Louisiana
LLC
Website link to register:
https://www.sos.la.gov/BusinessServices
Naming conventions
Restricted words require approval from the appropriate regulatory agency. Must include “Limited Liability Company,” “LLC,” or “L.L.C.” PLLC required for medical professionals.
Licensing Requirements
Medical licenses must be approved by the Louisiana State Board of Medical Examiners. Proof of malpractice insurance required. Comply with Louisiana Department of Health’s guidelines for medical facilities.
Required documentation for medical practices
Articles of Organization, Professional Licenses, Louisiana Health Department Permits, Malpractice Insurance
Filing Fee: $100
Annual/Biennial Fee: $35
Additional Notes: Annual report due on LLC anniversary date.
Medicaid
Program Name: Healthy Louisiana
Official Website: http://ldh.la.gov/index.cfm/subhome/1/n/331
Legislation:Louisiana passed HB 326 in 2021, which recognizes DPC agreements and exempts them from state insurance regulations.
Private Contracting
Explicitly permitted; DPC agreements are recognized and not subject to state insurance laws.
Restrictions
No explicit restrictions for DPC providers; compliance with federal and state regulations is required.
Medicaid Program
Louisiana Medicaid provides health coverage to eligible low-income residents, including children.
Notification Requirements
Notification strongly recommended to avoid misunderstandings with Medicaid patients.
Provider Enrollment Requirements
Providers must enroll with Louisiana Medicaid to serve beneficiaries directly or offer reimbursable services.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face challenges with Medicaid recognition for orders and referrals.
Designated PCP Restrictions
DPC physicians cannot act as Medicaid-designated PCPs.
Billing and Reimbursement
DPC practices typically do not bill Medicaid for services covered under private agreements.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless explicitly outlined.
CMS Guidance
CMS supports innovative care delivery models for Medicaid providers.
Opportunities for Collaboration
Opportunities may exist to collaborate with Medicaid Managed Care Organizations (MCOs) or state programs.
State-Specific Notes
Collaboration opportunities exist with Louisiana Medicaid Managed Care Organizations for primary care expansion.
Dispensing Medication
Board of Pharmacy Official Link: https://www.pharmacy.la.gov/
State Licensing
Physicians must register with the Louisiana Board of Pharmacy to dispense controlled substances.
Scope of Practice
Physicians may dispense medications directly under Louisiana law; strict rules apply to controlled substances.
Inventory Management
Maintain accurate inventory logs for all medications, with secure storage requirements.
Record-Keeping
Detailed records must comply with state and federal laws and be available for inspections.
Dispensing Standards
Labels must meet Louisiana’s Board of Pharmacy requirements, including dosage, patient, and prescriber details.
Controlled Substances
DEA registration and reporting to Louisiana’s Prescription Monitoring Program (PMP) are mandatory.
Billing and Reimbursement
Physicians must comply with Louisiana-specific billing regulations and federal Stark Law requirements.
Federal Compliance
Adherence to federal guidelines, including DEA and FDA regulations, is required for dispensing.
State Pharmacy Laws
Louisiana physicians must follow state pharmacy board laws for controlled substances dispensing.
Patient Consent
Informed consent must be obtained before dispensing any medications.
Insurance and Liability
Physicians must ensure their liability insurance covers risks associated with dispensing medications.
Training Requirements
Louisiana encourages continuing education for compliance with controlled substances laws.
Audits and Inspections
Inspections are conducted by the Louisiana Board of Pharmacy, with penalties for violations of dispensing laws.