LEGISLATIVE FISCAL OFFICE
Fiscal Note
Fiscal Note On: SB 108 SLS 21RS 184
Bill Text Version: ENGROSSED
Opp. Chamb. Action:
Proposed Amd.:
Sub. Bill For.:
Date: May 7, 2021 1:46 PM Author: LUNEAU
Dept./Agy.: LDH/Medicaid
Subject: Mental health services Analyst: Shawn Hotstream
HEALTH SERVICES EG NO IMPACT See Note Page 1 of 2
Provides relative to mental health rehabilitation services contracts with Medicaid managed care organizations. (8/1/21)
Proposed law provides that any contract or subcontract entered into by the Louisiana Department of Health with any Medicaid managed
care organization for the provision of mental health rehabilitation services shall include the following minimal requirements: 1)
Employees, contractors, and subcontractors of MCO’s performing work or services related to the performance or supervision of audits,
prior authorization determinations, and clinical reviews of mental health rehabilitation service providers shall receive annual training on
Louisiana’s Medicaid Behavioral Health Provider Manual and the relevant state laws, policies, and regulations related to the state’s mental
health rehabilitation program; 2) employees, contractors and subcontractors of MCO’s shall ensure MHR services providers are registered
and credentialed to provide and be reimbursed for MHR services under Medicaid; 3) employees, contractors, and subcontractors of mco’s
shall take all steps necessary to ensure that mental health rehabilitation service providers have the right to an independent review of an
adverse action taken by the managed care organization; 4). the Louisiana Department of Health shall enforce monetary penalties against
any Medicaid managed care organization that violates certain minimum requirements; Continued on page 2
EXPENDITURES 2021-22 2022-23 2023-24 2024-25 2025-26 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0 $0 $0 $0 $0
REVENUES 2021-22 2022-23 2023-24 2024-25 2025-26 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0 $0 $0 $0 $0
EXPENDITURE EXPLANATION
There is no anticipated direct material effect on governmental expenditures as a result of this measure. A third party
independent review is a current process in law to resolve claims disputes when a provider believes a managed care
organization has partially or totally denied a claim incorrectly.
REVENUE EXPLANATION
There is no anticipated direct material effect on governmental revenues as a result of this measure.
Senate Dual Referral Rules House
13.5.1 >= $100,000 Annual Fiscal Cost {S & H} 6.8(F)(1) >= $100,000 SGF Fiscal Cost {H & S}
Alan M. Boxberger
13.5.2 >= $500,000 Annual Tax or Fee 6.8(G) >= $500,000 Tax or Fee Increase
Change {S & H} or a Net Fee Decrease {S} Staff Director
 LEGISLATIVE FISCAL OFFICE
Fiscal Note
Fiscal Note On: SB 108 SLS 21RS 184
Bill Text Version: ENGROSSED
Opp. Chamb. Action:
Proposed Amd.:
Sub. Bill For.:
Date: May 7, 2021 1:46 PM Author: LUNEAU
Dept./Agy.: LDH/Medicaid
Subject: Mental health services Analyst: Shawn Hotstream
CONTINUED EXPLANATION from page one: Page 2 of 2
Continued from page 1:
and 5) a health care provider shall be considered credentialed, recredentialed, or approved if a managed care organization fails to do
certain requirments within 60 days of receipt of all the information need for credentialing. If an mco determines upon completion of the
credentialing process that an applicant’s health care provider does not meet the mco’s credentialing requirements, the mco may then
initiate an action to recover from the provider an amount equal to the difference between appropriate payments for out of network
benefits and in network benefits paid to the provider prior to completion of credentialing under certain conditions. The mental health
provider shall have the right to an independent review of an adverse action taken by the mco.
Senate Dual Referral Rules House
13.5.1 >= $100,000 Annual Fiscal Cost {S & H} 6.8(F)(1) >= $100,000 SGF Fiscal Cost {H & S}
Alan M. Boxberger
13.5.2 >= $500,000 Annual Tax or Fee 6.8(G) >= $500,000 Tax or Fee Increase
Change {S & H} or a Net Fee Decrease {S} Staff Director


Statutes affected:
SB108 Engrossed:
SB108 Enrolled: 40:2162(D)(2)
SB108 Act 204: 40:2162(D)(2)