La. Medicaid Services Manual ch. 24 (Hospice) § 24.12

Service Denial

A hospice client who disagrees with the denial of hospice services has the right to request an appeal

with the Division of Administrative Law (DAL). This request must be post marked no later than

30 days from the date of the denial notice. The request for appeal, stating the reason for the request

and the denial letter, should be sent directly to the DAL. Information about the appeal process can

be found by contacting the DAL (see Appendix D of this manual chapter) or refer to Chapter 1 -

General Information and Administration of the Medicaid Services Manual. The manual can be

accessed on the internet at www.lamedicaid.com.

Claims Payment Denial

If a denial is upheld upon reconsideration and the hospice provider disagrees with a claims

payment decision, the hospice provider has the right to request an appeal with the DAL within 30

days of the reconsideration decision date. The request for reconsideration and the denial letter

should be submitted directly to the DAL. Information about the appeal process can be found by

contacting the DAL (see Appendix D of this manual chapter) or refer to Chapter 1 - General

Information and Administration of the Medicaid Services Manual. The manual can be accessed on

the internet at www.lamedicaid.com.