RA Messages for April 22, 2008

PHARMACY PROVIDERS, PLEASE NOTE!!!

IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE CONTACT THE PM HELP DESK AT 1-800-648-0790.
PLEASE NOTE THE FOLLOWING CHANGES TO APPENDIX C:
LABELER                               COMPANY                                                                                         END
10956                                 THE REESE CHEMICAL COMPANY                                                 04/01/08
48878                                 OMNII PRODUCTS OF WEST PALM BEACH, INC                         04/01/08
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
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.

ATTENTION TAKE CHARGE FAMILY PLANNING WAIVER PROVIDERS

IT IS THE INTENTION OF DHH TO ALSO INCORPORATE THE RECENT PROFESSIONAL FEE ADJUSTMENTS FOR PAYMENT OF SERVICES THROUGH THE TAKE CHARGE FAMILY PLANNING WAIVER PROGRAM. HOWEVER, THE ADJUSTMENTS RECENTLY MADE TO THE PROFESSIONAL FEE SCHEDULE HAVE NOT YET BEEN IMPLEMENTED FOR TAKE CHARGE SERVICES. ONCE THE FEE ADJUSTMENTS ARE MADE, PAID TAKE CHARGE SERVICE CLAIMS WILL BE RECYCLED TO PAY THE ADJUSTED RATES. WE WILL APPRECIATE YOUR CONTINUING TO PROVIDE THESE SERVICES AND BILLING THESE CLAIMS, AND THE RECYCLE WILL TAKE PLACE AS SOON AS THE FEES ARE UPDATED ON THE CLAIMS PROCESSING SYSTEM. THANK YOU FOR YOUR PATIENCE AND YOUR WILLINGNESS TO SERVICE OUR TAKE CHARGE RECIPIENTS.

ATTENTION MENTAL HEALTH REHABILITATION PROVIDERS

YOU MAY HAVE RECENTLY RECEIVED A LETTER FROM LA MEDICAID CONCERNING RECOUPMENT OF CLAIMS RELATED TO A MEDICARE RECOVERY PROJECT. PLEASE DISREGARD THESE LETTERS AS THEY WERE MAILED TO YOU IN ERROR. NO CLAIMS WERE RECOUPED AS A RESULT OF THIS ERROR. WE APOLOGIZE FOR ANY INCONVENIENCE THIS ERROR MAY HAVE CAUSED.