RA Messages for October 28, 2003

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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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PHARMACY PROVIDERS, 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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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 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.

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NOTICE TO CERTIFIED NURSE MIDWIVES

EFFECTIVE WITH DATE OF SERVICE FEBRUARY 1, 2003, THE FOLLOWING CPT CODES WERE ADDED TO THE LIST OF CODES PAYABLE TO CERTIFIED NURSE MIDWIVES.  DENIALS RECEIVED AFTER DATE OF SERVICE FEBRUARY 1, 2003 MAY BE RESUBMITTED.

J7300            J7302            11981