Managed Care Contract Amendments

Below are links to the executed contracts and contract amendments between the state and the managed care entities that provide health benefit services to Louisiana's Medicaid enrollees.

Managed Care Organizations

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Prior to executing an amendment to the Louisiana Medicaid managed care program contract with a managed care organization or other entity, as defined in 42 CFR 438.2, LDH will publish the entire proposed contract amendment to provide public comment for a period of 30 days unless the amendment(s) are deemed of an imminent peril to the public health, safety, or welfare and requiring immediate approval. To provide feedback, please complete this form.

Amendment Documents

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Item Number	Amendment Document	Date Posted	Public Comments Due By	Document Links
28	Amendment 9, Attachment H9 – Changes to Attachment H, Quality Performance Measures	8/19/2024	9/19/2024	Amendment 9, Attachment H9 – Changes to Attachment H, Quality Performance Measures
27	Amendment 9, Attachment G9 – Changes to Attachment G, Table of Monetary Penalties	8/19/2024	9/19/2024	Amendment 9, Attachment G9 – Changes to Attachment G, Table of Monetary Penalties
26	Amendment 9, Attachment F9 – Changes to Attachment F, Provider Network Standards	8/19/2024	9/19/2024	Amendment 9, Attachment F9 – Changes to Attachment F, Provider Network Standards
25	Amendment 9, Attachment E9 – Changes to Attachment E, APM Reporting Template	8/19/2024	9/19/2024	Amendment 9, Attachment E9 – Changes to Attachment E, APM Reporting Template
24	Amendment 9, Attachment C9 – Changes to Attachment C, In Lieu of Services	8/19/2024	9/19/2024	Amendment 9, Attachment C9 – Changes to Attachment C, In Lieu of Servicess Attachment C, In Lieu of Services
23	Amendment 9, Attachment A9 – Changes to Attachment A, Model Contract	8/19/2024	9/19/2024	Amendment 9, Attachment A9 – Changes to Attachment A, Model Contrac
22	Amendment 8, Attachment D8 – SFY 2025 Healthy Louisiana Rate Certification	8/1/2024	8/31/2024	Amendment 8, Attachment D8 – SFY 2025 Healthy Louisiana Rate Certification Imminent Peril Justification
21	Amendment 7, Attachment D7 – SFY 2024 FMP Rate Change Summary	8/1/2024	8/31/2024	Amendment 7, Attachment D7 – SFY 2024 FMP Rate Change Summary Imminent Peril Justification
20	Amendment 6, Attachment D6 – Rate Certification effective 1.1.2024	2/29/2024	N/A	Amendment 6, Attachment D6 – Rate Certification effective 1.1.2024 Imminent Peril Justification
19	Amendment 5, Attachment A5 – Changes to Attachment A, Model Contract	12/14/2023	N/A	Amendment 5, Attachment A5 – Changes to Attachment A, Model Contract Imminent Peril Justification
18	Amendment 5, Attachment C5 – Changes to Attachment C, In Lieu of Services	12/14/2023	N/A	Amendment 5, Attachment C5 – Changes to Attachment C, In Lieu of Services Imminent Peril Justification
17	Amendment 5, Attachment D5 – Rate Certification effective 7.1.2023	12/14/2023	N/A	Amendment 5, Attachment D5 – Rate Certification effective 7.1.2023 Imminent Peril Justification
16	Amendment 4, Attachment A4 – Changes to Attachment A, Model Contract	10/13/2023	11/12/2023	Amendment 4, Attachment A4 – Changes to Attachment A, Model Contract
15	Amendment 4, Attachment F4 – Changes to Attachment F, Provider Network Standards	10/13/2023	11/12/2023	Amendment 4, Attachment F4 – Changes to Attachment F, Provider Network Standards
14	Amendment 4, Attachment G4 – Changes to Attachment G, Table of Monetary Penalties	10/13/2023	11/12/2023	Amendment 4, Attachment G4 – Changes to Attachment G, Table of Monetary Penalties
13	Amendment 4, Attachment H4 – Changes to Attachment H, Quality Performance Measures	10/13/2023	11/12/2023	Amendment 4, Attachment H4 – Changes to Attachment H, Quality Performance Measures
12	Amendment 3, Attachment A3 – Changes to Attachment A, Model Contract	7/20/2023	N/A	Amendment 3, Attachment A3 – Changes to Attachment A, Model Contract Imminent Peril Justification
11	Amendment 3, Attachment D3 – Rate Certification effective 7.1.2023	7/20/2023	N/A	Amendment 3, Attachment D3 – Rate Certification effective 7.1.2023 Imminent Peril Justification
10	Amendment 2, Attachment A2 – Changes to Attachment A, Model Contract	5/15/2023	6/14/2023	Amendment 2, Attachment A2 – Changes to Attachment A, Model Contract
9	Amendment 2, Attachment B2 – Changes to Attachment B, MCO Covered Services	5/15/2023	6/14/2023	Amendment 2, Attachment B2 – Changes to Attachment B, MCO Covered Services
8	Amendment 2, Attachment C2 – Changes to Attachment C, In Lieu of Services	5/15/2023	6/14/2023	Amendment 2, Attachment C2 – Changes to Attachment C, In Lieu of Services
7	Amendment 2, Attachment E – APM Reporting Template	5/15/2023	6/14/2023	Amendment 2, Attachment E – APM Reporting Template
6	Amendment 2, Attachment F2 – Changes to Attachment F, Provider Network Standards	5/15/2023	6/14/2023	Amendment 2, Attachment F2 – Changes to Attachment F, Provider Network Standards
5	Amendment 2, Attachment G2 – Changes to Attachment G, Table of Monetary Penalties	5/15/2023	6/14/2023	Amendment 2, Attachment G2 – Changes to Attachment G, Table of Monetary Penalties
4	Amendment 2, Attachment H2 – Changes to Attachment H, Quality Performance Measures	5/15/2023	6/14/2023	Amendment 2, Attachment H2 – Changes to Attachment H, Quality Performance Measures
3	Amendment 2, Attachment K – Equity, Diversity, and Inclusion Statement	5/15/2023	6/14/2023	Amendment 2, Attachment K – Equity, Diversity, and Inclusion Statement
2	Amendment 1, Attachment D1a – Rate Certification effective 7.1.2022	12/29/2022	N/A	Amendment 1, Attachment D1a – Rate Certification effective 7.1.2022 Imminent Peril Justification
1	Amendment 1, Attachment D1b – Rate Certification Addendum effective 1.1.2023	12/29/2022	N/A	Amendment 1, Attachment D1b – Rate Certification Addendum effective 1.1.2023 Imminent Peril Justification

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Related Information

• MCO Amendments (1/1/2020 to 12/31/2022) Posted for Public Comment
• Public comments submitted
  

Dental Benefit Managers

Prior to executing an amendment to the Louisiana Medicaid dental benefit program manager contract, as defined in 42 CFR 438.2, LDH will publish the entire proposed contract amendment to provide public comment for a period of 30 days unless the amendment(s) are deemed of an imminent peril to the public health, safety, or welfare and requiring immediate approval. To provide feedback, please complete this form.

Amendment Documents

 

Item Number	Amendment Document	Date Posted	Public Comments Due By	Document Links
23	MCNA Amendment 14 and DentaQuest Amendment 15, Attachment D14 and D15 – Rate Certification effective 1.01.2025 to 6.30.2025	4/3/2025	5/3/2025	Document Name: Amendment 14 and Amendment 15, Attachment D14 and D15 - Rate Certification SFY 2025 Effective 1.1.25 - 6.30.25
22	MCNA Amendment 14 and DentaQuest Amendment 15, Attachment C14 and C15 – Changes to DBPM Performance Goals	4/3/2025	5/3/2025	Document Name: Amendment 14 and Amendment 15, Attachment C14 and C15- Changes to Attachment C DBPM Performance Goals Effective 1.1.25
21	MCNA Amendment 14, Attachment B14 – Changes to Statement of Work DentaQuest Amendment 15, Attachment B15 – Changes to Statement of Work	4/3/2025	5/3/2025	Document Name: Amendment 14 and Amendment 15, Attachment B14 and B15 - Changes to Attachment B Statement of Work Effective 1.1.25
20	Amendment 12, Attachment D12 – SFY 2024 Rate Certification	3/1/2024	3/31/2024	Amendment 12, Attachment D12 – SFY 2024 Rate Certification
19	Amendment 12, Attachment B12 – Changes to Attachment B, Statement of Work	3/1/2024	3/31/2024	Amendment 12, Attachment B12 – Changes to Attachment B, Statement of Work
18	Amendment 10 – DentaQuest CF-6	11/15/2023	N/A	Amendment 10 – DentaQuest CF-6 Imminent Peril Justification
17	Amendment 11, Attachment B11 – Changes to Attachment B, Statement of Work	11/14/2023	12/14/2023	Amendment 11, Attachment B11 – Changes to Attachment B, Statement of Work
16	Amendment 10 – MCNA CF-6	10/20/2023	N/A	Amendment 10 – MCNA CF-6 Imminent Peril Justification
15	Amendment 8, Attachment B8 – Changes to Attachment B, Statement of Work	7/5/2023	N/A	Amendment 8, Attachment B8 – Changes to Attachment B, Statement of Work Imminent Peril Justification
14	Amendment 8, Attachment D8 – SFY 2024 Rate Certification	7/5/2023	N/A	Amendment 8, Attachment D8 – SFY 2024 Rate Certification Imminent Peril Justification
13	Amendment 9, Attachment B9 – Changes to Attachment B, Statement of Work	6/8/2023	7/8/2023	Amendment 9, Attachment B9 – Changes to Attachment B, Statement of Work
12	Amendment 9, Attachment C9 – Changes to Attachment C, DBPM Performance Goals	6/8/2023	7/8/2023	Amendment 9, Attachment C9 – Changes to Attachment C, DBPM Performance Goals
11	Amendment 9, Attachment E – OIG Addendum	6/8/2023	7/8/2023	Amendment 9, Attachment E – OIG Addendum
10	Amendment 9, Attachment F – Equity, Diversity, and Inclusion Statement	6/8/2023	7/8/2023	Amendment 9, Attachment F – Equity, Diversity, and Inclusion Statement
9	Amendment 7, Attachment D7 – Rate Certification effective 1.1.2023 - 6.30.2023	2/3/2023	N/A	Amendment 7, Attachment D7 – Rate Certification effective 1.1.2023 - 6.30.2023 Imminent Peril Justification
8	Amendment 6, Attachment D6 – Rate Certification effective 7.1.2022 - 12.31.2022	11/16/2022	N/A	Amendment 6, Attachment D6 – Rate Certification effective 7.1.2022 - 12.31.2022 Imminent Peril Justification
7	Amendment 4, Attachment D4 – Rate Certification Addendum effective 1.1.2022 - 6.30.2022	4/25/2022	N/A	Amendment 4, Attachment D4 – Rate Certification Addendum effective 1.1.2022 - 6.30.2022 Imminent Peril Justification
6	Amendment 4, Attachment B4 – Changes to Attachment B, Statement of Work	3/17/2022	4/16/2022	Amendment 4, Attachment B4 – Changes to Attachment B, Statement of Work
5	Amendment 3, Attachment D – CY 2022 Rate Certification	11/22/2021	N/A	Amendment 3, Attachment D – CY 2022 Rate Certification Imminent Peril Justification
4	Amendment 2, Attachment B2 – Changes to Attachment B, Statement of Work	4/28/2021	5/28/2021	Amendment 2, Attachment B2 – Changes to Attachment B, Statement of Work
3	Amendment 1, Attachment B1	12/23/2020	N/A	Amendment 1, Attachment B1 Imminent Peril Justification
2	Amendment 1, Attachment C	12/23/2020	N/A	Amendment 1, Attachment C Imminent Peril Justification
1	Amendment 1, Attachment D	12/23/2020	N/A	Amendment 1, Attachment D Imminent Peril Justification

 

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Related Information

• Island Peer Review Organization (IPRO) Contracts
• Maximus Health Services
• Mercer Health & Benefits LLC Contracts
• Myers & Stauffer, LC Contracts
• Southeastrans, Inc.
• Bayou Health Contracts (Feb. 1, 2012 to Jan. 31, 2015)
• Managed Care Organizations Contracts (Feb. 1, 2015 to Dec. 31, 2019)
• Managed Care  Organization Contracts and Amendments (Jan. 1, 2020 to Dec. 31, 2022)