LA SB182

Louisiana Department of Health may suspend prior authorization and concurrent review requirements for Medicaid during a governor-declared state of emergency to ensure uninterrupted access to medically necessary healthcare services, diagnostics, treatments, and medications

Medicaid managed care organizations, pharmacy benefit managers, and fee-for-service claims processors must reimburse providers for medically necessary drugs, services, equipment, supplies, and therapies without requiring prior authorization during emergencies

Out-of-state providers must be reimbursed without prior authorization for essential medical care provided to Louisiana Medicaid recipients who evacuated, whether voluntarily or involuntarily

Prior authorization suspensions apply only to Medicaid recipients residing within the designated emergency area

Medicaid managed care organizations must notify recipients of prior authorization suspensions and their rights during emergencies through healthcare providers, community outreach, and online platforms