2018-1179 - Laserfiche WebLink

......... , STATE OF LOUISIANA „ ,•'of Louis•- DEPARTMENT OF STATE CIVIL SERVICE 6:7;11 , •� LOUISIANA BOARD OF ETHICS �kl P.O.BOX 4368 Jy� .� BATON ROUGE,LA 70821 .`' (225)219-5600 ....... FAX (225)381-7271 1-800-842-6630 www.ethics.la.gov December 17, 2018 Ms. Crystal Faison 1405 South Arceneaux Avenue Gonzales, LA 70737 Re: Ethics Board Docket No. 2018-1179 Dear Ms. Faison: The Louisiana Board of Ethics, at its December 14, 2018 meeting, considered your request for an advisory opinion as to whether Section 1121 of the Code of Governmental Ethics ("Code")would prohibit you from obtaining employment as a Regulatory Compliance Analyst/Officer/Consultant/Manager with a managed care organization or healthcare provider. You stated that you have been employed for two years as a Chisholm Compliance Coordinator for the Louisiana Department of Health ("LDH"). During your employment, your duties included assisting the Chisholm Compliance Officer in monitoring three managed care organizations for compliance with all Chisholm Orders and Stipulations,analyzing prior authorization to ensure that Chisholm requirements were met,conducting random checks of managed care organization external Prior Authorization Liaison that tracks referrals from support coordinators, and working with program managers to track Prior Authorization Liaison referrals. You stated that you would like to obtain employment with a managed care organization or healthcare provider as a Regulatory Compliance Analyst/Officer/Consultant/Manager. Your duties would include monitoring development and use of metrics for regulatory compliance,external audit,policy and procedure development and implementation of new regulatory guidance requirements, monitoring corrective action plans relating to regulatory or accreditation compliance,overseeing and developing compliance training programs, and serving as a liaison for training related items. Generally, La. R.S. 42:1121B(1) provides the following: No former public employee shall,for a period of two years following the termination of his public employment,assist another person,for compensation, in a transaction, or in an appearance in connection with a transaction in which such former public employee participated at any time during his public employment and involving the governmental entity by which he was formerly employed,or for a period of two years following termination of his public employment, render, any service which such former public employee had rendered to the agency during the term of his public AN EQUAL OPPORTUNITY EMPLOYER