02.17.12 The Department of Health & Hospitals, or DHH, introduced a new payment calendar for Medicaid claims at the start of this fiscal year, which built more time into the claims review process to allow for increased fraud and abuse monitoring. The added review time resulted in the check write dates for claims payments being pushed back at intervals throughout the year, and DHH issued a calendar of all claims payment dates for State Fiscal year 2012 (July 2011 - June 2012) so providers could be aware of when claims submitted would be paid and plan accordingly. A copy of the payment calendar can be found here.

 

DHH also wishes to inform you of an update to the payment calendar. In its original calendar, the week of November 20, 2011, was scheduled as a hold week. DHH received extensive feedback from providers in November indicating that a hold week at that time would be burdensome to them and their staff during the holidays, and that they would prefer to have the hold week occur at a later date. To accommodate this request, DHH paid the claims that were held for that week in the following week's payment and has since updated the payment calendar to have a hold week begin the week of June 3, 2012. Provider clean claims submitted by May 24, 2012, which normally would have been paid on June 5, will be paid June 12, 2012.

 

If you are a provider with one of the three prepaid BAYOU HEALTH Plans - Amerigroup Real Solutions, LaCare, and Louisiana Healthcare Connections - please check with your plan to see their payment schedule and claims submission dates.

 

Please review the payment calendar to be aware of these hold weeks and all check writing dates. We thank you for your patience as we implement this system to better control fraud in the Medicaid program. Any questions can be directed to Molina Provider Relations at 1-800-473-2783 or 225-924-5040.