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 ALL PROVIDERS

MEDICAID HAS RECYCLED THE CLAIMS SUBMITTED AND SUBSEQUENTLY DENIED PRIOR TO THE LOADING OF THE 2007 ICD-9 DIAGNOSIS CODES TO THE MEDICAID SYSTEM. THIS RECYCLE APPEARED ON THE REMITTANCE ADVICE DATED 1/23/2007.

ATTENTION ALL PROVIDERS

IF YOU RECEIVED FUNDS/PAYMENTS FROM BOTH MEDICAID AND THE HURRICANE RELATED UNCOMPENSATED CARE POOL (UCC), YOU WILL RECEIVE TWO 1099S FROM UNISYS - ONE FOR MEDICAID PAYMENTS AND ONE FOR UCC PAYMENTS. PLEASE BE AWARE OF THIS AS YOU COLLECT DOCUMENTS FOR TAX PREPARATION.

ATTENTION COMMUNITYCARE PROVIDERS

LOUISIANA MEDICAID WILL BE IMPLEMENTING IMMUNIZATION PAY-FOR-PERFORMANCE SUPPLEMENTAL PAYMENTS TO COMMUNITYCARE PCPS. THESE PAYMENTS WILL BE BASED ON THE PERCENTAGE OF 24 MONTH OLD RECIPIENTS LINKED TO THE PCP THAT ARE UP-TO-DATE WITH ALL RECOMMENDED IMMUNIZATIONS; AND THE PROVIDER'S ENROLLMENT IN AND UTILIZATION OF THE LOUISIANA IMMUNIZATION NETWORK FOR KIDS STATEWIDE (LINKS) IMMUNIZATION REGISTRY AND VACCINES FOR CHILDREN (VFC) PROGRAM. DETAILED INFORMATION REGARDING THE IMMUNIZATION PAY-FOR-PERFORMANCE PAYMENTS CAN BE FOUND AT WWW.LAMEDICAID.COM.

NATIONAL PROVIDER IDENTIFIER

DHH HAS LAUNCHED A NEW NPI WEB REGISTRATION SITE FOR PROVIDERS TO REGISTER THEIR NPI WITH LOUISIANA MEDICAID. CMS WILL REQUIRE ALL HIPAA STANDARD TRANSACTIONS, INCLUDING MEVS ELIGIBILITY INQUIRY AND CLAIMS STATUS INQUIRY TO BE SUBMITTED USING THE NPI NUMBER BEGINNING 23-MAY-07. THE NEW NPI APPLICATION IS ACCESSIBLE FROM THE LIST OF APPLICATIONS IN THE SECURED PROVIDER AREA OF THE WWW.LAMEDICAID.COM WEB SITE. FIND THIS AND MORE ON THE NPI INFORMATION PAGE ACCESSIBLE FROM WWW.LAMEDICAID.COM> HIPAA INFORMATION CENTER> NATIONAL PROVIDER IDENTIFIER (NPI).