The Louisiana Department of Health and Hospitals is seeking approval from the Legislature to submit a proposal for a section 1115 Medicaid waiver to the U.S. Department of Health and Human Services (HHS).
The state claims that the proposal would establish a medical home system for Medicaid beneficiaries, including older adults. However, there are serious questions about whether the design of the Department's plan is appropriate or even possible, because Louisiana lacks the type of managed care organizations on which the plan primarily depends.
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