RA Messages for September 18, 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.
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.
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.