PHARMACY PROVIDERS PLEASE NOTE!!!

CHANGES TO APPENDIX A:                                                 

DETAILED FUL CHANGES ARE POSTED ON WWW.LAMEDICAID.COM                 

PLEASE MAKE THE FOLLOWING CHANGES TO APPENDIX C:        

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

IMPORTANT COMMUNITYCARE AND KIDMED INFORMATION

THE COMMUNITYCARE REFERRAL AND KIDMED LINKAGE AND TIMELY FILING REQUIREMENTS WERE TEMPORARILY WAIVED FOR ENROLLEES FROM THE PARISHES MOST DIRECTLY AFFECTED BY HURRICANES KATRINA AND RITA. EFFECTIVE APRIL 1, 2006, THESE WAIVERS WILL END FOR ALL COMMUNITYCARE RECIPIENTS STATEWIDE. THIS MEANS THAT IF YOU PROVIDE MEDICAL CARE ON OR AFTER APRIL 1, 2006, TO A COMMUNITYCARE ENROLLEE WHO HAS A PCP LINKAGE AS IDENTIFIED BY ANY MEDICAID ELIGIBILITY VERIFICATION SYSTEM, YOU WILL NEED A REFERRAL FROM THE PCP IN ORDER TO BE PAID BY MEDICAID. SERVICES PROVIDED TO KIDMED ENROLLEES WHO ARE NOT IN COMMUNITYCARE MUST BE PROVIDED BY THE KIDMED PROVIDER OF RECORD AND FILED WITH MEDICAID IN ACCORDANCE WITH KIDMED TIMELY FILING REQUIREMENTS. 

INPATIENT HOSPITALS AND PRIVATE PSYCHIATRIC HOSPITALS

EFFECTIVE FOR DATES OF SERVICE ON OR AFTER JANUARY 1, 2006, MEDICAID INPATIENT PER DIEM RATES WERE REDUCED IN ACCORDANCE WITH AN EMERGENCY RULE ISSUED BY THE DEPARTMENT OF HEALTH AND HOSPITALS. 

THIS ACTION WAS REPEALED ON FEBRUARY 28, 2006 FOR DATES OF SERVICE ON OR AFTER JANUARY 1, 2006 AND AFFECTED CLAIMS WERE ADJUSTED ON THE CHECK- WRITE DATE OF MARCH 7, 2006.NO ACTION IS REQUIRED OF MEDICAID PROVIDERS.

IMMUNIZATION RECORDS RETRIEVAL CENTER 
FOR HURRICANE AFFECTED MEDICAID RECIPIENTS 

DHH HAS ESTABLISHED AN IMMUNIZATION RECORDS RETRIEVAL CENTER TO ASSIST MEDICAID RECIPIENTS AFFECTED BY THE HURRICANES TO ACCESS IMMUNIZATION RECORDS LOST IN THE HURRICANE. RECIPIENTS AFFECTED BY THE HURRICANE MAY PHONE THE CENTER AT 1-800-259-4444 TO REQUEST A HISTORY OF IMMUNIZATION CLAIMS PROCESSED AND PAID BY MEDICAID. MEDICAID PROVIDERS MAY INFORM MEDICAID RECIPIENTS OF THIS IMMUNIZATION RECORDS RETRIEVAL CENTER IF RECORDS WERE LOST IN THE HURRICANE. ONLY THE RECIPIENT OR THEIR PARENT OR LEGAL GUARDIAN MAY CALL TO REQUEST THE RECORDS. 

ALL MEDICAID PROVIDERS

THE 2006 ANNUAL TRAINING WORKSHOPS WILL BEGIN ON APRIL 24, 2006 AND RUN THROUGH MAY 24, 2006. THE DETAILED TRAINING SCHEDULE IS AVAILABLE ON THE LA MEDICAID WEB SITE, WWW.LAMEDICAID.COM, AND IN THE UPCOMING PROVIDER NEWSLETTER. PLEASE ACCESS THESE SOURCES FOR DETAILS. 

BATON ROUGE    APRIL 24-26, 2006         MONROE            MAY 11-12, 2006 
HOUMA                 MAY 1-3, 2006               ALEXANDRIA    MAY 16-18, 2006 
LAKE CHARLES   MAY 4-5, 2006               LAFAYETTE       MAY 22-24, 2006 
SHREVEPORT       MAY 8-10, 2006