Senate Bill No. 182, proposed by various senators, aims to enhance access to Medicaid services during declared emergencies by allowing the Louisiana Department of Health to suspend prior authorization requirements. This suspension will apply to all medically necessary healthcare services, including diagnostics, treatments, medications, and supportive services, ensuring that Medicaid recipients can receive uninterrupted care. The bill mandates that Medicaid managed care organizations, pharmacy benefit managers, and entities responsible for fee-for-service claims processing must reimburse providers for these services without prior authorization. Additionally, it includes provisions for reimbursing out-of-state providers who deliver essential medical care to Louisiana Medicaid recipients who have evacuated during emergencies.
The bill also requires Medicaid managed care organizations to inform recipients about the suspension of prior authorization, their access to uninterrupted care, and their rights during emergencies. Notifications are to be disseminated through healthcare providers, community outreach, and online platforms to ensure that all patients, particularly vulnerable or displaced individuals, are aware of these provisions. The proposed law is set to take effect on August 1, 2025, and expands the scope of covered medical care from just cancer treatment to all medically necessary care.