Quarterly Member-PCP Reassignment Process - Review and Verify Changes

Date: 05/01/25

Each quarter, Louisiana Medicaid health plans evaluate member-to-PCP assignments, and update them to reflect actual patterns of care and primary care relationships. For example, if a member has not seen their assignment PCP in the past 12 months, but have seen a different PCP, their assignment may be updated to reflect the PCP they are seeing.

On May 11, 2025, planned updates to member-PCP assignments for this quarter will be loaded into the secure provider portal for PCPs to review. You can access the report for your practice in the Reports section of the portal, listed as "Member Reassignment Program." Additional information on the proposed reassignments and how to give feedback or dispute a reassignment is included within the report. Please review this Member Reassignment report and return any feedback within 15 days.

While extensive efforts seek to minimize disruption and inaccuracy in this process, occasionally third-party liability or other issues can inadvertently trigger a PCP reassignment. If you have any concerns about a proposed reassignment, Louisiana Healthcare Connections seeks to err on the side of caution; we will halt any disputed reassignment, delay action until the next quarterly cycle, and individually review the reassignment to determine the best course in alignment with Louisiana Medicaid policy.

Thank you for your partnership in transforming Louisiana's health.