LAC 50:I.4507. Other Actions not Subject to Administrative Appeal and Review

A. The following actions are not sanctions nor subject to an informal hearing or appeal: 1. referral to a state, federal, or professional licensing authority; 2. referral to the MFCU or any other law enforcement or prosecutorial authority; 3. referral to governing boards, peer review groups, or similar entities; 4. requirements the provider receives education and training in laws, rules, policies, and procedures, including billing; 5. prepayment review; 6. placement on manual claims review prior to payment being made; 7. require the provider to receive prior authorization prior to providing any services; 8. remove or restrict the provider’s use of electronic billing; 9. an increase of any required bond or other security already posted as a condition of continued enrollment; and 10. any restrictions, terms, or conditions a provider agrees to.