Reporting & Accountability
All contractors, including the managed care organizations (MCO), dental benefit program managers (DBPM) and the enrollment broker, must meet the requirements of their contract with the Louisiana Department of Health. If the contractor is deficient or non-compliant with these requirements, administrative actions, monetary penalties and sanctions may be assessed. Details of any administrative actions taken can be found here.
The summary or reports below is compiled from data submitted by managed care entities. Additional reports also can be found here including:
- Healthy Louisiana Claims Reports
- Mental Health Parity and Addiction Equity Act Compliance Plan
- Enrollment Reports
- EQR Reports
- HEDIS Measures
- Transparency Report
- Diabetes and Obesity Report
- Medical Loss Ratio (MLR) Reports
- Encounter Data Reconciliation Reports