La. Admin. Code tit. 50 § XXII-6903
Current through Register Vol. 50, No. 11, November 20, 2024
Section XXII-6903 - Reimbursement MethodologyA. For recipients enrolled in one of the MCOs, the department or its fiscal intermediary shall make monthly capitation payments to the MCOs inclusive of coverage for the provision of residential and inpatient substance use services for recipients. The capitation rates paid to the MCOs shall be actuarially sound rates and the MCOs will determine the rates paid to its contracted providers. No payment shall be less than the minimum Medicaid rate.La. Admin. Code tit. 50, § XXII-6903
Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:822 (March 2012), amended LR 39: 3297 (December 2013), Repealed LR 42754 (5/1/2016), Promulgated by the Louisiana Department of Health, Bureau of Health Services Financing and the Office of Behavioral Health, LR 45272 (2/1/2019).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.