RA Messages for April 1, 2003
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 1/01/02 VERSION OF APPENDIX A:
| DRUG |
DOSAGE |
STRGTH |
MAC |
EFF DATE |
| ACETYLSTEINE |
VIAL |
100MG/ML |
OFF MAC |
04/07/03 |
| GEMFIBROZIL |
TAB |
600MG |
$0.30580 |
04/07/03 |
| GLYBURIDE |
TAB |
1.25MG |
OFF MAC |
04/07/03 |
| GLYBURIDE |
TAB |
2.5MG |
OFF MAC |
04/07/03 |
| GLYBURIDE |
TAB |
5MG |
OFF MAC |
04/07/03 |
| GRISEOFULVIN,MICROSIZE |
TAB |
500MG |
OFF MAC |
02/01/03 |
| HYDROCORTISONE ACETATE/UREA CR |
TOP |
1% |
OFF MAC |
01/01/03 |
| HYDROXYZINE PAMOATE |
CAP |
50MG |
$0.11780 |
04/07/03 |
| LINDANE |
SHAMPOO |
1% |
OFF MAC |
01/01/03 |
| LOXAPINE SUCCINATE |
CAP |
5MG |
OFF MAC |
01/01/03 |
| LOXAPINE SUCCINATE |
CAP |
10MG |
OFF MAC |
01/01/03 |
| LOXAPINE SUCCINATE |
CAP |
25MG |
OFF MAC |
01/01/03 |
| LOXAPINE SUCCINATE |
CAP |
50MG |
OFF MAC |
01/01/03 |
| MEPROBAMATE |
TAB |
400MG |
OFF MAC |
02/01/03 |
| NYSTATIN (*ALL SIZES) |
OS |
100MU/ML |
$0.17570 |
12/01/02 |
PLEASE
MAKE THE FOLLOWING CHANGES TO THE 1/01/02 VERSION OF APPENDIX C:
| LABELER |
COMPANY |
BEGIN |
END |
| 00462 |
PHARMADERM |
7/01/03 |
|
| 63020 |
MILLENNIUM PHARMACEUTICALS, INC |
7/01/03 |
|
| 66435 |
THREE RIVERS PHARMACEUTICALS |
7/01/03 |
|
| 66934 |
INKINE PHARMACEUTICALS |
7/01/03 |
|
PLEASE
FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID
ATTENTION ALL PROVIDERS
THE PROVIDER ENROLLMENT UNIT HAS A NEW PHONE NUMBER. IT IS
225-237-3370.
ATTENTION HOME AND COMMUNITY BASED WAIVER SERVICES
FOR INFORMATION ABOUT HOME AND COMMUNITY BASED WAIVER SERVICES
AS AN ALTERNATIVE LONG TERM CARE OPTION, PLEASE CALL 1-800-660-0488.
NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES
CORRECTION
THE REMITTANCE ADVICE OF JANUARY 14, 2003 AND JANUARY 21, 2003
STATED THAT THE FEE FOR THE MIRENA IMPLANT (J7302) WOULD INCREASE EFFECTIVE WITH
DATE OF SERVICE JANUARY 1, 2003. DUE TO AN ERROR THE FEE WAS NOT INCREASED
UNTIL MARCH 14, 2003. ADJUSTMENTS MAY BE SUBMITTED FOR THE DIFFERENCE
BETWEEN THE OLD AND NEW RATES. WE APOLOGIZE FOR ANY INCONVENIENCE THIS MAY HAVE
CAUSED.
ATTENTION LTC/ICF-MR/ADHC/HOSPICE PROVIDERS
IT'S HERE! HIPAA IMPLEMENTATION BY LA MEDICAID IS FAST
APPROACHING! THIS MAKES IT NECESSARY TO DISCONTINUE USE OF THE TAD FOR BILLING
BY LTC PROVIDERS AND TO BEGIN USING THE UB-92(OR ITS ELECTRONIC EQUIVALENT THE
837I) FOR BILLING LTC CLAIMS. THE ENSURE THAT LTC PROVIDERS ARE READY FOR THIS
TRANSITION, AND TO PREPARE US TO PROVIDE NEEDED ASSISTANCE TO ANY PROVIDERS WHO
ARE NOT PREPARED, WE ARE ASKING ALL LTC PROVIDERS TO COMPLETE THE SURVEY AND
RETURN IT IMMEDIATELY. IF YOU HAVE NOT COMPLETED AND RETURNED YOUR SURVEY,
PLEASE DO IT NOW! DON'T DELAY!! THIS WILL ALLOW US TO ASSESS YOUR
"READINESS" STATUS; DETERMINE IF YOU ARE INTERESTED IN ELECTRONIC
BILLING; AND PROVIDE ASSISTANCE IS NEEDED. IF YOU HAVE MISPLACED YOUR SURVEY,
PLEASE CONTACT UNISYS HIPAA TEAM IMMEDIATELY AT 225-237-3318 FOR ANOTHER COPY.
YOUR ASSISTANCE WITH THIS REQUEST IS GREATLY APPRECIATED.