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STATE OFFICE CLOSURE - INCLEMENT WEATHER
Commissioner of Administration Taylor Barras is announcing that all state offices in Cameron Parish will be closed Wednesday, June 17, 2026 and Thursday, June 18, 2026, due to the impending tropical storm.
All agency heads are responsible for determining those essential personnel who should remain on duty, report for duty, or those who should report to alternate work sites as necessary. Officials continue to monitor conditions throughout the state, and this announcement may be updated.
This office closure applies to all nonessential employees, including those authorized to work from home.
The lists of contacts below are for providers interested in contracting and credentialing with a Healthy Louisiana plan. If you are a Medicaid recipient with questions about Healthy Louisiana, please call the Enrollment Center at 1-855-229-6848.
This process was established by La-RS 46:460.81, et seq., to resolve claims disputes when a provider believes a managed care organization (MCO) has partially or totally denied claims incorrectly. An MCO’s failure to send a provider a remittance advice or other written or electronic notice either partially or totally denying a claim, within 60 days of the MCO’s receipt of the claim, is considered a claims denial. SIU post-payment reviews are not considered claims denials or underpayment disputes; therefore, SIU findings are exempt from the Independent Review Process. Except per Act 204 of the 2021 Regular Legislative Session, mental health rehabilitation (MHR) service providers have the right to an independent review of an adverse determination by a managed care organization that results in a recoupment of the payment of a claim based on a finding of waste or abuse.
Effective Jan. 1, 2018, there is a $750 fee associated with an independent review request. If the independent reviewer decides in favor of the provider, the MCO is responsible for paying the fee. Conversely, if the independent reviewer finds in favor of the MCO, the provider is responsible for paying the fee.
Please send in the Independent Review Reconsideration Form to the MCO before you ask LDH for an Independent Review. Each MCO has the form on their site, but you can also access itbelow.
Mail to: LDH/Health Plan Management P.O. Box 91030, Bin 24 Baton Rouge, LA 70821-9283 Attn: Independent Review
Remember to follow up with [email protected] 10 days after the reviews have been mailed to ensure timely receipt.
The Louisiana Department of Health (LDH) administers the independent review process, but does not perform the independent review of the disputed claims. When a request for independent review is received, LDH determines that the disputed claims are eligible for independent review based on the statutory requirements. If the claims are eligible, LDH will forward the claims to a reviewer that is not a state employee or contractor, and is independent of both the MCO and the provider. The decision of the independent reviewer is binding unless either party to the dispute appeals the decision to any court having jurisdiction to review the independent reviewer's decision.
The independent review process is only one option a provider has to resolve claims payment disputes with a MCO. In lieu of requesting independent review, a provider may pursue any available legal or contractual remedy to resolve the dispute
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