Louisiana Revised Statutes 46:460.70 – In accordance with the provisions of R.S. 46:442, the department shall not limit the period within which a provider may submit a claim for payment for a covered service rendered to a
Terms Used In Louisiana Revised Statutes 46:460.70
- Department: means the Louisiana Department of Health. See Louisiana Revised Statutes 46:460.51
- Enrollee: means an individual who is enrolled in the Medicaid program. See Louisiana Revised Statutes 46:460.51
- provider: means a person, partnership, limited liability partnership, limited liability company, corporation, facility, or institution that provides healthcare or professional services to individuals enrolled in the Medicaid program. See Louisiana Revised Statutes 46:460.51
In accordance with the provisions of La. Rev. Stat. 46:442, the department shall not limit the period within which a provider may submit a claim for payment for a covered service rendered to an enrollee to less than three hundred sixty-five days from the date the service was provided. This prohibition on limiting the claim submission period to less than three hundred sixty-five days from the date of service shall apply relative to claims submitted directly to the department and to claims submitted to all of the following entities:
(1) A managed care organization.
(2) Any of the following entities as defined in 42 C.F.R. § 438.2:
(a) A prepaid ambulatory health plan.
(b) A prepaid inpatient health plan.
(c) A primary care case manager.
Acts 2015, No. 21, §1.