RA Messages for July 25, 2006


PHARMACY PROVIDERS,PLEASE NOTE!!!

PLEASE NOTE THE FOLLOWING CHANGES TO APPENDIX B:  

LABELER COMPANY BEGIN END
00048 KNOLL PHARMACEUTICAL COMPANY     10/1/2006
11528 CENTRIX PHARMACEUTICAL,INC 7/1/2006   
13548 CORIA LABORATORIES, LTD 4/1/2006  
13863 FORUM PRODUCTS INC.    10/1/2006
14508 SUN PHARMACEUTICAL INDUSTRIES, INC 7/1/2006   
15020 GSP COMPANY    7/1/2006
15127 SELECT BRAND DISTRIBUTORS 10/1/2006   
15310 CREEKWOOD PHARMACEUTICAL, INC     7/1/2006
15370  CARWIN ASSOCIATES, INC 10/1/2006   
15704  HAMPTON-LAINE, LLC    7/1/2006
16249 INSUMED, INC. 7/1/2006   
16252  COBALT LABORATORIES, INC 10/1/2006   
16477  LASER PHARMACEUTICALS, LLC 7/1/2006   
16781 ONSET THERAPEUTICS 7/1/2006   
16881  DESTON THERAPEUTICS, LLC 10/1/2006    
16887 VERNALIS PHARMACEUTICALS, INC 10/1/2006    
17236 R&S NORTHEAST     7/1/2006
18011 ZERXIS PHARMA, L.L.C. 10/1/2006   
38779  MEDISCA, INC.     7/1/2006
45809 SHIONOGI USA, INC. 10/1/2006   
54807 R.I.D.,INC     7/1/2006
55053 ECONOLAB        7/1/2006
59746 JUBILANT PHARMA, INC.  7/1/2006   
61480 PLYMOUTH PHARMACEUTICALS, INC 10/1/2006   
62294 DIHOMA CHEMICAL MANUFACTURING CORP    10/1/2006
62559 ANIP ACQUISTION COMPANY 7/1/2006   
62756 SUN PHARMACEUTICAL INDUSTRIES,LTD. 7/1/2006   
66814 WORLD GEN LLC    7/1/2006
67159  CV THERAPEUTICS, INC. (CVT) 7/1/2006   

DETAILED FUL CHANGES ARE POSTED ON WWW.LAMEDICAID.COM                 

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 PRESCRIBING PROVIDERS AND PHARMACY PROVIDERS

EFFECTIVE AUGUST 1, 2006 PHARMACY CLAIMS FOR COMBINATION ACETAMINOPHEN PRODUCTS WILL DENY WHEN THE DOSE OF ACETAMINOPHEN EXCEEDS FOUR (4) GRAMS PER DAY.  THE PHARMACY CLIAMS WILL DENY WITH NCPDP REJECTION CODE 88 (DUR REJECT ERROR) MAPPED TO EOB CODE 529 (EXCEEDS MAXIMUM DAILY DOSE).  REFER TO CORRESPONDENCE DATED JUNE 23, 2006.


ATTENTION ALL PROVIDERS - NATIONAL PROVIDER IDENTIFIER

DHH HAS LAUNCHED A NEW NPI WEB REGISTRATION SITE FOR PROVIDERS TO REGISTER THEIR NPI WITH LOUISIANA MEDICAID. CMS WILL REQUIRE ALL HIPAA STANDARD TRANSACTIONS, INCLUDING MEVS ELIGIBILITY INQUIRY AND CLAIMS STATUS INQUIRY TO BE SUBMITTED USING THE NPI NUMBER BEGINNING 23-MAY-07.THE NEW NPI APPLICATION IS ACCESSIBLE FROM THE LIST OF APPLICATIONS IN THE SECURED PROVIDER AREA OF THE WWW.LAMEDICAID.COM WEB SITE. FIND THIS AND MORE ON THE NPI INFORMATION PAGE ACCESSIBLE FROM WWW.LAMEDICAID.COM>HIPAA INFORMATION CENTER>NATIONAL PROVIDER IDENTIFIER (NPI).


ATTENTION KIDMED PROVIDERS

EFFECTIVE IMMEDIATELY, KIDMED PROVIDERS BILLING SERVICES HARD COPY ON THE KM-3 CLAIM FORM MAY ENTER TPL INFORMATION ON THIS FORM WHEN A RECIPIENT HAS OTHER PRIMARY INSURANCE COVERAGE. A MORE DETAILED NOTICE, INCLUDING A SAMPLE CLAIM FORM INDICATING THE APPROPRIATE PLACEMENT OF THE REQUIRED TPL CARRIER CODE AND PAYMENT AMOUNT CAN BE FOUND ON OUR WEB SITE, WWW.LAMEDICAID.COM <HTTP://WWW.LAMEDICAID.COM/>, LINK NEW MEDICAID INFORMATION, AFTER WHICH IT WILL BE MOVED TO THE LINK, BILLING INFORMATION. PLEASE REVIEW THIS MATERIAL AND CONTACT PROVIDER RELATIONS (800)473-2783 OR (225) 924-5040 SHOULD YOU HAVE QUESTIONS.