RA Messages for October 4, 2005
PHARMACY PROVIDERS, PLEASE NOTE!!!
IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG
PRODUCT, PLEASE CONTACT THE PBM HELP DESK AT 1-800-648-0790
PLEASE MAKE
THE FOLLOWING CHANGES TO APPENDIX C:
LABELER |
COMPANY |
BEGIN |
END |
00070 |
AVENTIS PHARMACEUTICALS |
|
01/01/06 |
10914 |
BRIGHTON PHARMACEUTICALS. INC. |
01/01/06 |
|
11042 |
ADVANCIS PHARMACEUTICAL |
01/01/06 |
|
13551 |
FSC LABORATORIES |
01/01/06 |
|
60999 |
ABG LABORATORIES |
|
01/01/06 |
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
URGENT - ATTENTION ALL VFC (VACCINES FOR CHILDREN)
PROVIDERS
THE OFFICE OF PUBLIC HEALTH HAS NOTIFIED THE DEPARTMENT OF REVISED
PROCEDURES FOR ORDERING VFC VACCINES. ALL VFC VACCINE ORDERS ARE TO BE
FAXED TO JUDI GREENE AT 318-676-7560. DO NOT SEND VFC VACCINE REQUESTS OR REPORTS TO THE REGIONAL IMMUNIZATION CONSULTANTS. FOR OTHER VFC
CONCERNS, CONTACT YOUR REGIONAL IMMUNIZATION CONSULTANT. CONTACT INFORMATION FOR THESE CONSULTANTS CAN BE FOUND ON THE LINKS WEBSITE MAIN PAGE
AT WWW.LINKSWEB.OPH.DHH.LOUISIANA.GOV.
URGENT - ALL PROVIDERS PERFORMING NEWBORN SCREENINGS
(PKU)
IN THE AFTERMATH OF HURRICANE KATRINA, THE DEPARTMENT OF HEALTH AND
HOSPITALS-OFFICE OF PUBLIC HEALTH'S LABORATORY IN NEW ORLEANS IS CLOSED
INDEFINITELY. THE OFFICE OF PUBLIC HEALTH IS MAKING ARRANGEMENTS TO FORWARD THE SPECIMENS TO ANOTHER STATE'S PUBLIC HEALTH LABORATORY FOR
ANALYSIS. UNTIL FURTHER NOTICE, ALL NEWBORN SCREENING (PKU) FILTER PAPER
SPECIMENS (LAB-10 FORM) SHOULD BE SENT TO THE SHREVEPORT OPH LABORATORY
AT: SHREVEPORT REGIONAL LABORATORY, P.O. BOX 3561, SHREVEPORT, LA 71133.
FOR FURTHER INFORMATION CONTACT ARTHUR HAGAR AT 318-221-0859.
ATTENTION ALL PROVIDERS
A PROVIDER MAY NOT REFUSE HEALTH CARE TO AN INDIVIDUAL COVERED BY
MEDICAID BECAUSE A THIRD PARTY HAS A LEGAL OBLIGATION TO PAY FOR THE SERVICES RENDERED. SEE 42 U.S.C. 1396A(25)(D).
DENTAL PROVIDERS - MEDICAID DENTAL PA TEMPORARY PHONE
NUMBER
THE MEDICAID DENTAL PRIOR AUTHORIZATION UNIT HAS BEEN TEMPORARILY
RELOCATED DUE TO HURRICANE KATRINA. THE NEW TEMPORARY TELEPHONE NUMBER
FOR THE MEDICAID DENTAL PRIOR AUTHORIZATION UNIT IS 225-216-6470.
CORRECTION
*******CORRECTION*******CORRECTION
ATTENTION ALL LOUISIANA MEDICAID
PROVIDERS
PLEASE NOTE THAT THE PREVIOUSLY PUBLISHED
TELEPHONE NUMBER WAS INCORRECT. THE NUMBER INCLUDED ON THE FOLLOWING MESSAGE IS
THE CORRECT NUMBER.
EFFECTIVE IMMEDIATELY FOR THE NEXT 60 DAYS, LOUISIANA MEDICAID PROVIDERS
IN THE PARISHES BELOW* WHO WERE DISPLACED AS A RESULT OF HURRICANE KATRINA AND WISH TO ESTABLISH A TEMPORARY PRACTICE, MAY DO SO WITHOUT
OBTAINING AN ADDITIONAL MEDICAID ID NUMBER OR COMPLETING ADDITIONAL LOUISIANA MEDICAID OR COMMUNITYCARE ENROLLMENT DOCUMENTS. PROVIDERS MUST
ADVISE LOUISIANA MEDICAID OF THEIR TEMPORARY ADDRESS AND PHONE NUMBER BY CALLING 1-800-609-3888. THEY SHOULD ALSO CALL THE SAME NUMBER TO
NOTIFY LOUISIANA MEDICAID WHEN THEY MOVE BACK TO THEIR PERMANENT LOCATION, AS WELL AS TO
ASK ANY QUESTIONS REGARDING THIS POLICY.
* JEFFERSON, WASHINGTON, TANGIPAHOA, ORLEANS, ST. CHARLES, ST. JAMES,
ST. JOHN, LAFOURCHE, TERREBONNE, ST. BERNARD, PLAQUEMINES, ST. TAMMANY
ATTENTION PORTABLE X-RAY PROVIDERS
EFFECTIVE WITH DATES OF SERVICE JANUARY 1, 2004, PROCEDURE CODES R0070
AND Q0092 HAVE BEEN ADDED TO THE LIST OF CODES WHICH ARE EXEMPT FROM NEEDING A COMMUNITYCARE PCP REFERRAL. QUESTIONS REGARDING THIS MESSAGE
SHOULD BE DIRECTED TO THE COMMUNITYCARE PROGRAM OFFICE AT 225-342-1304.
ATTENTION ALL COMMUNITYCARE PROVIDERS
A RECENT REVIEW OF PCPS INDICATES THAT A LARGE NUMBER OF PROVIDERS ARE
ROUTINELY ADDING NEW ENROLLEES TO THEIR PANEL OUTSIDE OF THEIR ESTABLISHED PRACTICE RESTRICTIONS. FOR EXAMPLE, PCPS WITH A "CLOSED"
PANEL DESIGNATION ROUTINELY CALLING THE HOTLINE TO AUTHORIZE ADDITIONAL LINKAGES; OR PCPS WHO HAVE RESTRICTED THEIR PRACTICE BY AGE ROUTINELY
ADDING LINKAGES OUTSIDE OF THEIR ESTABLISHED AGE RESTRICTION. IN ACCORDANCE WITH FEDERAL GUIDELINES AND THE COMMUNITYCARE ENROLLMENT
AGREEMENT (REVISED 6/04), PCPS MUST ACCEPT INDIVIDUALS IN THE ORDER IN WHICH THEY APPLY/ARE ASSIGNED, WITHIN THEIR ESTABLISHED RESTRICTIONS,
SUCH AS AGE, CURRENT PRACTICE, ETC. EFFECTIVE SEPTEMBER 1, 2005, IN KEEPING WITH FEDERAL MANAGED CARE GUIDELINES, PCPS WHO ROUTINELY
AUTHORIZE ADDITIONAL LINKAGES OUTSIDE OF THEIR CURRENT PRACTICE RESTRICTIONS, WILL HAVE THEIR DESIGNATION CHANGED TO AN APPROPRIATE
DESIGNATION BASED ON THEIR LINKAGE PATTERNS.
QUESTIONS REGARDING THIS MESSAGE SHOULD BE DIRECTED TO THE
COMMUNITYCARE PROGRAM OFFICE AT 225-342-1304.
ATTENTION DENTAL PROVIDERS
NEW TEMPORARY ADDRESS FOR MEDICAID DENTAL PRIOR AUTHORIZATION REQUESTS
EFFECTIVE OCTOBER 1, 2005 AND UNTIL FURTHER NOTICE, ALL MEDICAID DENTAL PRIOR AUTHORIZATION REQUESTS MUST BE MAILED TO THE FOLLOWING ADDRESS:
LSUHSC SCHOOL OF DENTISTRY, MEDICAID DENTAL UNIT, P.O. BOX 80159, BATON ROUGE, LA 70898-0159