RA Messages for January 25, 2000
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 |
| CEPHRADINE |
CAPSULE |
250MG |
0.55000 |
01/11/00 |
| CYPROHEPTADINE HCL |
TABLET |
4MG |
0.05250 |
01/11/00 |
| DISOPYRAMIDE PHOSPHATE |
CAPSULE |
100MG |
OFF MAC |
01/11/00 |
| DISOPYRAMIDE PHOSPHATE |
CAPSULE |
150MG |
OFF MAC |
01/11/00 |
| ESTRADIOL/ NORGESTIMATE |
TABLET |
1-1-0.09MG |
|
12/17/99 |
| FE/VIT C/VIT B12/FA/VIT B6/CU |
TABLET SA |
|
|
01/01/00 |
| HYDROCHLOROTHIAZIDE |
TABLET |
25MG |
0.02950 |
01/11/00 |
| HYDROCHLOROTHIAZIDE |
TABLET |
50MG |
0.03672 |
01/11/00 |
| HYDROCODONE BITARTRATE/APAP |
TABLET |
5-500MG |
0.20760 |
01/11/00 |
| METHYLPHENIDATE HCL |
TABLET SA |
10MG |
|
12/13/99 |
| MOXIFLOXACIN HCL |
TABLET |
400MG |
|
12/15/99 |
| TOLMETIN SODIUM |
CAPSULE |
400MG |
0.81275 |
01/11/00 |
| TOLMETIN SODIUM |
TABLET |
600MG |
0.95240 |
01/11/00 |
PLEASE MAKE THE FOLLOWING CHANGES TO THE
8/15/98 VERSION OF APPENDIX C:
| LABELER |
COMPANY |
BEGIN |
END |
| 00217(REINSTATED) |
DUNHALL PHARMACEUTICALS |
01/01/2000 |
|
| 00274 |
SCHERER LABORATORIES, INC |
|
01/01/00 |
| 00353 |
AMERICAN PHARMACAL, INC |
|
01/01/00 |
| 11441 |
YORK PHARMACEUTICALS, INC |
|
01/01/00 |
| 53723 |
INNERCARE |
|
01/01/00 |
| 59746 |
TRIGEN LABORATORIES, INC |
01/01/2000 |
|
| 61423 |
CONSOLIDATED PHARMACEUTICAL GROUP, INC |
|
01/01/00 |
| 62341 |
MCNEIL-PPC, INC |
01/01/2000 |
|
| 62927 |
MONUMENT PHARMACEUTICAL CO., INC |
|
01/01/00 |
| 63824 |
ADAMS LABORATORIES |
01/01/2000 |
|
| 64019 |
CEBERT PHARMACEUTICALS, INC |
01/01/2000 |
|
| 64356 |
YORK-KOLLER, INC |
|
01/01/00 |
| 64836 |
WOMEN'S CAPITAL CORPORATION |
01/01/2000 |
|
| 64894 |
BONE CARE INTERNATIONAL |
01/01/2000 |
|
| 65224 |
ZYBER PHARMACEUTICALS, INC |
01/01/2000 |
|
PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN
INCORRECTLY PAID.
SUBSTANCE ABUSE PROVIDERS
EFFECTIVE DECEMBER 15, 1999, THE ACCEPTABLE PLACE OF SERVICE CODE(S) FOR
SUBSTANCE ABUSE CLINIC PROVIDERS SHOULD BE 11 (OFFICE).
MEVS
HEALTHCARE DATA EXCHANGE (HDX) HAS BEEN APPROVED AS A MEVS VENDOR FOR
LOUISIANA MEDICAID EFFECTIVE 1/8/00, AND HAS BEEN ADDED TO THE LIST OF CERTIFIED MEVS VENDORS. THE CONTACT IS BRIAN GILL, HEALTHCARE DATA EXCHANGE, PHONE:610/219-1859, E-MAIL: BRAIN.GILL@HDX.COM, WEB SITE:
WWW.HDX.COM.
UNTIMELY CROSSOVER CLAIMS RECOVERY PROJECT (UCC)
AS THE RESULT OF LEGISLATIVE AUDIT FINDINGS, MEDICARE CROSSOVER CLAIMS FILED TO MEDICAID UNTIMELY WERE RECOVERED ON MARCH 2, 1999 AND AUGUST 10, 1999. THE DEADLINE FOR SUBMITTING UCC CLAIMS TO UNISYS WITH PROOF OF TIMELY FILING ATTACHED, ALONG WITH ALL OTHER NECESSARY ATTACHMENTS, IS MARCH 31, 2000. YOU WILL ALSO NEED TO ATTACH A COPY OF THE ORIGINAL CLAIM DETAIL LISTING YOU RECEIVED IN FEBRUARY 1999 SO THAT UNISYS MAY
IDENTIFY YOUR RESUBMITTAL CLAIM(S)AS BEING PART OF THE UCC RECOVERY PROJECT. CONTACT JUDY CAIN AT (225) 342-9463 IF YOU HAVE QUESTIONS.
ATTENTION EPSDT HEALTH SERVICES PROVIDERS
PLEASE NOTE THE FOLLOWING CORRECTIONS TO THE EPSDT HEALTH SERVICES TRAINING, MEDICAID ISSUES FOR 1999:
1) ON P. 2, PROCEDURE CODE 92251 SHOULD BE PROCEDURE CODE 92551. THE
REIMBURSEMENT IS $3.60.
2) ON P. 3, PROCEDURE CODE 92585 IS REIMBURSED AT $180.00, NOT $65.00.
3) ON P. 3, PROCEDURE CODE X0412 IS REIMBURSED AT $45.00, NOT $48.60.
PLEASE MAKE THESE CORRECTIONS TO YOUR 1999 EPSDT HEALTH SERVICES TRAINING PACKET. IF YOU WISH TO REQUEST A NEW, CORRECTED TRAINING PACKET, PLEASE CONTACT UNISYS PROVIDER RELATIONS AT (800) 473-2783 OR (225) 924-5040. EPSDT HEALTH SERVICES PROVIDERS WHO HAVE BILLED AND BEEN PAID FOR PROCEDURE CODE 92585 AT A RATE LESS THAN $180.00 FOR 1999 DATES OF SERVICE MAY FILE ADJUSTMENTS FOR SUCH CLAIMS.
Document : Medicaid | Department of Health | State of Louisiana |Date Modified : 05/11/2025 00:44:43