This bill enacts new provisions under R.S. 46:460.71(E) and 460.76.3, which focus on the state medical assistance program, specifically regarding claim payment information and third-party liability. The new language prohibits managed care organizations from altering claims submitted by healthcare providers unless a rule is promulgated by the department. Violations of this provision will result in the department withholding payments to the managed care organization, with penalties starting at $25,000 for each violation. Additionally, the bill allows for the establishment of a statewide policy for managed care organizations to adjudicate claims under certain conditions, pending approval from relevant health committees.

Furthermore, the bill mandates that managed care organizations notify the department within two business days of identifying any third-party health insurers liable for claims under the Medicaid state plan. This notification must include detailed information about the insurer and the coverage. Managed care organizations are also prohibited from denying claims based solely on the existence of third-party coverage unless specific information is available in the Medicaid Eligibility Verification System. The department is tasked with ensuring that this information is updated in the system within three business days of receiving the notification. The provisions of this act will take effect upon the governor's signature or after the specified legislative process, with implementation set to begin on August 1, 2025.