RA Messages for November 30, 2004


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 APPENDIX A: 

DRUG DOSAGE  STRGTH MAC EFF DATE 
AMOXICILLIN  TAB CHEW 250MG OFF MAC  11/12/04
BACLOFEN TABLET 10MG  $0.44920  11/12/04
BACLOFEN TABLET 20MG  $0.84380  11/12/04
DOXYCYCLINE HYCLATE CAPSULE 100MG   $0.14910 11/12/04
ERYTHROMYCIN CAPSULE 250MG  $0.26209 11/12/04
FLUOXETINE HCL CAPSULE  20MG  $0.25200  11/12/04
GRISEOFULVIN ULTRAMICROSIZE TABLET 125MG  OFF MAC 10/01/04
HYDROCHLOROTHIAZIDE TABLET  25MG $0.05770 11/12/04
HYDROCHLOROTHIAZIDE TABLET  50MG  $0.10190  11/12/04
ISOSORBIDE DINITRATE TABLET 5MG $0.02170  11/12/04
ISOSORBIDE DINITRATE TABLET 10MG $0.02280 11/12/04
ISOSORBIDE DINITRATE TABLET 20MG   $0.05580  11/12/04
NIFEDIPINE    CAPSULE 10MG $0.67050  11/12/04
NYSTATIN 60ML ORAL SUSP 100MU/ML $0.27333 11/12/04
PERPHENAZINE TABLET 4MG $0.94170 11/12/04
METHOCARBAMOL TABLET 500MG $0.14630 11/12/04
SOTALOL HCL  TABLET 80MG  $1.78500 11/12/04
SOTALOL HCL  TABLET 120MG $2.35500  11/12/04
SOTALOL HCL  TABLET 160MG $2.92500 11/12/04
SOTALOL HCL  TABLET 240MG $3.97500  11/12/04

PLEASE MAKE THE FOLLOWING CHANGES TO THE APPENDIX C:  

LABELER  COMPANY  BEGIN   END 
00409  HOSPIRA, INC  01/01/05    
10572 AFFORDABLE PHARMACEUTICALS, LLC 01/01/05    
10631  RANBAXY LABORATORIES INCORPORATED 01/01/05    
17474 TYCO HEALTHCARE GROUP/KENDALL DIVISION     01/01/05 
50907  FEI WOMEN'S HEALTH LLC  01/01/05    
59063 KIEL LABORATORIES, INC  01/01/05    
64253  MEDEFIL, INC     01/01/05 
67425 ISTA PHARMACEUTICALS 01/01/05     
67707  OSCIENT PHARMACEUTICALS CORPORATION 01/01/05    
68012 SANTARUS, INC.  01/01/05    

PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID


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.


ATTENTION ALL DENTAL PROVIDERS

MEDICAID HAS IMPLEMENTED THE PROGRAMMING CHANGES REQUIRED TO PAY PRIMARY TOOTH AMALGAMS AT THE NEW RATE THAT WAS EFFECTIVE FOR DATES OF SERVICE ON OR AFTER SEPTEMBER 1, 2004. IN THE NEAR FUTURE, MEDICAID WILL AUTOMATICALLY RECYCLE CLAIMS FOR PRIMARY TOOTH AMALGAMS IN ORDER TO CORRECT PROVIDER PAYMENTS. THESE TRANSACTIONS WILL APPEAR ON YOUR REMITTANCE ADVICE. SHOULD YOU HAVE ANY QUESTIONS, PLEASE CONTACT UNISYS 
PROVIDER RELATIONS BY CALLING (800)473-2783 OR (225)924-5040. 


NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES

THE 2004 CPT CODES HAVE BEEN LOADED TO OUR FILES AND MAY BE BILLED WITH THE EFFECTIVE DATE OF SERVICE 01-01-2004. PROVIDERS MAY NOW SUBMIT CLAIMS FOR MEDICAID COVERED 2004 CODES. 

THE 2004 PROFESSIONAL FEE SCHEDULE CAN BE FOUND ON OUR WEBSITE @ 
LAMEDICAID.COM.