November 14, 2017 Managed Care for Physical and Behavioral Health - Member Grievances and Appeals LAC 50:I.Chapter 37

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Amends provisions governing managed care for physical and behavioral health in order to align the current Rule with the Code of Federal Regulations and the Louisiana Administrative Code which will: 1) revise timeframes for members to initiate state fair hearings and request appeals; 2) revise the timeframe for managed care organizations to resolve grievances; 3) update definitions to align with federal Rule changes; 4) revise record retention requirements; and 5) clarify reporting requirements.

Contact Information:  Jen Steele, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030

 .Act 401 Compliance:  The Notices of Intent pages were developed in accordance with ACT 401 of the 2014 Louisiana Legislative Session.

Disclaimer:  Please note that the official versions of the Notices of Intent are maintained by the Office of State Register’s website at http://www.doa.louisiana.gov/osr/osr.htm.  The excerpted versions of these Notices of Intent contained on this website are provided as a courtesy service to the public and is unofficial and should not be regarded as such. Users are encouraged to visit the Office of State Register’s website for the official version.

RELATED ITEMS

• Emergency Rule: N/A                     
• Notice of Intent: Prior to Proposed Rule: September 2017 LAC
• Notice of Intent: Proposed Rule
• Notice of Intent: November 20, 2017 (Louisiana Register)
• Public Hearing: December 28, 2017
• Oversight Report: N/A
• Oversight Hearing: N/A
• Final Rule: N/A