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.

ATTENTION MEDICAID PROVIDERS

THE DIVISION OF LONG TERM SUPPORTS AND SERVICES (DLTSS) HAS IMPLEMENTED A NEW TOLL-FREE NUMBER. THIS TOLL FREE NUMBER WILL SERVE AS THE HELP LINE FOR DLTSS INCLUDING ALL PROGRAMS, SUCH AS ADHC WAIVER, EDA WAIVER, AND LT-PCS. THE NEW DLTSS HELP LINE TOLL FREE NUMBER IS 1-866-758-5035. 

EFFECTIVE IMMEDIATELY, THE PREVIOUS HELP LINE NUMBER 1-800-660-0488, WILL BE MAINTAINED BY THE MEDICAID HEALTH STANDARDS SECTION (HSS). THIS NUMBER WILL BE USED TO REPORT COMPLAINTS ABOUT SUPPORT COORDINATORS AND/OR DIRECT SERVICE PROVIDERS. 

THE OFFICE FOR CITIZENS WITH DEVELOPMENTAL DISABILITIES/WAIVER SUPPORTS AND SERVICES (OCDD/WSS) MAIN NUMBER WILL BE USED FOR QUESTIONS OR CONCERNS RELATED TO THE NEW OPPORTUNITIES WAIVER (NOW) AND THE CHILDREN'S
CHOICE WAIVER. THE MAIN OFFICE NUMBER IS 225-342-0095. 

DLTSS HELP LINE TOLL FREE NUMBER - 1-866-758-5035 
USE THIS # FOR GENERAL DLTSS INFORMATION, INCLUDING EDA, ADHC, & LT-PCS.

HSS TOLL FREE NUMBER - 1-800-660-0488 
USE THIS # FOR COMPLAINTS ABOUT SUPPORT COORDINATORS AND/OR DIRECT 
SERVICE PROVIDERS. 

OCDD MAIN NUMBER - 225-342-0095 
USE THIS # FOR GENERAL OCDD/WSS INFORMATION, INCLUDING NOW AND 
CHILDREN'S CHOICE WAIVER. 

ATTENTION UCC PROVIDERS:

BEGINNING AUGUST 1, 2006 YOU CAN START SUBMITTING ADJUSTMENTS, VOIDS AND RESUBMITS OF DENIED CLAIMS. YOU WILL HAVE UNTIL SEPTEMBER 15, 2006 AT MIDNIGHT TO COMPLETE THE ABOVE REFERENCED TRANSACTIONS. THESE MAY BE SUBMITTED USING THE UCC WEB APPLICATION ONLY. NO PAYMENTS WILL BE MADE AFTER SEPTEMBER 30, 2006. REFERENCE THE UCC WEB USER GUIDE FOR INSTRUCTIONS AT 
<HTTP://WWW.LAMEDICAID.COM/PROVWEB1/HURRICANERELIEFPOOLPLAN.HTM>