RA Messages for November 20, 2007
ATTENTION EDI SUBMITTERS
THE 2008 EDI ANNUAL CERTIFICATION FORMS HAVE BEEN MAILED. THE FORM IS
ALSO LOCATED ON WWW.LAMEDICAID.COM
UNDER EDI INFO. PLEASE COMPLETE AND RETURN THE 2008 ANNUAL CERTIFICATION
FORM TO THE UNISYS EDI DEPARTMENT BY DECEMBER 31, 2007 TO AVOID CLOSURE
OF YOUR SUBMITTER NUMBER, WHICH WILL RESULT IN YOUR FILE BEING DROPPED
WITHOUT BEING PROCESSED.
ATTENTION PROFESSIONAL SERVICES
PROVIDERS "ADULT IMMUNIZATIONS"
EFFECTIVE WITH DATE OF SERVICE OCTOBER
1, 2007, LOUISIANA MEDICAID REIMBURSES FOR IMMUNIZATIONS (VACCINE AND
ADMINISTRATION) TO RECIPIENTS AGE 21 YEARS AND OLDER FOR INFLUENZA,
PNEUMOCOCCAL, AND HUMAN PAPILLOMAVRIUS (HPV) DISEASES. DETAILED POLICY
INFORMATION WILL BE FORTHCOMING. PROVIDERS ARE ASKED TO HOLD CLAIMS FOR
THESE SERVICES UNTIL NOTIFIED BY THE DEPARTMENT AS PROGRAMMING IS NOT
YET COMPLETE. IT IS ANTICIPATED THAT THE SYSTEM CHANGES WILL BE IN PLACE
IN THE NEAR FUTURE. PLEASE MONITOR FUTURE RA MESSAGES WHICH WILL INFORM
PROVIDERS WHEN THESE CLAIMS MAY BE SUBMITTED.
ATTENTION MHR PROVIDERS
EFFECTIVE 12-1-2007, THE PRACTICE OF
SPAN-DATING, WHICH IS BILLING FOR ALL SERVICES PROVIDED OVER A PERIOD OF
TIME RATHER THAN DAILY, WILL BE ELIMINATED. PROVIDERS SHOULD IMMEDIATELY
CONTACT THEIR INDIVIDUAL BILLING AGENTS TO DETERMINE THE EFFECT THIS
CHANGE MIGHT HAVE ON CURRENT OPERATIONS AND BILLING PROCEDURES.
ATTENTION DENTAL PROVIDERS
CERTAIN CLAIMS FOR DENTAL PROCEDURE
CODES D2140 AND D2330 THAT WERE PROCESSED BY MEDICAID BETWEEN THE DATES
OF SEPTEMBER 11, 2007 THROUGH OCTOBER 2, 2007 WERE INADVERTENTLY DENIED.
AS A RESULT OF THESE CLAIM DENIALS, CERTAIN CLAIMS FOR DENTAL
PROCEDURE CODES D9230 AND D9920 ALSO WERE DENIED. ALL INVOLVED CLAIMS
WILL BE AUTOMATICALLY RECYCLED BY MEDICAID AND WILL APPEAR ON THE
APPLICABLE REMITTANCE ADVICES IN THE NEAR FUTURE. IF YOU HAVE QUESTIONS,
YOU MAY CONTACT THE LSU DENTAL MEDICAID UNIT AT 504-941-8206 OR
1-866-263-6534 (TOLL-FREE).
ATTENTION PHARMACY AND
PRESCRIBING PROVIDERS
THE PDL LISTING RECENTLY MAILED TO YOU
WITH AN EFFECTIVE DATE OF OCTOBER 1, 2007 HAD ONE DRUG DELETED IN ERROR.
TRIAMCINOLONE AQ (NASACORT AQ), SHOULD APPEAR ON PAGE 1 OF THE LISTING
UNDER THERAPEUTIC CLASS, ALLERGY-
RHINITIS AGENT, NASAL. THE PDL POSTED ON OUR WEBSITE,
WWW.LAMEDICAID.COM IS CORRECT.
PLEASE ADD THIS DRUG IN THE APPROPRIATE LOCATION ON THE HARD COPY
LISTING YOU RECEIVED, AND WE APOLOGIZE FOR ANY INCONVENIENCE CAUSED
BY THIS ERROR.