RA Messages for June 24, 2003

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ATTENTION HOME AND COMMUNITY-BASED WAIVER SERVICES PROVIDERS

FOR INFORMATION ABOUT HOME AND COMMUNITY-BASED WAIVER SERVICES AS AN 
ALTERNATIVE LONG TERM CARE OPTION, PLEASE CALL 1-800-660-0488.

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ATTENTION LTC AND HOME HEALTH PROVIDERS

WITH HIPAA IMPLEMENTATION, LTC AND HOME HEALTH PROVIDERS WILL BEGIN BILLING CLAIMS USING THE UB-92 CLAIM FORM OR THE 837I ELECTRONIC INTERCHANGE (EDI) TRANSACTION.  IN AN EFFORT TO ALLOW PROVIDERS, SOFTWARE VENDORS, BILLING AGENTS, AND CLEARINGHOUSES (VBCS) AN ADVANCE OPPORTUNITY TO REVIEW INSTRUCTION FOR BILLING THE UB-92 HARD COPY CLAIM FORM AND SPECIFICATIONS FOR THE 837I TRANSACTION PRIOR TO THE IMPLEMENTATION THESE DOCUMENTS ARE COMPLETE AND AVAILABLE UPON REQUEST.  THE UB-92 INSTRUCTIONS ARE IN "DRAFT" FORM AT THIS TIME AWAITING FINAL APPROVAL.  TO OBTAIN A COPY OF THE UB-92 BILLING INSTRUCTIONS, PROVIDERS SHOULD CONTACT UNISYS PROVIDER RELATIONS AT 800-473-2783 OR 225-924-5040.  VBCS MAY VIEW/OBTAIN THE UB-92 INSTRUCTIONS OR THE 837I EDI COMPANION GUIDE BY ENROLLING IN OUR HIPAA TESTING ENVIRONMENT WHERE THE DOCUMENTS WILL BE AVAILABLE FOR DOWNLOAD.  THE HIPAA TESTING SERVICE ENROLLMENT  FORM IS AVAILABLE FOR DOWNLOAD AT WWW.LAMEDICAID.COM/HIPAA OR IT CAN BE REQUESTED BY EMAILING THE HIPAA EDI GROUP AT *HIPAAEDI@UNISYS.COM (NOTE: * IS PART OF THE EMAIL ADDRESS) OR BY CALLING 1-225-237-3318.  

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ATTENTION ALL MENTAL HEALTH REHAB PROVIDERS

THIS IS A REMINDER THAT IT IS AGAINST POLICY TO SOLICIT RECIPIENTS INTO ENROLLING WITH YOUR AGENCY.

PLEASE REFER TO SECTION 12-5, SECTION A, ITEM 4 OF THE JULY 1, 1999 ISSUE OF THE MENTAL HEALTH REHABILITATION MANUAL WHICH STATES THAT THE SOLICITATION OR SUBSIDIZATION OF ANYONE BY PAYING OR PRESENTING ANY PERSON MONEY OR ANYTHING OF VALUE FOR THE PURPOSE OF SECURING PATIENTS MAY CONSTITUTE SUFFICIENT GROUNDS FOR A PROVIDER ABUSE OR OTHER INCORRECT PRACTICES REFERRAL.

ANY SUSPICION OF THIS KIND OF ACTIVITY WILL BE REPORTED IMMEDIATELY TO THE DEPARTMENT'S PROGRAM INTEGRITY.