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.