RA Messages for July 10, 2001
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
12/9/00 VERSION OF APPENDIX A:
| DRUG |
DOSAGE |
STRGTH |
MAC |
EFF. DATE |
| AMITRIPTYLINE HCL |
TAB |
50MG |
0.06660 |
06/13/01 |
| DIFLUNISAL |
TAB |
500MG |
0.51350 |
06/13/01 |
| DIPYRIDAMOLE |
TAB |
75MG |
0.13590 |
06/13/01 |
| HALOPERIDOL |
TAB |
0.5MG |
OFF MAC |
06/13/01 |
| HALOPERIDOL |
TAB |
1MG |
OFF MAC |
06/13/01 |
| HALOPERIDOL |
TAB |
2MG |
OFF MAC |
06/13/01 |
| HALOPERIDOL |
TAB |
5MG |
OFF MAC |
06/13/01 |
| HYDROCODONE BIT/APAP |
TAB |
7.5MG-500MG |
0.23400 |
06/13/01 |
| METOCLOPRAMIDE HCL |
TAB |
10MG |
0.10950 |
06/13/01 |
| NEOMY SULF/GRAMICID |
D/POLY DROPS |
|
2.21850 |
06/13/01 |
| PRAZOSIN HCL |
CAP |
1MG |
0.13350 |
06/13/01 |
| PRAZOSIN HCL |
CAP |
2MG |
0.26920 |
06/13/01 |
| PRAZOSIN HCL |
CAP |
5MG |
0.43280 |
06/13/01 |
| PREDNISOLONE SOD PHOS |
DROPS |
1% |
OFF MAC |
06/13/01 |
| PREDNISONE |
TAB |
1MG |
OFF MAC |
07/01/01 |
| THEOPHYLLINE ANHYDROUS |
TAB |
TAB SR 12H 200MG |
0.12840 |
06/13/01 |
| THEOPHYLLINE ANHYDROUS |
TAB |
TAB SR 12H 300MG |
0.13130 |
06/13/01 |
| THEOPHYLLINE ANHYDROUS |
TAB |
TAB SR 12H 450MG |
OFF MAC |
06/13/01 |
| VERAPAMIL
HCL |
TAB SA |
240MG |
0.35930 |
06/13/01 |
NOTICE TO PROVIDERS OF PROFESSIONAL
SERVICES
THE CPT CODES WHICH WERE DISCONTINUED IN THE
YEAR 2001 ISSUANCE OF THE CURRENT PROCEDURAL TERMINOLOGY WILL BE PLACED IN
NON-PAY STATUS ON OUR FILES EFFECTIVE WITH DATE OF SERVICE JULY 1, 2001.
PLEASE PROGRAM ACCORDINGLY.
CORRECTION TO PREVIOUS NOTICE
NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES
IN A PREVIOUS NOTICE, THE PRICE FOR
PROFESSIONAL SERVICES CODE 88358 WAS STATED AS $199.83. THIS WAS AN ERROR.
THE ACTUAL PRICE FOR THIS CODE IS $119.83.
NOTICE TO PROVIDERS OF PROFESSIONAL
SERVICES
THE FEE FOR CPT CODE 46740 (REPAIR OF HIGH
IMPERFORATE ANUS WITH RECTOURETHRAL OR RECTOVAGINAL FISTULA; PERINEAL OR
SACROPERINEAL APPROACH) WAS INCREASED TO $1, 086.87 EFFECTIVE WITH DATE OF
SERVICE JUNE 1, 2001.
NOTICE TO PCS/PCA PROVIDERS
THE BUREAU WILL HOLD ANOTHER TRAINING IN JULY
FOR PCS/PCA PROVIDERS THAT PROVIDE PCS TO NON-WAIVER RECIPIENTS UNDER AGE 21.
THE TRAINING WILL FOCUS ON COVERED SERVICES AND THE PRIOR AUTHORIZATION PROCESS.
THE DATE OF THE TRAINING IS JULY 13, 2001 AND WILL BE HELD IN ALEXANDRIA.
PROVIDERS WISHING TO ATTEND THE TRAINING MUST
CALL TO REGISTER. PLEASE CALL KAYLIN HAYNES AT 225-342-4182.
2001 TRAINING SESSIONS
PROVIDER TRAINING SESSIONS WILL BE HELD ON THE FOLLOWING DATES:
BATON ROUGE - SEPT. 11 AND 13 (NOTE THIS IS A TUESDAY AND THURSDAY)
COVINGTON - SEPT. 14
HOUMA - SEPT. 19 (WEDNESDAY)
NEW ORLEANS - SEPT. 20 AND 21 (THURSDAY AND FRIDAY)
ALEXANDRIA - SEPT. 26 AND 27 (WEDNESDAY AND THURSDAY)
MONROE - OCT. 1 AND 2 (MONDAY AND TUESDAY)
BOSSIER CITY - OCT. 8 AND 9 (MONDAY AND TUESDAY)
LAFAYETTE - OCT. 8 AND 9 (MONDAY AND TUESDAY)
LAKE CHARLES - OCT. 10 AND 11 (WEDNESDAY AND THURSDAY)
WATCH FOR A COMPLETE SCHEDULE OF LOCATIONS AND DATES IN THE AUGUST
EDITION OF THE PROVIDER UPDATE.
MR/DD WAIVERS SERVICE PROVIDERS
EFFECTIVE JULY 1, 2001, THE DEPARTMENT OF HEALTH AND HOSPITALS, OFFICE
OF THE SECRETARY, BUREAU OF COMMUNITY SUPPORTS AND SERVICES INCREASES THE REIMBURSEMENT RATES IN THE MENTALLY RETARDED/DEVELOPMENTALLY
DISABLED (BCSS) WAIVER FOR CERTAIN DESIGNATED PROCEDURE CODES FOR PERSONAL CARE ATTENDANT, RESPITE, AND SUPERVISED INDEPENDENT LIVING
SERVICES AS FOLLOWS:
Z CODE
MR/DD WAIVER SERVICE
RATE EFFECTIVE JULY 1, 2001
Z0002
PCA
$10.30
Z0011
PCA-HIGH NEED
$11.64
Z0003
RESPITE
$10.30
Z0013
RESPITE-HIGH NEED
$11.64
Z0004
RESPITE-CENTER
$6.66
Z0014
RESPITE-CENTER-HIGH NEED $11.64
Z0053
SLL DAY COMPANION
$7.38
Z0055
SLL NIGHT COMPANION
$6.35
REGARDING ANY QUESTIONS CONTACT CLAUDETTE HILL, PROGRAM MANAGER, BCSS AT
(225) 219-0211.