Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXII - 1115 Demonstration Waivers
Subpart 7 - Healthy Louisiana Opioid Use Disorder/Substance Use Disorder Waiver
Chapter 69 - Reimbursement
Section XXII-6903 - Reimbursement Methodology

Universal Citation: LA Admin Code XXII-6903

Current through Register Vol. 50, No. 9, September 20, 2024

A. 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.

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

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