LAC 50:XXIX.307. Notification Directives

A. The department’s contract designee shall notify the recipient of the decision to lock-in providers and shall include the following additional information: 1. the department’s intention to allow the recipient to choose one primary care provider, one pharmacy provider, and up to three specialist providers, if warranted; 2. that Medicaid will make payments only to the physician and pharmacy providers chosen by the recipient and subsequently approved by the department; 3. that the recipient is advised to contact the department’s contract designee to discuss the Pharmacy Lock-In Program; and 4. that the recipient has the right to appeal the initial lock-in decision. B. The department’s contract designee shall be responsible for the following: 1. initiate contact with the recipient in instances when the recipient fails to contact the department, or its contractor; 2. conduct a telephone interview when warranted with the recipient regarding the Lock-In Program and the recipient’s rights and responsibilities; 3. assist the recipient, if necessary, in exercising due process rights and complete the appropriate forms at the initial contact; and 4. notify Lock-In providers of their selection.