RA Messages for October 5, 2004

---

---

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. 

---

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 101. 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.

---

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

---

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.