RA Messages for
November 23, 1999
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 THE 8/15/98 VERSION OF APPENDIX A:
| DRUG |
DOSAGE |
STRGTH |
MAC |
EFF.DATE |
| CODEINE PHOS/APAP |
ELIXIR
|
|
OFF
MAC |
11/30/99 |
| CYPROHEPTADINE |
SYRUP |
2MG/5ML |
OFF MAC |
11/30/99 |
| DELAVIRDINE MESYLATE
|
TABLET |
200MG |
|
10/26/99 |
| ENTACAPONE |
TABLET |
200MG |
|
10/22/99 |
| GENTAMICIN SULFATE |
DROPS |
0.3% |
$1.40000 |
11/30/99 |
| LITHIUM CARBONATE |
TABLET |
300MG |
$0.19210 |
11/30/99 |
| NAPH,MB-DB/K PH,MBDB |
POWDER |
|
|
09/13/99 |
| OSELTAMIVIR PHOSPHATE |
CAPSULE |
75MG |
|
10/28/99 |
| PRENAT VIT/FE,CARBO/DOSS/CA/FA |
TABLET |
90-1MG
|
|
10/12/99 |
| PROPRANOLOL HCL |
CAP SA |
60MG |
OFF MAC |
11/16/99 |
| PROPRANOLOL HCL |
CAP
SA |
80MG |
OFF MAC |
11/16/99 |
| PROPRANOLOL HCL |
CAP
SA |
120MG |
OFF
MAC |
11/16/99 |
| PROPRANOLOL HCL |
CAP SA |
160MG |
OFF MAC |
11/16/99 |
| ZAFIRLUKAST |
TABLET |
10MG
|
|
10/18/99 |
PLEASE
FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID
NOTICE TO PHYSICIANS AND KIDMED PROVIDERS
RE: ROTOVIRUS VACCINE (PROCEDURE CODE 90680) WYETH LEDERLE
VACCINES ANNOUNCED THAT IT HAS WITHDRAWN ITS ROTASHEILD VACCINE FROM THE MARKET
AND HAS REQUESTED THE IMMEDIATE RETURN OF ALL DOSES OF THE VACCINE.
THEREFORE, PROCEDURE CODE 90680 (ROTOVIRUS) IS NO LONGER PAYABLE BY LOUISIANA
MEDICAID EFFECTIVE 10/19/1999.
DHH AND UNISYS WANT TO THANK YOU FOR PROVIDING A CONSISTENT
LEVEL OF EXCELLENCE IN YOUR SERVICE OF MEDICAID RECIPIENTS. PLEASE KNOW
THAT THE CLAIMS PROCESSING SYSTEM (LMMIS) IS READY FOR BUSINESS AS USUAL IN THE
YEAR 2000. WE RECOGNIZE THE BENEFIT OF BEING READY FOR POTENTIAL
EMERGENCIES, CAUSED BY Y2K TECHNOLOGY FAILURES, AND THE NECESSITY OF ENSURING
RECIPIENTS CONTINUE TO RECEIVE SERVICES. WE ENCOURAGE YOU TO GET AN EARLY
START ON PLANNING. YOU MAY WISH TO CONTACT YOUR LOCAL AMERICAN RED CROSS
OFFICE TO OBTAIN A COPY OF THEIR BOOKLET ON Y2K PREPAREDNESS OR VISIT THEIR
INTERNET SITE. PLEASE COMMUNICATE WITH YOUR BUSINESS PARTNERS AND
CLIENTELE REGARDING YOUR Y2K READINESS. WE WOULD APPRECIATE YOUR
ASSISTANCE IN BEING A REASSURING INFORMATION VEHICLE TO HELP EASE YOUR PATIENT'S
FEAR REGARDING THE CHANGEOVER TO THE NEW MILLENNIUM.
ATTENTION DENTAL PROVIDERS
UNTIL FURTHER NOTICE, PLEASE DO NOT SUBMIT THE NEW 1999 AMERICAN
DENTAL ASSOCIATION (ADA) DENTAL CLAIM FORM FOR PAYMENT OF MEDICAID DENTAL CLAIMS
OR FOR MEDICAID DENTAL PRIOR AUTHORIZATION DETERMINATIONS. THESE SYSTEMS
ARE CURRENTLY NOT CAPABLE OF PROCESSING THESE FORMS AND THEY WILL BE RETURNED TO
YOU WITHOUT BEING PROCESSED. WHEN THESE SYSTEMS ARE ADJUSTED TO ACCEPT THE
1999 VERSION OF THE ADA DENTAL CLAIM FORM YOU WILL BE NOTIFIED. AT A
FUTURE DATE, WE EXPECT TO MAKE THE 1999 VERSION OF THE ADA DENTAL CLAIM FORM
MANDATORY FOR USE AND, AT THAT TIME, WILL BE THE ONLY DENTAL CLAIM FORM ACCEPTED
FOR MEDICAID DENTAL CLAIMS PROCESSING OR DENTAL PRIOR AUTHORIZATION
DETERMINATIONS. YOU WILL BE NOTIFIED WHEN THIS CLAIM FORM BECOMES
MANDATORY AND WILL BE ALLOWED A TRANSITION PERIOD IN ORDER TO ADHERE TO THIS NEW
REQUIREMENT. SHOULD YOU HAVE ANY QUESTIONS YOU MAY CONTACT UNISYS PROVIDER
RELATIONS BY CALLING 1-800-473-2783 (OR 225-924-5040).