RA Messages for April 01, 2008
PHARMACY PROVIDERS, PLEASE
NOTE!!!
IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE CONTACT
THE PBM HELP DESK AT 1-800-648-0790.
PLEASE FILE ADJUSTMENTS FOR CLAIMS THAT MAY
HAVE BEEN INCORRECTLY PAID. ONLY THOSE PRODUCTS OF THE MANUFACTURERS
WHICH PARTICIPATE IN THE FEDERAL REBATE PROGRAM WILL BE COVERED BY THE
MEDICAID PROGRAM. PARTICIPATION MAY BE VERIFIED IN APPENDIX C, AVAILABLE
AT WWW.LAMEDICAID.COM
ATTENTION PROFESSIONAL SERVICES
PROVIDERS
2007 REIMBURSEMENT RATE CHANGES
BASED ON FUNDING APPROPRIATED IN THE
2007 LEGISLATIVE SESSION AND APPROVAL BY CMS, DHH IS PLEASED TO ANNOUNCE
REIMBURSEMENT RATE CHANGES FOR SELECTED PHYSICIAN SERVICES. EFFECTIVE
FOR DATES OF SERVICE ON OR AFTER OCTOBER 15, 2007. REFER TO THE HOME
PAGE OF THE LOUISIANA MEDICAID WEB SITE,
WWW.LAMEDICAID.COM, LINK �2007
PROFESSIONAL SERVCIES RATE CHANGES� FOR MORE DETAILS OR CONTACT UNISYS
PROVIDER RELATIONS (800-473-2783 OR 225-924-5040).
CLAIMS PAID AT THE PREVIOUS RATES WILL BE SYSTEMATICALLY RECYCLED.
PROVIDERS WILL BE NOTIFIED WHEN AND HOW THE RECYCLE WILL OCCUR.
PLEASE MONITOR FUTURE RA MESSAGES AND THE LOUISIANA MEDICAID WEBSITE
WHICH WILL INFORM PROVIDERS OF ANY ADDITIONAL UPDATES.
ATTENTION PROFESSIONAL SERVICES
PROVIDERS
RECYCLE: 2007 REIMBURSEMENT CHANGES
PROFESSIONAL SERVICES PROCEDURE CODES
IMPACTED BY THE RATE CHANGES EFFECTIVE WITH DOS 10-15-07 ARE BEING
SYSTEMATICALLY ADJUSTED. DUE TO THE LARGE CLAIMS VOLUME, THE RECYCLE
WILL OCCUR OVER SEVERAL WEEKS, IN NUMERICAL ORDER BY BILLING PROVIDER
NUMBER, BEGINNING WITH THE RA OF 4-1-08. ADJUSTED CLAIMS FOR EACH
BILLING PROVIDER WILL APPEAR ON ONLY ONE OF THE RA'S. THESE ADJUSTMENTS
CAN BE IDENTIFIED AS HAVING AN ICN BEGINNING WITH 8081, 8082, OR 8083.
PLEASE MONITOR YOUR RA'S TO DETERMINE WHICH DATE YOUR CLAIMS WERE
RECYCLED.