Louisiana Healthcare Connections Prior Authorization Audit Findings

Sat, 04 Apr 2026 01:01:44 +0000
Healthcare

HHS OIG completed an audit of Louisiana Healthcare Connections (LHCC), a Louisiana Medicaid managed care organization, examining 76 sampled behavioral health service denials requiring prior authorization. LHCC complied with Federal and State requirements for 64 of 76 sampled denials (84%), but 12 denials failed to meet administrative or procedural requirements, primarily missing written notices of adverse determination. OIG estimates 3,209 prior authorization denials (15.8%) during the audit period did not comply with requirements.