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:

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

ATTENTION ALL PROVIDERS

EFFECTIVE WITH DATES OF SERVICE OCTOBER 1, 2006 FORWARD, THE 2007 ICD-9 DISEASE AND PROCEDURE CLASSIFICATION CODE UPDATES HAVE BEEN ADDED TO OUR FILES. CLAIMS THAT HAVE DENIED FOR INVALID DIAGNOSIS/PROCEDURE CODES PRIOR TO THE LOADING OF THE 2007 ICD-9 DATA WILL BE RECYCLED AND NO ACTION IS REQUIRED BY THE PROVIDER. PROVIDERS WILL BE INFORMED VIA RA MESSAGE WHEN THE RECYCLE WILL TAKE PLACE.

ATTENTION ALL PROVIDERS-TIME SENSITIVE INFORMATION

LOUISIANA MEDICAID WILL ALLOW THE SUBMISSION/RESUBMISSION OF CLAIMS THAT NORMALLY REQUIRE A HARD COPY ATTACHMENT TO BE CONSIDERED FOR REIMBURSEMENT WHERE THE ATTACHMENT WAS DESTROYED BY THE EFFECTS OF HURRICANE KATRINA OR RITA. THIS CONSIDERATION APPLIES ONLY TO CLAIMS THAT REQUIRE AN ATTACHMENT FOR NORMAL PROCESSING. DETAILS OF CLAIMS SUBMISSIONS AND ATTESTATION REQUIREMENTS AS WELL AS GENERAL INSTRUCTIONS CAN BE FOUND ON THE LOUISIANA MEDICAID WEBSITE AT WWW.LAMEDICAID.COM USING THE HURRICANE KATRINA/RITA INFORMATION LINK. ONLY THOSE PROVIDERS WITHOUT INTERNET ACCESS SHOULD CALL UNISYS PROVIDER RELATIONS FOR THIS INFORMATION AT 800-473-2738 OR 225-924-5040. NO CLAIMS WILL BE ACCEPTED AFTER DECEMBER 29, 2006.

ATTENTION ALL PROVIDERS

WE HAVE LEARNED THAT SOME PROVIDERS ARE INCORRECTLY SUBMITTING CLAIMS DIRECTLY TO DHH AT P. O. BOX 91030 RATHER THAN CORRECTLY SUBMITTING CLAIMS TO UNISYS TO THE APPROPRIATE POST OFFICE BOX FOR THE PROGRAM TYPE. UNLESS SPECIFICALLY DIRECTED TO SUBMIT CLAIMS DIRECTLY TO DHH, PROVIDERS SHOULD CEASE THIS PRACTICE AND SUBMIT CLAIMS TO THE APPRO- PRIATE UNISYS POST OFFICE BOX FOR PROCESSING. THE CORRECT POST OFFICE BOXES CAN BE FOUND IN THE 2006 BASIC TRAINING PACKET FOUND ON THE TRAINING LINK OF THE LA MEDICAID WEB SITE, WWW.LAMEDICAID.COM

2006 THANKSGIVING HOLIDAY CLAIMS CUT-OFF SCHEDULE

THE FOLLOWING IS THE 2006 THANKSGIVING HOLIDAY CUT-OFF SCHEDULE FOR THE SUBMISSION OF ALL ELECTRONICALLY SUBMITTED CLAIMS: KIDMED TRANSMISSIONS - CUTOFF WILL BE TUESDAY, 11/21/2006 AT 4:30 PM. DISKETTES & CDS - CUTOFF WILL BE 4:30 PM TUESDAY, 11/21/2006 TELECOMMUNICATED FILES - CUTOFF WILL BE 10:00 AM WEDNESDAY 11/22/2006 EXTENSIONS BEYOND THESE CUTOFF DATES WILL NOT BE GRANTED. THANK YOU FOR YOUR COOPERATION AND HAVE A SAFE AND HAPPY THANKSGIVING HOLIDAY.

ATTENTION 1500 AND UB PROVIDERS

THE OFFICE OF MANAGEMENT AND BUDGET (OMB), THE NATIONAL UNIFORM CLAIM COMMITTEE (NUCC) AND THE NATIONAL UNIFORM BILLING COMMITTEE (NUBC) HAVE GIVEN THEIR STAMP OF APPROVAL TO THE NEW 1500 HEALTH INSURANCE CLAIM FORM (VERSION 08/05) AND THE NEW UB-04 CLAIM FORM. THE LOGISTICS FOR DISTRIBUTION AND TRANSITION TO THESE REVISED FORMS, INCLUDING EFFECTIVE DATES FOR USE BY PROVIDERS AND ACCEPTANCE BY PAYERS, IS UNDER REVIEW BY THE COMMITTEES. IT IS VERY IMPORTANT THAT YOU DO NOT BEGIN USING THESE NEW FORMS FOR LA MEDICAID BILLING UNTIL YOU ARE INFORMED OF THE EFFECTIVE DATE OF THE TRANSITION FOR LA MEDICAID CLAIMS PROCESSING. YOU WILL BE KEPT INFORMED OF ALL NECESSARY INFORMATION FOR IMPLEMENTING THESE FORMS FOR LA MEDICAID BILLING THROUGH RA MESSAGES, NEWSLETTER ARTICLES, AND PROVIDER NOTICES POSTED ON OUR WEB SITE WWW.LAMEDICAID.COM . PLEASE WATCH THESE INFORMATION AVENUES FOR THE MOST UP-TO-DATE INFORMATION FOR BILLING LA MEDICAID.

NATIONAL PROVIDER IDENTIFIER

DHH HAS LAUNCHED A NEW NPI WEB REGISTRATION SITE FOR PROVIDERS TO REGISTER THEIR NPI WITH LOUISIANA MEDICAID. CMS WILL REQUIRE ALL HIPAA STANDARD TRANSACTIONS, INCLUDING MEVS ELIGIBILITY INQUIRY AND CLAIMS STATUS INQUIRY TO BE SUBMITTED USING THE NPI NUMBER BEGINNING 23-MAY-07. THE NEW NPI APPLICATION IS ACCESSIBLE FROM THE LIST OF APPLICATIONS IN THE SECURED PROVIDER AREA OF THE WWW.LAMEDICAID.COM WEB SITE. FIND THIS AND MORE ON THE NPI INFORMATION PAGE ACCESSIBLE FROM WWW.LAMEDICAID.COM >HIPAA INFORMATION CENTER>NATIONAL PROVIDER IDENTIFIER (NPI).