RA Messages for December 20, 2011


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


ATTENTION HOSPITAL, PHYSICIAN AND OUTPATIENT RADIOLOGY PROVIDERS
EFFECTIVE JANUARY 1, 2012, FOR THE RADIOLOGY UTILIZATION MANAGEMENT PROGRAM (RUM)

One new CPT code has been established for Computed Tomographic Angiography (CTA) study of the abdomen and pelvis. The code is 74174. This code becomes effective January 1, 2012, and is included in the Radiology Utilization Management (RUM) program. This code will require prior authorization (PA). The code description is listed below:

- 74174 Computed tomographic angiography; abdomen and pelvis; with contrast material(s), including noncontrast images, if performed, and image postprocessing

If prior authorization (PA) is not obtained for this procedure per the current RUM guidelines, then the procedure will not be payable by Louisiana Medicaid. For further information regarding RUM policy and procedure please visit www.lamedicaid.com.


ATTENTION PROFESSIONAL SERVICE PROVIDERS

Effective December 1, 2011, Louisiana Medicaid will provider coverage for fluoride varnish. For coverage details and policy information please refer to www.lamedicaid.com. Providers should contact the Provider Relations unit at (800) 473-2783 or (225) 924-5040 with billing or policy questions.


ATTENTION ALL PROVIDERS SUBMITTING OR RECEIVING
5010 CLAIM TRANSACTIONS (820, 835, 837D, 837I, and 837P)

In order to allow additional time for providers to test, Molina will continue to accept Version 4010 electronic claims transactions after January 1, 2012. CMS has announced that they will not initiate enforcement action with respect to any HIPAA covered entity that is not in compliance with the implementation date for the ASC X12 VERSION 5010 STANDARDS until March 31, 2012.

In preparation for 5010 implementation, providers should continue to work with their billing entities to ensure that they will be ready for submittal prior to March 31, 2012.

For more detailed information, the revised 5010 EDI Companion Guides are published on the Louisiana Medicaid Website, under the 5010 link on the main page.

Access the website on a regular basis for 5010 implementation updates and reminders.


ORGANIZATIONAL VS INDIVIDUAL NPI IN 5010 CLAIM TRANSACTIONS

With the transition to 5010 specifications, when submitting the 837 claim transactions, an individual billing provider that is incorporated must enter the organizational NPI as the Billing Provider identification number and the individual NPI as the Rendering Provider identification number. Individual billing providers that are incorporated and have not previously obtained both an organization (business entity) NPI and an individual NPI should apply for an organization NPI as well as an individual NPI at this time. Both NPIs must be reported to the Molina Provider Enrollment Department. Claim denials may result if this information is not reported to us and properly entered in the transactions. This clarification has been added into the 5010 837 Professional Companion Guide.

NOTE: THIS CHANGE DOES NOT APPLY IF THE INDIVIDUAL IS UNINCORPORATED.


ATTENTION GREATER NEW ORLEANS COMMUNITY HEALTH CONNECTION (GNOCHC)
PROVIDERS: EDIT 904 AND CLAIMS DENIAL

Due to a system error, some claims that received edit 904 (Service Performed Beyond the Required Time Specification) were not denied but posted the edit and continued to process for payment. This edit is posted for any claim that was received after the deadline of November 14, 2011, for Dates of Service prior to October 1, 2011. Those claims that have been paid that should have denied for the edit 904 are being systematically voided on 12/13/11. We apologize for the inconvenience this may have caused providers.


IMPORTANT UPDATE CONCERNING CHANGES TO
THE ELECTRONIC CLAIMS STATUS INQUIRY (eCSI) APPLICATION

LA Medicaid's Claim Status Inquiry (eCSI) application has been modified support both 4010 and 5010 transactions. This will enable providers to choose which version of the application they want to use. The modified version will be available for use on Saturday, December 17, 2011. Once providers log into the LA Medicaid website, www.lamedicaid.com, select the Claim Status Inquiry application from the menu of web applications available. The 4010 version of the eCSI web application will appear. A new link has been added to this web page which allows a provider to navigate to the 5010 version of eCSI. To select use of the 5010 version, click the button located at the top center of the screen titled "Click Here for the ASCX12 5010 version of the eCSI application." Click the Help button at the top of the web page to view the User Guide.

On Saturday, December 17, 2011, this web application will be unavailable for approximately 2 hours between 6 a.m. and 8 a.m. while the change is being implemented. This dual version will be available for several weeks prior to the obsolete 4010 version being removed. Providers will be notified of when the 4010 version will no longer be available for use.