RA Messages for April 10, 2007

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ATTENTION PROVIDERS

THE FORM CMS-1500 (08-05) WILL BE ACCEPTED BY LOUISIANA MEDICAID FOR ALL DATES OF SUBMISSION BEGINNING MARCH 5, 2007, BUT WILL NOT BE MANDATED FOR USE UNTIL JUNE 4, 2007.

PROVIDERS WILL BE PERMITTED TO USE EITHER THE CURRENT FORM CMS-1500 (12-90) OR THE REVISED FORM CMS-1500(08-05) BEGINNING MARCH 5, 2007 THROUGH JUNE 3, 2007.

EFFECTIVE JUNE 4, 2007, THE FORM CMS-1500 (12-90) WILL BE DISCONTINUED AND ONLY THE FORM CMS-1500 (08-05) SHALL BE USED. THIS INCLUDES ALL REBILLING OF CLAIMS EVEN THOUGH EARLIER SUBMISSIONS MAY HAVE BEEN ON THE FORM CMS-1500 (12-90).

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ATTENTION SUPPORTS WAIVER PROVIDERS

THIS IS TO ADVISE THAT THE DEPT. OF HEALTH AND HOSPITALS, OFFICE FOR CITIZENS WITH DEVELOPMENTAL DISABILITIES WAIVER SUPPORTS AND SERVICES IS ISSUING A NEW FORM FOR THE SUPPORTS WAIVER PROGRAM EFFECTIVE 3/27/07.THE JOB ASSESSMENT, JOB DISCOVERY, AND JOB DEVELOPMENT COMPLETION FORM IS TO BE USED FOR ALL REQUESTS FOR JOB ASSESSMENT, JOB DISCOVERY, AND JOB DEVELOPMENT. THE FORM IS AVAILABLE VIA THE WEBSITE WWW.LAMEDICAID.COM UNDER THE "NEW MEDICAID INFORMATION" LINK. PROVIDERS ARE ENCOURAGED TO VISIT THE OCDD WEBSITE AT HTTP://WWW.OCDD.DHH.LOUISIANA.GOV (CLICK ON
OCDD WAIVER UNIT LINK) FOR MORE INFORMATION.

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ATTENTION ALL PROVIDERS

THE 2007 ANNUAL PROVIDER TRAINING WORKSHOPS WILL NOT BE HELD UNTIL LATE SUMMER AND EARLY FALL. PLEASE WATCH THE RA MESSAGES AND LAMEDICAID.COM WEBSITE FOR ANNOUNCEMENTS OF THESE WORKSHOPS. SINCE WORKSHOPS WILL NOT BE HELD IN THE SPRING, IT IS EXTREMELY IMPORTANT THAT YOU READ ALL RA MESSAGES AND VIEW THE WEB SITE REGULARLY FOR INFORMATION CONCERNING THE IMPLEMENTATION OF NATIONAL PROVIDER IDENTIFICATION NUMBERS (NPI) AND THE REVISED CLAIM FORMS CMS 1500 AND UB-04.

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ATTENTION PROVIDERS

EFFECTIVE 7-2-2007, IN ACCORDANCE WITH A RECENT DHH DIRECTIVE, UNISYS WILL NO LONGER ACCEPT COPIES OF STANDARD CLAIM FORMS, THE REGULATIONS DO NOT ALLOW THE COPYING OF HARDCOPY CLAIM FORMS. THESE INCLUDE THE UB-92, UB-04, CMS 1500 (12-90), CMS 1500 (08-05), ADA, AND THE NCPDP UNIVERSAL CLAIM FORM. ANY HARD COPY CLAIMS SUBMITTED TO UNISYS FOR PROCESSING MUST BE AN ORIGINAL, STANDARD CLAIM FORM AND MUST MEET THE LICENSURE/ COPYRIGHT REQUIREMENTS OF THE PARTICULAR ORGANIZATION THAT REGULATES THAT CLAIM FORM. THIS INCLUDES ORIGINAL SUBMISSIONS, RE-SUBMISSIONS OF PREVIOUS CLAIMS, AND CLAIM ADJUSTMENTS/VOIDS.

WITH THE IMPLEMENTATION OF THIS REQUIREMENT, PROVIDERS THAT ARE ROUTINELY BILLING ALL CLAIMS HARD COPY MAY WANT TO CONSIDER TRANSITIONING TO ELECTRONIC CLAIMS SUBMISSION. QUESTIONS CONCERNING EDI BILLING MAY BE DIRECTED TO THE UNISYS EDI DEPARTMENT AT 225/216-6000, OPTION 2. A COMPLETE LISTING OF APPROVED EDI VENDORS IS AVAILABLE ON THE LA MEDICAID WEB SITE, WWW.LAMEDICAID.COM, LINK HIPAA INFORMATION CENTER/LINK VBC LIST. PLEASE CONTACT THE VENDORS FOR SPECIFIC INFORMATION ON THEIR SERVICES AS A WIDE RANGE OF PACKAGES/FEES ARE AVAILABLE.

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ATTENTION COMMUNITYCARE PROVIDERS - IMMUNIZATION PAY-FOR-PERFORMANCE

IMMUNIZATION PAY-FOR-PERFORMANCE (P4P) PAYMENTS FOR JULY-SEPTEMBER 2006 HAVE BEEN ISSUED TO ELIGIBLE PCPS WHO REGISTERED FOR P4P PRIOR TO MARCH 12, 2007. IMPORTANT INFORMATION ON P4P PAYMENTS INCLUDING INSTRUCTIONS TO ACCESS THE P4P-SPECIFIC *PROVIDER REMITTANCE ADVICE STATEMENT* CAN BE FOUND AT WWW.LAMEDICAID.COM UNDER THE COMMUNITYCARE IMMUNIZATION PAY- FOR-PERFORMANCE (P4P) INITIATIVE LINK.

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ATTENTION PROVIDERS - FAMILY PLANNING WAIVER RECIPIENT INFORMATION

THE ANNUAL EPSDT RECIPIENT NOTICE WAS RECENTLY MAILED TO MEDICAID RECIPIENT HOUSEHOLDS WITH CHILDREN UNDER 21. THIS NOTICE WAS MAILED TO FAMILY PLANNING WAIVER RECIPIENTS IN ERROR. A RETRACTION NOTICE HAS BEEN MAILED TO THOSE FAMILY PLANNING WAIVER RECIPIENTS. PLEASE BE AWARE OF THIS ERROR, AND IN ORDER TO PREVENT PROVIDING NON-COVERED SERVICES TO A FPW RECIPIENT WHO MAY PRESENT THIS NOTICE WHEN SEEKING SERVICES, BE SURE TO CHECK RECIPIENT ELIGIBILITY TO ENSURE THAT THE RECIPIENT IS ELIGIBLE FOR EPSDT SERVICES.