LSMS | Regular Session ReCap | 2022

and post its own version of prior authorization relief for providers. While this is a unique step forward, we remain committed to bringing legislation in the future if this does not provide you with results. Act 166 (HB 339) by Rep. JP Coussan focuses on coordination of benefits and prohibits health plans from pending, delaying, or denying payment to a provider on the basis of the insured’s failure to provide notice of another insurance policy. SB 59 by Sen. Fred Mills and Rep. Larry Bagley prohibits a Medicaid MCO from requiring any enrolled providers to participate in a prepayment review unless the review is implemented directly by the Louisiana Department of Health and is in accordance with the provisions of the Medical Assistance Programs Integrity Law. Act 143 (HB 286) by Rep. Chris Turner stipulates that any healthcare provider who maintains hospital privileges or is a member of a hospital medical staff with a licensed hospital shall be considered to have satisfied and shall otherwise be exempt from having to satisfy any credentialing requirements of a Medicaid managed care organization.

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