La. Admin. Code tit. 50 § XXXIII-501
Current through Register Vol. 50, No. 11, November 20, 2024
Section XXXIII-501 - General ProvisionsA. For recipients enrolled in one of the MCOs or with the CSoC contractor, the department or its fiscal intermediary shall make monthly capitation payments to the MCOs or CSoC contractor. 1. The capitation rates paid to the MCOs or CSoC contractor shall be actuarially sound rates.2. The MCOs or 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-501
Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:363 (February 2012), amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office of Behavioral Health, 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 412356 (11/1/2015), Amended by the Department of Health, Bureau of Health Services Financing and the Office of Behavioral Health, LR 441890 (10/1/2018).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.