§815. Administrators

            A. Each administrator contract with the office shall clearly establish an administrative fee or a calculation for an administrative fee to be retained by the administrator for performance of its duties. The administrator is prohibited from retaining revenues directly attributable to the contract other than the administrative fee. This prohibition includes revenues from rebates and other fee arrangements with third-party administrators which revenues are directly attributable to the administrator's contract with the office.

            B.(1) Each year, within thirty days of filing the report required by R.S. 42:814(A)(1), the administrator shall remit to the office all revenues that are directly attributable to its contract with the office, notwithstanding the administrative fee, that were collected in the calendar year covered by the report.

            (2) Each year, within thirty days of filing the report required by R.S. 42:814(A)(2), the administrator shall remit to the office any new revenues disclosed on such report that are directly attributable to its contract with the office, notwithstanding the administrative fee.

            C. Amounts received but not retained by the administrator as payment for network access, or value-based clinical and provider quality performance programs based on national benchmarks, shall not be considered as revenue for purposes of this Section.

            Acts 2024, No. 546, §1, eff. July 1, 2024.