RA Messages for November 23, 2004

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ATTENTION PROVIDERS SUBMITTING PROPRIETARY ELECTRONIC CLAIMS

IT IS IMPERATIVE THAT ALL EMC PROPRIETARY ELECTRONIC CLAIMS SUBMISSIONS 
CONVERT TO HIPAA COMPLIANT FORMATS AS QUICKLY AS POSSIBLE. PLEASE 
CONTACT YOUR VENDOR, BILLING AGENT OR CLEARINGHOUSE TO ENSURE THAT THEY 
ARE COMPLETING ALL NECESSARY TESTING TO ALLOW UNINTERRUPTED SUBMISSION 
OF ELECTRONIC CLAIMS. SPECIFIC DEADLINES FOR EDI TRANSACTIONS ARE AS 
FOLLOWS: INPATIENT/OUTPATIENT (UB92) - OCTOBER 31, 2004; DME/AMBULANCE 
TRANSPORTATION - DECEMBER 31, 2004; PROFESSIONAL - MARCH 31, 2005; 
OTHER PROGRAMS - TBD. PROPRIETARY CLAIMS SUBMITTED AFTER APPLICABLE 
DEADLINES WILL NOT BE PROCESSED. 

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ATTENTION PROFESSIONAL SERVICES PROVIDERS

PAGE 50 OF THE FALL 2004 PROFESSIONAL SERVICES TRAINING PACKET LISTED 
THE REIMBURSEMENT FOR PROCEDURES WITH MODIFIER 63 TO BE 150% OF THE FEE 
ON FILE. THIS SHOULD READ 125% OF THE FEE ON FILE. IF YOU HAVE ALREADY 
ATTENDED TRAINING AND OBTAINED THE PACKET, PROFESSIONAL SERVICES 
TRAINING - MEDICAID ISSUES FOR 2004 (FALL ISSUE) PLEASE MAKE THIS 
CORRECTION. 

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NOTICE TO DENTAL PROVIDERS - NEW DENTAL CLAIM FORM REQUIREMENTS

EFFECTIVE 1/1/2005, THE 2002 AMERICAN DENTAL ASSOCIATION CLAIM FORM AND THE 2002, 2004 AMERICAN DENTAL ASSOCIATION CLAIM FORM WILL BECOME THE ONLY HARDCOPY DENTAL CLAIM FORMS ACCEPTED FOR MEDICAID PRIOR AUTHORIZATION AND REIMBURSEMENT OF SERVICES PROVIDED IN THE EPSDT, EDSPW, AND ADULT DENTURE PROGRAMS. FURTHER INFORMATION REGARDING THIS REQUIREMENT WILL BE PROVIDED IN THE SEPT/OCT 2004 ISSUE OF THE PROVIDER UPDATE AND IS CURRENTLY AVAILABLE ON THE WWW.LAMEDICAID.COM WEBSITE. SHOULD YOU HAVE ANY QUESTIONS REGARDING THIS MATTER, YOU MAY CONTACT UNISYS PROVIDER RELATIONS AT (225) 924-5040 OR (800) 473-2783 OR THE MEDICAID DENTAL PRIOR AUTHORIZATION UNIT AT (504) 619-8589.

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ATTENTION ALL PROVIDERS: THE LA MEDICAID RECIPIENT ELIGIBILITY VERIFICATION SYSTEMS (REVS, MEVS, E-MEVS, AND PROVIDER RELATIONS) ARE CHANGING EFFECTIVE 11/27/04. NOTIFICATION OF THESE CHANGES WAS PREVIOUSLY DISTRIBUTED TO PROVIDERS THROUGH NEWSLETTERS, RA STUFFERS, TRAINING MATERIALS, ETC.  PLEASE BE AWARE OF THESE CHANGES WHEN ACCESSING THESE SERVICES AFTER 11/27/04.