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Terms Used In Louisiana Revised Statutes 46:460.63

  • 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

            A. With respect to credentialing of a physician whose license is in probationary status pursuant to action by the Louisiana State Board of Medical Examiners, no managed care organization shall terminate participation by that physician in the organization’s provider network based solely upon the probationary status of his license or disqualify the physician from initial credentialing based solely upon the probationary status of his license.

            B. No managed care organization shall terminate participation by a physician in the organization’s provider network unless such action is taken pursuant to an established credentialing committee procedure.

            Acts 2016, No. 250, §1.