SUBPART C. CLAIM FILING AND PAYMENT
§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.
Acts 2015, No. 21, §1.