On Friday, July 31, 2020, the U.S. Court of Appeals for the Fifth Circuit overturned a lower court decision and upheld the provider fee that states are required to pay under Section 9010 of the ACA, on behalf of MCOs, in order for the states to receive federal reimbursement for payments to the MCOs. 

PCG Technology Consulting (TC) was recently notified by the Louisiana Department of Health and Hospitals (DHH), Bureau of Health Services Financing (BHSF) of its intent to award PCG a contract to provide Independent Verification & Validation (IV&V) services. Louisiana is embarking on an ambitious Medicaid modernization path that is envisioned to improve critical Medicaid services to the many thousands of Louisiana citizens in need...