The bill enacts a new section, R.S. 46:460.76.3, which allows the Louisiana Department of Health to suspend prior authorization requirements for Medicaid recipients during a declared state of emergency. This suspension aims to ensure uninterrupted access to medically necessary healthcare services, including diagnostics, treatments, medications, and supportive services. The bill mandates that Medicaid managed care organizations, pharmacy benefit managers, and entities responsible for fee-for-service claims processing must reimburse providers for necessary drugs, services, and therapies without prior authorization. Additionally, it includes provisions for reimbursement to out-of-state providers who care for Louisiana Medicaid recipients during emergencies.

Furthermore, the bill stipulates that the suspension of prior authorization will only apply to Medicaid recipients residing in the designated emergency area. It also requires Medicaid managed care organizations to notify recipients about the suspension of prior authorization, 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 informed about these provisions and can make informed decisions regarding their healthcare.