State v. Molina Healthcare, Inc Molina Information Systems, L.L.C. D/B/A Molina Medicaid Solutions Paramax Systems…

Summary

The court vacated the appellate court's dismissal and held that the Attorney General had a right of action to pursue the State's claims against private entities allegedly contracted to perform essential functions of Louisiana's Medicaid program. Although the Louisiana Department of Health generally has the exclusive right to sue regarding claims belonging to an agency with capacity to sue and be sued, highly exceptional circumstances may permit the Attorney General to proceed when the contractor performs governmental functions subject to ongoing legislative oversight. The matter was remanded for further proceedings.