RA Messages for December 11, 2007
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. PARTI-CIPATION MAY BE
VERIFIED IN APPENDIX C, AVAILABLE AT
WWW.LAMEDICAID.COM.
ATTENTION ALL PROVIDERS
EFFECTIVE WITH DATES OF SERVICE
OCTOBER 1, 2007 FORWARD, THE 2008 ICD-9 DISEASE AND PROCEDURE
CLASSIFICATION CODE UPDATES HAVE BEEN ADDED TO OUR FILES. CLAIMS THAT
HAVE DENIED FOR INVALID DIAGNOSIS/PROCEDURE CODES PRIOR TO THE LOADING
OF THE 2008 ICD-9 DATA WILL BE RECYCLED AND NO ACTION IS REQUIRED BY THE
PROVIDER. PROVIDERS WILL BE INFORMED VIA RA MESSAGE WHEN THE RECYCLE
WILL TAKE PLACE.
ATTENTION PHYSICIANS
THE FOLLOWING CPT CODE WILL BE ADDED
TO THE LIST OF CODES THAT REQUIRE A QW MODIFIER, EFFECTIVE 09/18/2006:
87807 - QW - RSV ASSAY W/OPTIC
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.