La. Admin. Code tit. 50 § XXXIII-2701
Current through Register Vol. 50, No. 11, November 20, 2024
Section XXXIII-2701 - General ProvisionsA. For recipients enrolled with one of the managed care organizations (MCOs) or coordinated system of care (CSoC) contractor, the department or its fiscal intermediary shall make monthly capitation payments to the MCOs or the CSoC contractor.1. The capitation rates paid to MCOs or the CSoC contractor shall be actuarially sound rates.2. The MCOs or the CSoC contractor will determine the rates paid to its contracted providers. a. No payment shall be less than the minimum Medicaid rate.La. Admin. Code tit. 50, § XXXIII-2701
Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:365 (February 2012), amended LR 39:317 (February 2013), Amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, LR 412359 (11/1/2015), Amended by the Department of Health, Bureau of Health Services Financing and the Office of Behavioral Health, LR 441893 (10/1/2018), Amended LR 46794 (6/1/2020), Repromulgated LR 46951 (7/1/2020).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.