RS 46:460.70: Timely filing of claims

In accordance with the provisions of R.S. 46:442, the department shall not limit the period within which a provider may submit a claim for payment for a covered service rendered to an enrollee to less than three hundred sixty-five days from the date the service was provided. This prohibition on limiting the claim submission period to less than three hundred sixty-five days from the date of service shall apply relative to claims submitted directly to the department and to claims submitted to all of the following entities:

(1) A managed care organization.

(2) Any of the following entities as defined in 42 CFR 438.2:

(a) A prepaid ambulatory health plan.

(b) A prepaid inpatient health plan.

(c) A primary care case manager.