RA Messages for March 19, 2002

 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 1/1/02 VERSION OF APPENDIX C:

LABELER               COMPANY BEGIN END
00263                            INTEGRA LIFESCIENCES COMPANY   04/01/02
00524     KNOLL PHARMACEUTICAL   04/01/02
00662      PFIZER PHARMACEUTICALS GROUP   04/01/02
00663      PFIZER PHARMACEUTICALS GROUP   04/01/02
00761      BASIC DRUGS, INC   04/01/02
10337      DOAK DERMATOLOGICS DIV OF BRADLEY   04/01/02
11414      BAKER NORTON PHARMACEUTICALS   04/01/02
11793      AVENTIS PASTEUR, INC   04/01/02
52891      BAKER NORTON PHARMACEUTICALS   04/01/02
54162      GERITREX CORPORATION   04/01/02
55298                          3M PHARMACEUTICALS 04/01/02  
58174      BAKER CUMMINS DERMATOLOGICALS, INC   04/01/02
58948      L. PERRIGO COMPANY   04/01/02
59012      PFIZER PHARMACEUTICALS GROUP   04/01/02
64406      IDEC PHARMACEUTICALS 04/01/02  
65893      CODY LABORATORIES, INC 07/01/02  
66203      ORGANON SANOFI-SYNTHELABO 04/01/02  
66530      SPEAR DERMATOLOGY PRODUCTS 04/01/02  
66813      ATHLON PHARMACEUTICALS 07/01/02  
70030      L. PERRIGO COMPANY   04/01/02
71114      CIRCA PHARMACEUTICALS   04/01/02

 PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID

PHARMACY PROVIDERS NOTICE

THE PROVIDER WEBSITE ENROLLMENT CERTIFICATION FORM WHICH ACCOMPANIED THE LETTER DATED FEBRUARY 22,2002 DID NOT INCLUDE THE COMPLETE MAILING ADDRESS FOR UNISYS CORPORATION. A CORRECTION HAS BEEN MADE TO THIS FORM AND MAY BE OBTAINED VIA THE WEBSITE WWW.LAMEDICAID.COM. THE CORRECT ADDRESS IS AS FOLLOWS:  

                        UNISYS CORPORATION
                        ATTENTION: PROVIDER WEBSITE
                        P. O. BOX 91019
                        BATON ROUGE, LA 70821-9019        

IMPORTANT NEWS ABOUT COMMUNITYCARE

LINKAGES TO COMMUNITYCARE DOCTORS ARE NOT YET IN EFFECT FOR RECIPIENTS IN THE FOLLOWING  PARISHES: ST. HELENA, LIVINGSTON, TANGIPAHOA, WASHINGTON, AND ST. TAMMANY.  WE ANTICIPATE LINKAGES WILL BE IN EFFECT APRIL 1.

NOTICE TO KIDMED PROVIDERS

EFFECTIVE IMMEDIATELY, THE KIDMED OBJECTIVE HEARING AND VISION SCREENINGS (CODES 92551 AND X9007) MAY BE PERFORMED BY TRAINED OFFICE STAFF UNDER THE SUPERVISION OF A LICENSED MEDICAID PHYSICIAN, PHYSICIAN ASSISTANT, OR REGISTERED NURSE OR AN OPTOMETRIST FOR VISION SCREENING AND LICENSED AUDIOLOGIST OR SPEECH PATHOLOGIST FOR HEARING SCREENINGS. PLEASE MAKE THESE CHANGES TO YOUR KIDMED POLICY MANUAL. THE INTERPRETIVE CONFERENCE TO DISCUSS ANY FINDINGS FROM THE SCREENINGS MUST STILL BE PERFORMED BY A LICENSED PHYSICIAN, PHYSICIAN ASSISTANT, OR REGISTERED NURSE AS IS CURRENTLY THE POLICY AND STATED IN THE KIDMED MANUAL. 

NOTICE TO PERSONAL CARE SERVICES (PCS) PROVIDERS

PROVIDERS CAN NOW CONTACT LYNDA WASCOM AT (225)342-9485 FOR ISSUES CONCERNING PERSONAL CARE SERVICES. PLEASE CALL HER WITH YOUR QUESTIONS REGARDING POLICY, PRIOR AUTHORIZATION, AND PARTICIPATION IN THE PROGRAM.

REMINDER REGARDING COMMUNITYCARE RECIPIENTS

EFFECTIVE JULY 1, 2000, THE FOLLOWING CODES USED TO BILL FOR PHYSICIAN SERVICES RENDERED IN HOSPITAL EMERGENCY ROOMS, CPT CODES 99281, 99282, 99283, 99284, AND 99285, ARE NOT COUNTED IN THE TWELVE VISIT LIMIT FOR PHYSICIAN VISITS FOR ADULT RECIPIENTS - THIS IS APPLICABLE ONLY TO COMMUNITYCARE-ENROLLED RECIPIENTS. IN ADDITION, THE LIMIT OF THREE VISITS PER YEAR FOR REVENUE CODES HR450 AND HR459 IS NOT APPLICABLE TO COMMUNITYCARE RECIPIENTS. PROVIDERS SHOULD BE AWARE THAT THE ELIGIBILITY VERIFICATION SYSTEMS (REVS AND MEVS) MAY REFLECT A NUMBER OF ER VISITS REMAINING FOR A COMMUNITYCARE RECIPIENT, BUT THAT THERE IS NO LIMIT FOR HR450 AND HR 459 FOR COMMUNITYCARE ENROLLEES.  

QUESTIONS REGARDING THIS CHANGE MAY BE DIRECTED TO UNISYS PROVIDER RELATIONS AT 800 473-2783.