HB915

Louisiana HB915 amends utilization management practices for Medicaid, setting specific timeframes for managed care organizations to make.

Louisiana HB915 amends the state medical assistance program to establish a utilization management process. It sets specific timeframes for managed care organizations to make determinations, including standard service authorizations within five business days, inpatient hospital service authorizations within two calendar days, and expedited authorizations within seventy-two hours. The bill also mandates that managed care organizations provide written notice of denials and include instructions or copies of relevant laws, regulations, policies, procedures, or medical criteria.