RA Messages for January 8, 2002

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 PHARMACY PROVIDERS,PLEASE NOTE!!!

 PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX C

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  PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX A

 IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE CONTACT   THE PBM HELP DESK AT 1-800-648-0790                                   

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ATTENTION DENTAL PROVIDERS

DENTAL GROUPS (TWO OR MORE DENTISTS)MUST BE ENROLLED IN LA MEDICAID PRIOR TO RENDERING SERVICES TO A MEDICAID RECIPIENT. THEY MUST COMPLETE AN ENROLLMENT PACKET INCLUDING INFORMATION FOR THE GROUP AS WELL AS THE INDIVIDUAL DENTISTS COMPRISING THE GROUP. ONCE ENROLLED, THE GROUP CAN BILL FOR SERVICES RENDERED BY THE INDIVIDUAL PROVIDERS USING THE GROUP NAME AND GROUP PROVIDER NUMBER. THE INDIVIDUAL DENTIST'S PROVIDER NUMBER MUST BE ENTERED AS THE ATTENDING DENTIST ON THE CLAIM FORM, AND THE GROUP NUMBER MUST BE ENTERED AS THE BILLING PROVIDER ON THE CLAIM FORM. IF THE GROUP IS ENROLLED AS A MEDICAID PROVIDER, THE INDIVIDUAL DENTIST CANNOT BILL MEDICAID FOR SERVICES RENDERED UNDER THE GROUP. IF AN INDIVIDUAL DENTIST IS AFFILIATED WITH A GROUP DOES NOT WISH TO ENROLL IN LA MEDICAID, THAT INDIVIDUAL MUST ENROLL AND BILL FOR SERVICES PERFORMED IN THE GROUP. PLEASE WATCH FOR MORE COMPLETE INFORMATION TO BE PUBLISHED IN THE FEBRUARY, 2002 PROVIDER UPDATE.