RA Messages for September 11, 2001

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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.

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NOTICE TO PROVIDERS OF LABORATORY SERVICES

EFFECTIVE WITH DATE OF SERVICE SEPTEMBER 1, 2001,FEES FOR THE LABORATORY  CODES LISTED BELOW WILL BE REDUCED IN ORDER TO BRING MEDICAID REIMBURSEMENT AMOUNTS FOR THESE CODES IN LINE WITH THOSE BEING PAID BY MEDICARE. THE NEW FEES WILL BE AS FOLLOWS: 

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ATTENTION DENTAL PROVIDERS

ESPDT DENTAL PROGRAM AND ADULT DENTURE PROGRAM CLARIFICATION OF REQUIREMENTS FOR IDENTIFICATION INFORMATION PROCESSED INTO NEW REMOVABLE DENTAL PROSTHETICS 

 THE IDENTIFICATION REQUIREMENTS WHICH MUST BE PROCESSED INTO NEW REMOVABLE DENTAL PROSTHETICS FOR BOTH THE EPSDT DENTAL AND ADULT DENTURE PROGRAM HAVE BEEN SHORTENED. EFFECTIVE IMMEDIATELY, THE FOLLOWING  INFORMATION MUST BE PROCESSED INTO THE ACRYLIC BASE OF EACH NEW  REMOVABLE DENTAL PROSTHESIS: THE FIRST FOUR LETTERS OF THE RECIPIENT'S LAST NAME, FIRST INITIAL, MONTH AND YEAR, AND THE LAST FIVE DIGITS OF  THE MEDICAID PROVIDER NUMBER. THE POSSIBLE INCREASE IN EXPENSE  ASSOCIATED WITH THIS REQUIREMENT WAS CALCULATED INTO THE JANUARY 21, 2001 RATE INCREASE. SHOULD YOU HAVE FURTHER QUESTIONS, PLEASE CONTACT THE LSU DENTAL SCHOOL, DENTAL MEDICAID UNIT, BY CALLING 504-619-8589. 

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ATTENTION ALL ADULT DENTURE PROGRAM PROVIDERS

 ADULT DENTURE PROGRAM SERVICE LOCATION POLICY  EFFECTIVE MAY 20, 2001, THE DEPARTMENT OF HEALTH AND HOSPITALS, OFFICE OF THE SECRETARY, BUREAU OF HEALTH SERVICES FINANCING ESTABLISHED  REQUIREMENTS FOR ADULT DENTURE PROGRAM PROVIDERS REIMBURSED UNDER THE  MEDICAID PROGRAM AND CONDUCTING BUSINESS AT LOCATIONS OTHER THAN THEIR PRINCIPLE PLACE OF PRACTICE. ADULT DENTURE PROGRAM PROVIDERS SHALL  PROVIDE THE PHYSICAL ADDRESS AND BUSINESS TELEPHONE NUMBER OF THEIR PRINCIPLE PLACE OF PRACTICE TO THE MEDICAID PROVIDER ENROLLMENT UNIT AND TO THE DHH DENTAL CONSULTANTS AT THE LSU SCHOOL OF DENTISTRY. RECORDS DOCUMENTING THE SERVICES PROVIDED SHALL BE MAINTAINED AT THIS LOCATION. TO BE ELIGIBLE FOR REIMBURSEMENT UNDER THE ADULT DENTURE  PROGRAM, THE SERVICE MUST BE PERFORMED IN EITHER THE PARISH WHERE THE PROVIDER'S PRINCIPLE PLACE OF PRACTICE IS LOCATED, ANY SURROUNDING  PARISH WITH A CONTIGUOUS BORDER OF AT LEAST ONE MILE, OR ANY PARISH  WITH A LAND BORDER OF AT LEAST ONE MILE CONTIGUOUS WITH THOSE PARISHES. SHOULD YOU HAVE ANY FURTHER QUESTIONS REGARDING THIS MATTER, YOU MAY  CONTACT THE LSU SCHOOL OF DENTISTRY, DENTAL MEDICAID UNIT BY CALLING 504-619-8589.