RA Messages for
December 10, 2012
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 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.
Should you have any questions
regarding any of the following messages, please contact Molina Medicaid
Solutions at (800) 473-2783 or (225) 924-5040.
ATTENTION HOSPITAL
PROVIDERS: EFFECTIVE 12/14/12 MOTHER'S MEDICAID NUMBER REQUIRED FOR
INITIAL PRECERT
OF LEGACY NEWBORNS
DHH is requesting that in order for
Providers to begin the Precert
process, initial newborn requests submitted to Legacy Medicaid will
require the mother's Medicaid number to be included on the
PCF01 form. The 13 digit Medicaid number area on the PCF01should remain as all zeros until the baby's Medicaid number is assigned.
If submitting electronically through ePrecert, the mother's number
should be typed in the text box area.
These requests will be rejected if the Provider fails to provide this
information or if the mother is verified as having Bayou Health Plan
coverage on the day of admit. Please visit www.lamedicaid.com
for the notice. If you have any questions please contact Molina
Provider Relations (800) 473-2783 or (225) 924-5040.