RA Messages for October 14, 2003

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ATTENTION PRESCRIBING PROVIDERS AND PHARMACY PROVIDERS

THIS IS A CORRECTION TO THE PDL/PA INFORMATION FOR ZYRTEC SYRUP ON PAGE 1 OF THE MOST RECENT PDL LIST SENT TO YOU SEPTEMBER 12, 2003 WITH AN OCTOBER 1, 2003 EFFECTIVE DATE.  THE INFORMATION SHOULD READ AD FOLLOWS:

PDL - CETIRIZINE SYRUP (ZYRTEC SYRUP) - CHILDREN 12 YEARS AND UNDER
REQUIRES PA - CETIRIZINE SYRUP (ZYRTEC SYRUP) - PERSONS OVER 12 YEARS OLD

THE LOUISIANA MEDICAID WEBSITE HAS BEEN UPDATED TO REFLECT THIS CHANGE.

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PHARMACY PROVIDER, PLEASE NOTE

WITH THE IMPLEMENTATION OF HIPAA, PLEASE BE ADVISED THAT PHARMACY PROVIDERS ARE TO CONTINUE BILLING SUPPLIES, WHICH ARE REIMBURSABLE IN THE MEDICAID PHARMACY PROGRAM, THROUGH THE POINT OF SALE SYSTEM USING NCPDP 5.1. THE DEPARTMENT WILL ADVISE PROVIDERS OF ANY CHANGES IN THE BILLING OF SUPPLIES.

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ATTENTION PHARMACY PROVIDERS

PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX C:

LABELER	COMPANY	BEGIN	END
59879	PECOS PHARMACEUTICAL		01/01/04
67781	PURDUE PHARMACEUTICAL PRODUCTS	01/01/04
68249	CAROLINA PHARMACEUTICALS INC	01/01/04

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NOTICE TO ALL PROVIDERS

THE TOLL-FREE NUMBER, 877-598-8753, IS AVAILABLE TO ALL PROVIDERS FOR LAMEDICAID.COM WEB SUPPORT ISSUES. 

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HOME AND COMMUNITY-BASED WAIVER SERVICES

FOR INFORMATION ABOUT HOME AND COMMUNITY-BASED WAIVER SERVICES AS AN 
ALTERNATIVE LONG TERM CARE OPTION, PLEASE CALL 1-800-660-0488.

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ATTENTION PROVIDERS OF ANESTHESIA SERVICES

THE REVISED ANESTHESIA POLICY WHICH WAS DISTRIBUTED TO YOU DATED SEPTEMBER 26, 2003 CONTAINS AN ERROR.  THE NOTE THAT APPEARS AT THE BOTTOM OF PAGE 6 APPLIES TO THE MATERNITY-RELATED INFORMATION PRESENTED ON PAGES 5 AND 6 ONLY.  IT DOES NOT APPLY TO THE MATERNITY-RELATED INFORMATION CONTAINED ON PAGE 4 OF THE DOCUMENT.  PLEASE MAKE A CORRECTION TO THE INFORMATION YOU RECEIVED TO REFLECT THIS CHANGE.

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ATTENTION LTC/ADHC/ICF-MR/HOSPICE PROVIDERS

EFFECTIVE OCTOBER 1, 2003, ALL CLAIM ADJUSTMENTS SUBMITTED ON THE UB-92 OR 148 PLI MUST BE SUBMITTED USING THE HIPAA STANDARD 2 DIGIT PATIENT STATUS CODES.  THESE CODES MUST BE USED FOR ALL DATES OF SERVICE, FOR A COMPLETE LIST OF ALLOWABLE PATIENT STATUS CODES, PLEASE SEE THE LTC BILLING INSTRUCTIONS DOCUMENT ON THE HIPAA BILLING INSTRUCTIONS & COMPANION GUIDES PAGE OF THE LAMEDICAID.COM WEB SITE.  ALL ALLOWABLE VALUES ARE LISTED FOR FIELD 22 - PATIENT STATUS.