RA Messages for October 12, 2004

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ATTENTION DENTAL PROVIDERS

EFFECTIVE OCTOBER 1, 2004, MEDICAID WILL BEGIN CAPTURING THE INFORMATION REPORTED ON THE 2002 AMERICAN DENTAL ASSOCIATION (ADA) CLAIM FORM, BLOCK 23 {PATIENT ID/ACCOUNT # (ASSIGNED BY DENTIST)}. AS A RESULT, THE DENTAL ADJUSTMENT/VOID FORMS 209 (EPSDT) & 210 (ADULT), BLOCK 15 HAVE BEEN REVISED (10/04) IN ORDER TO CAPTURE THIS INFORMATION (WHEN REPORTED). EFFECTIVE ON OCTOBER 1, 2004, PROVIDERS MUST BEGIN USING THE REVISED ADJUSTMENT/VOID FORMS WITH REVISION DATE 10/04. THE REVISED FORMS AND INSTRUCTIONS CAN BE DOWNLOADED FROM THE FOLLOWING WEBSITE: HTTP://WWW.LAMEDICAID.COM OR HARDCOPY FORMS CAN BE OBTAINED BY CONTACTING UNISYS PROVIDER RELATIONS AT (800) 473-2783 OR (225)924-5040. UNISYS WILL ACCEPT ONLY THE CURRENT FORMS 209 AND 210 THROUGH SEPTEMBER 30, 2004; AND ONLY THE REVISED FORMS (WITH THE ISSUE DATE OF 10/04) EFFECTIVE OCTOBER 1, 2004. NON-COMPLIANT FORMS WILL BE RETURNED TO THE PROVIDER. SHOULD YOU HAVE ANY QUESTIONS, YOU MAY CONTACT UNISYS PROVIDER RELATIONS AT THE NUMBERS LISTED ABOVE. 

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ATTENTION REHABILITATION PROVIDERS

THE BUREAU OF HEALTH SERVICES FINANCING ANNOUNCES THAT EFFECTIVE OCTOBER 1, 2004, REHABILITATION CENTERS WILL BE ALLOWED TO PROVIDE SPEECH, OCCUPATIONAL, AND PHYSICAL THERAPY SERVICES IN THE HOMES OF RECIPIENTS WITH PRIOR APPROVAL FROM THE UNISYS PRIOR AUTHORIZATION UNIT. A RECIPIENT'S PLACE OF RESIDENCE, FOR THESE SERVICES, DOES NOT INCLUDE A NURSING HOME. 

REQUEST FOR SERVICES SHOULD BE SUBMITTED ON UNISYS FORM PA01 AND PA02. SERVICES SHOULD BE BILLED WITH UNISYS FORM 102. THE PLACE OF SERVICE FOR HOME MUST BE INDICATED ON THE PA REQUEST AND ON THE CLAIM.

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NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES - CORRECTION

EFFECTIVE WITH DATE OF SERVICE JULY 1, 2004, THE FOLLOWING CPT CODES WERE ADDED TO THE LIST OF CODES PAYABLE TO CLINICAL NURSE SPECIALIST, CERTIFIED NURSE PRACTITIONER, AND NURSE MIDWIFE. 

51600

51700

51725

51726

51741

51772

51784

51795

51797

57160

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ATTENTION VISION (EYE WEAR) PROVIDERS

MEDICAID EYE WEAR POLICIES AND INFORMATION WILL BE ADDRESSED AT THE VISION PROVIDER WORKSHOPS ONLY. EYE WEAR WILL NOT BE ADDRESSED AT THE PROFESSIONAL PROVIDER TRAINING WORKSHOPS. PROFESSIONAL SERVICES AND BASIC PROVIDER TRAINING PACKETS WILL BE AVAILABLE AT THE VISION WORKSHOPS. SHOULD YOU HAVE ANY QUESTIONS, YOU MAY CONTACT UNISYS PROVIDER RELATIONS BY CALLING (800) 473-2783 OR (225) 924-5040.

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NOTICE TO ALL PROVIDERS

EFFECTIVE WITH DATE OF SERVICE OCTOBER 15, 2004: CPT CODE 90782 WILL BE PLACED IN NON-PAY STATUS. PROVIDERS SHOULD USE CPT CODE 90788 FOR THE REIMBURSEMENT OF INJECTABLE ANTIBIOTICS SUPPLIED AND ADMINISTERED BY THE PHYSICIAN. 

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ATTENTION PROVIDERS SUBMITTING ELECTRONIC CLAIMS

ATTENTION PROVIDERS SUBMITTING PROPRIETARY ELECTRONIC CLAIMS: IT IS IMPERATIVE THAT ALL EMC PROPRIETARY ELECTRONIC CLAIM SUBMISSIONS CONVERT TO HIPAA COMPLIANT FORMATS AS QUICKLY AS POSSIBLE. PLEASE CONTACT YOUR VENDOR, BILLING AGENT OR CLEARINGHOUSE TO ENSURE THAT THEY ARE COMPLETING ALL NECESSARY TESTING TO ALLOW UNINTERRUPTED SUBMISSION OF ELECTRONIC CLAIMS. SPECIFIC DEADLINES FOR EDI TRANSACTIONS ARE AS FOLLOWS: INPATIENT/OUTPATIENT (UB92)-OCTOBER 31, 2004; DME/AMBULANCE TRANSPORTATION - DECEMBER 31, 2004; PROFESSIONAL - MARCH 31, 2005; OTHER PROGRAMS- TBD. 

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UPCOMING FALL 2004 PROVIDER WORKSHOPS

PLEASE REMEMBER THAT PROVIDER WORKSHOPS WILL BE HELD FROM OCTOBER 19, 2004 - NOVEMBER 17, 2004. ALL PROGRAMS WILL NOT BE PRESENTED DURING FALL WORKSHOPS. THE CITIES AND DATES FOLLOW, AND A DETAILED SCHEDULE APPEARS IN THE JULY-AUGUST 2004 PROVIDER UPDATE; WAS MAILED WITH REMITTANCE ADVICES THE WEEKS OF SEPTEMBER 21ST AND SEPTEMBER 28TH; AND APPEARS ON THE LA MEDICAID WEBSITE. PLEASE REVIEW THE SCHEDULE AND PLAN TO ATTEND. 

BATON ROUGE - OCTOBER 19 & 20 
NEW ORLEANS - OCTOBER 21 & 22 
ALEXANDRIA - OCTOBER 25 & 26 
BOSSIER CITY - OCTOBER 27 & 28 
HOUMA - NOVEMBER 3 
LAKE CHARLES - NOVEMBER 8 & 9 
LAFAYETTE - NOVEMBER 10 & 11 
MONROE - NOVEMBER 16 & 17