September 11, 2019 Managed Care for Physical and Behavioral Health – Reimbursement Methodology – Kick and Lump Sum Payments LAC 50:I.3509
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Amends the provisions governing managed care organizations (MCOs) reimbursement to allow for expansion of the current kick payment methodology to include reimbursements for specific care events, services, and treatments in addition to obstetrical deliveries and for reimbursement of the MCO monthly capitation and kick payments in the aggregate on a lump sum basis when administratively necessary.
Contact Information: Jen Steele, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
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RELATED ITEMS
- Emergency Rule: N/A
- Notice of Intent: Prior to Proposed Rule:July 2019 LAC
- Notice of Intent: Proposed Rule
- Notice of Intent: September 20, 2019 (Louisiana Register)