Formerly known as Cypress Audit Team. We are the audit contractor for the Louisiana Medicaid Hospital, Mental Health, and RHC programs. We also assist in the calculations of Ambulance and Physician UPL supplemental payments. We hope that this website will provide you with valuable information to assist your needs. Please click below to view our services and resources.
We provide the request form for electronic claims downloads and MR0-14 summaries.
View Physician UPL eligibility, instructions, forms, and filing due dates.
View Physician FMP eligibility, forms, and filing due dates.
View the Medicaid Outpatient Reduction Factors.
Submission instructions for Medicaid Traditional and Managed Care.
Guidelines and Filing Documents for rate change requests.
View instructions for updating your contact information.
Link to the latest Louisiana Dept. of Health Fee Schedules.
Your Louisiana Medicaid claims and revenue raw data may be obtained in an electronic text format by requesting the information from the Louisiana Department of Health. Below is the primary and secondary contact information and the request form. We have also included the form needed to request an MR0-14 summary report:
Primary Contact Info:
Ms. Sabrina ScottSecondary Contact Info:
Ms. Patnisha WilliamsThe Louisiana Department of Health has been approved by the Centers for Medicare and Medicaid Services (CMS) to make payments in the Physician's Supplemental Payment Program for all of the entities noted in the LA State Plan Amendment. The purpose of this program is to enhance payments to physicians employed or contracted by the public hospitals. Below are the requested forms and instructions necessary to participate in this program.
Please review the instruction documents prior to completing the submission forms. The Instruction documents outline the recommended approach to completing your submission as well as clarifications for frequently asked questions and examples.
FFS Instructions & Clarifications
[FFS] UPL Submission FormsEach submission must include completed LA Commercial Data Request and Certification Forms. These forms will need to be submitted annually to maintain eligibility within the Fee for Service [FFS] UPL program.
LA Commercial Data Request Form: The Practitioner Information and Submission Checklist tabs will need to be filed annually, while the Average Commercial Rate forms are filed on initial submission and then once every 3 years. Submission of these forms will only maintain eligibility under the FFS Program.
FFS LA Commercial Data Request Form FFS LA Certification Form Physician DisclosurePlease submit completed forms to LDH at: PhysicianUPL@LA.GOV
If your submission contains sensitive information and you need a secure portal to submit through, please contact us. If you prefer to submit by mail, our physical location is:
LeBlanc, Robertson, Chisholm and Associates, LLCFeel free to contact Brittany Fox at (337) 256-5202 with any questions or concerns.
The Louisiana Department of Health is gathering applications for a potential extension for currently participating FMP physician groups. For consideration, please submit applicable forms no later than March 15, 2024.
Submit completed forms to LDH: PhysicianUPL@LA.GOV
Feel free to contact Brittany Fox at (337) 256-5202 with any questions or concerns.
| Period | Reduction Factor | Payment |
|---|---|---|
| Prior to August 1, 2006 | 17.00% | 83.00% |
| August 1, 2006 - February 19, 2009 | 13.80% | 86.20% |
| February 20, 2009 - August 3, 2009 | 16.82% | 83.18% |
| August 4, 2009 - February 2, 2010 | 21.52% | 78.48% |
| February 3, 2010 - July 31, 2010 | 25.44% | 74.56% |
| August 1, 2010 - December 31, 2010 | 28.87% | 71.13% |
| January 1, 2011 - July 31, 2012 | 30.29% | 69.71% |
| August 1, 2012 - January 31, 2013 | 32.87% | 67.13% |
| February 1, 2013 - December 31, 2016 | 33.54% | 66.46% |
| January 1, 2017 - December 31, 2017 | 28.87% | 71.13% |
| January 1, 2018 - December 31, 2018 | 25.44% | 74.56% |
| January 1, 2019 - December 31, 2019 | 16.82% | 83.18% |
| January 1, 2020 - Current | 14.16% | 85.84% |
| Period | Reduction Factor | Payment |
|---|---|---|
| Prior to August 1, 2006 | 17.00% | 83.00% |
| August 1, 2006 - June 30, 2008 | 13.80% | 86.20% |
| July 1, 2008 - current | 00.00% | 110.00% (Excluding Clinical Lab at fee schedule) |
The following forms should be used when requesting a change in your Medicaid prospective rate per visit due to a change in scope of services:
Change in Scope Requirements and Guidelines
LA Change in Scope Form and Instructions
LA Change in Scope Form and Instructions
LA Medicaid Cost Report Form Instructions
LeBlanc, Robertson, Chisholm and Associates (LRCA), LLC, formerly Cypress Audit Team, LLC, is a Louisiana based company of professionals engaged to perform the review work of Medicaid Hospital and Rural Health Clinic (RHC) cost reports. The company began operations in July 2009 by a group of co-workers who were former employees of the Louisiana Medicare/Medicaid fiscal intermediary. LRCA owner’s consists of six (6) members, including three (3) certified public accountants. In January 2014, the company became a licensed certified public accounting firm which prompted our name change. LRCA members are well versed in the healthcare field. We have extensive experience managing large Medicaid and Medicare workloads, meeting timeliness and quality standards established by the contracting agency. We have an established relationship with the Louisiana providers and their representatives. Over the years we have acquired a reputation for fairness and accuracy in the provider community.
| Wendy Blaine | Auditor I | |
| Brooke Bodin | Auditor I | |
| Georgia Chisholm, CPA | Owner, Senior Auditor | |
| Bruce Dang | Auditor I | |
| Billy Dudley | Auditor I | |
| Dana Favaro | Owner, Senior Auditor | |
| Brittany Fox | Senior Auditor | |
| Linda Huynh | Senior Auditor | |
| Shannon Johnson | Auditor I | |
| Mark LeBlanc | Auditor I | |
| Patrice LeBlanc, CPA | Owner, Manager | |
| Dawn Robertson, CPA | Owner, Manager | |
| Priscilla Smith | Owner, Manager | |
| Lindsay Talley | Administrative Assistant | |
| Alison Williams | Owner, Senior Auditor |