PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID

ATTN: PHARMACY PROVIDERS

PLEASE NOTE THE FOLLOWING CORRECTION TO THE PRESCRIPTION PRIOR APPROVAL PROGRAM'S PROCEDURES FOR EMERGENCY SITUATIONS. "WHEN THE PHARMACIST      DETERMINES THE PRESCRIPTION IS AN EMERGENCY, THE PHARMACIST MUST INDICATE "EMERGENCY BY PHARMACIST" ON THE HARD COPY PRESCRIPTION.  (ENTER "03" IN NCPDP FIELD # 418). (THE FIELD #418 WAS INCORRECTLY NUMBERED ON PAGE 4 OF THE MAY 24, 2002 LETTER FROM THE DEPARTMENT TO THE PROVIDERS AND ON PAGE 5 OF THE 2002 PHARMACY PROVIDER TRAINING PACKET.    

NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES

EFFECTIVE WITH THE DATE OF SERVICE 02-01-2002 THE FOLLOWING CPT CODES WERE ADDED TO THE LIST OF CODES PAYABLE TO OPTOMETRISTS. 

99218, 99219, 99291, 99292, 99316, 99360, 99374, 99377, 99379, 99380, 
99381, 99382, 99383, 99384, 99385, 99392, 99393, 99394, 99395, 99396, 
99429, 99499, 92135, 92499, 68040, 68761, 82945, 86021, 99090, 99172, 
99173, 99374, 99377, 99379, 99380, 95930, 95933, 95999, 97530, 97532, 
97533, 96100, 96110, 96115, AND 96117. 

NOTICE TO ALL PROVIDERS

THE PROVIDER ENROLLMENT UNIT WISHES TO REMIND YOU OF THE IMPORTANCE OF ENSURING THAT THE PAY-TO NAME ON YOUR PROVIDER FILE INFORMATION IS KEPT ACCURATE. TO CHANGE THE PAY-TO NAME ON FILE, A COPY OF A PREPRINTED IRS DOCUMENT SHOWING THE TAXPAYER IDENTIFICATION NUMBER AND LEGAL NAME MUST BE ATTACHED. ALL DOCUMENTS REQUESTING PAY-TO NAMES MUST MATCH THE IRS DOCUMENTATION EXACTLY. DIFFERENCES IN THE IRS DOCUMENTATION AND THE PROVIDER ENROLLMENT FORMS MAY RESULT IN DELAYS IN UPDATING YOUR PROVIDER FILE INFORMATION. ANY DISCREPANCIES WILL BE RETURNED TO YOU FOR CORRECTION. CONTACT PROVIDER ENROLLMENT AT PO BOX 80159, BATON ROUGE, LA 70898-0159.