louisiana State Medical Society supports and urges the passage of the “Louisiana Mental Health Parity Act” as proposed by the Louisiana Psychiatric Medical Association in partnership with the American Psychiatric Association. RESOLVED, that the LSMS reaffirm policy 200.03.
RESOLUTION 402- ADOPTED AS AMENDED SUBJECT: Louisiana Direct Primary Care pilot
RESOLVED , that the Louisiana State Medical Society with work with the Louisiana Department of Health to initiate a Medicaid-Direct Primary Care Practice pilot.; and be it further RESOLVED , that in constructing and enacting that Pilot, the Louisiana Department of Health (LDH), upon verification of a Louisiana Medicaid member’s execution of a direct primary care (DPC) membership agreement shall reimburse the member the expense of the monthly DPC membership fee not to exceed $25 per month for minors or $60 per month for adults. A Louisiana Medicaid member receiving reimbursement pursuant to this subsection shall immediately notify the LDH upon termination of a DPC membership agreement. The LDH shall verify each Louisiana Medicaid member’s DPC membership on a quarterly basis. Such verification may include but not be limited to, review of the member’s DPC membership invoice; and be it further RESOLVED , that the following conditions exist for said Pilot: 1. A voucher reimbursement floor ($25 for minors, $60 for adults) shall be established. 2. Member is responsible in notifying LDH. The physician shall not be responsible for notification of LDH. 3. LA Medicaid will have quarterly invoice verification requirements. The physician shall not be responsible for such monitoring. 4. No price fixing is allowed.
5. The individual DPC practice may set their own enrollment fee. 6. No requirement that the physician be enrolled in Medicaid. 7. No requirement that the physician is practicing in Louisiana.
8. The DPC physician will not be required to generate hard copy nor electronic referrals. 9. The physician will have no data reporting requirements nor be required to file any claims. 10. Medicaid will be responsible for tracking data (e.g. ED visits, hospital costs, member satisfaction, etc.)
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