Provides relative to denials of provider claims and prior authorization requests by Medicaid managed care organizations. Provides that when claims are denied by an MCO based upon an opinion or interpretation by the MCO of a law, regulation, policy, procedure, or medical criteria or
guideline, then the MCO shall provide with the remittance advice either instructions for accessing such source in the public domain or an actual copy of the law, regulation, policy, procedure, or medical criteria or guideline. Stipulates that the prior authorization requirements of LDH and each MCO shall either be furnished to a provider within 24 hours of the provider’s request or posted in an easily searchable format on the website of the respective MCO or the department.