PHARMACY PROVIDERS PLEASE NOTE!!!  

PLEASE MAKE THE FOLLOWING CHANGES TO APPENDIX A:

PLEASE MAKE THE FOLLOWING CHANGES TO APPENDIX C:

EFFECTIVE JULY 1, 2006, MEDICAID WILL DENY PHARMACY CLAIMS WHEN THERE IS A PRESCRIPTIONS ON THE SAME DATE OF SERVICE FOR THE SAME RECIPIENT FOR THE SAME GENERIC DRUG, WITH THE SAME FORM AND STRENGTH. THE INCOMING CLAIM WILL DENY WITH EOB 893 'SUSPECT DUPLICATE ERROR: IDENTICAL PHARMACY CLAIMS' MAPPED TO NCPDP REJECT CODE 83. PLEASE CALL THE POS HELP DESK AT 1-800-648-0790 OR 225-216-6381 FOR ADDITIONAL INFORMATION IF NEEDED.                          

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.

ATTENTION OUT-OF-STATE PROVIDERS
INPATIENT ACUTE CARE 

OUT-OF-STATE HOSPITALS WHICH PROVIDED INPATIENT SERVICES TO LOUISIANA MEDICAID HURRICANE KATRINA EVACUEES HAVE RECEIVED NUMEROUS DENIALS ON INPATIENT CLAIMS. ONLY THOSE CLAIMS WHICH RECEIVED A DENIAL CODE OF 532-OUT-OF-STATE SERVICE REQUIRES DHH APPROVAL LETTER, ARE BEING REPROCESSED. THEREFORE PROVIDERS MUST CONTACT THE PROVIDER RELATIONS HELPDESK AT 1-800-473-2783 FOR ASSISTANCE IN CORRECTING AND RESUBMITTING CLAIMS WHICH DENIED FOR ANY OTHER REASON.