2015 Louisiana Laws
Revised Statutes
TITLE 46 - Public Welfare and Assistance
RS 46:460.70 - Timely filing of claims
SUBPART C. CLAIM FILING AND PAYMENT
§460.70. Timely filing of claims
In accordance with the provisions of R.S. 46:442, the department shall not limit the period within which a provider may submit a claim for payment for a covered service rendered to an enrollee to less than three hundred sixty-five days from the date the service was provided. This prohibition on limiting the claim submission period to less than three hundred sixty-five days from the date of service shall apply relative to claims submitted directly to the department and to claims submitted to all of the following entities:
(1) A managed care organization.
(2) Any of the following entities as defined in 42 CFR 438.2:
(a) A prepaid ambulatory health plan.
(b) A prepaid inpatient health plan.
(c) A primary care case manager.
Acts 2015, No. 21, §1.
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