RA Messages for September 23, 2003

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THE ABOVE IS A CMS RETROACTIVE CORRECTION. PLEASE ADJUST CLAIMS. 

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PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX B:

NDC	TRADENAME	DOSAGE
64248-0120-05	MIDRIN	CAPSULE

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PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX C:

LABELER	COMPANY	BEGIN	END
000463	C.O. TRUXTON INC	10/01/03
59229	HORUS THERAPEUTICS		01/01/04
67386	OVATION PHARMACEUTICALS, INC	01/01/04
67871	QOL MEDICAL	10/01/03
68013	VISION PHARMA, LLC	10/01/03
68032	RIVER'S EDGE PHARMACEUTICALS	01/01/04
68134	PALMETTO PHARMACEUTICALS, INC	01/01/04

PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID. 

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NOTICE TO ALL PROVIDERS

THE TOLL-FREE NUMBER, 877-598-8753, IS AVAILABLE TO ALL PROVIDERS FOR 
LAMEDICAID.COM WEB SUPPORT ISSUES. 

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NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES

THE LOUISIANA MEDICAID PROGRAM IS PLEASED TO ANNOUNCE AN INCREASE IN FEES RETROACTIVE TO DATE OF SERVICE JANUARY 1, 2003 FOR THE FOLLOWING SERVICES: 

SURGICAL SERVICES. FEES WERE INCREASED TO 100% OF THE MEDICARE REGION 99 ALLOWABLES FOR YEAR 2002 FOR THE PRIMARY SERVICING PHYSICIAN, ONLY, FOR CHILDREN FROM BIRTH THROUGH AGE 10 (CODES IN THE RANGE OF 10021 - 69990 EXCEPT FOR NON-PAYABLE CODES, CODES RESTRICTED TO CROSSOVERS, CODES WHOSE FEES WERE ALREADY AT 100% OF THE MEDICARE REGION 99 ALLOWABLES FOR YEAR 2002 AND CODES FOR NEWBORN CIRCUMCISIONS {CODES 54150 AND 54160}) 

MUSCULOSKELETAL SYSTEM SERVICES. FEES WERE INCREASED TO 80% OF THE MEDICARE REGION 99 ALLOWABLES FOR YEAR 2002 FOR RECIPIENTS 11 YEARS OF AGE AND OLDER (CODES IN THE RANGE OF 10000 - 29999) EXCEPT FOR NON-PAYABLE CODES AND CODES WHOSE FEES WERE ALREADY AT 80% OF THE MEDICARE REGION 99 ALLOWBLES FOR YEAR 2002 

SELECTED SPECIALTY SERVICES. FEES WERE INCREASED TO 84% OF THE MEDICARE REGION 99 ALLOWABLES FOR YEAR 2002 FOR CODES 36460, 59000 AND 59015 FOR RECIPIENTS 11 YEARS OF AGE AND OLDER. FEES FOR CODES 76825, 76828, 93531, 93533, 99231 AND 99232 WERE INCREASED TO 84% OF THE MEDICARE REGION 99 ALLOWABLES FOR YEAR 2002 FOR ALL RECIPIENTS REGARDLESS OF AGE. 

ADJUSTMENTS APPEARED ON THE REMITTANCE ADVICES OF AUGUST 26 AND SEPTEMBER 3, 2993. 

IF YOU WISH TO SUBMIT A SECOND ADJUSTMENT TO A CLAIM BECAUSE YOUR BILLED CHARGE WAS LESS THAN THE INCREASED RATE, THE ICN OF THE FIRST ADJUSTMENT MUST BE SUBMITTED ON THE SECOND ADJUSTMENT FORM INSTEAD OF THE ICN OF THE ORIGINAL PAYMENT. 

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HOME AND COMMUNITY-BASED WAIVER SERVICES

FOR INFORMATION ABOUT HOME AND COMMUNITY-BASED WAIVER SERVICES AS AN 
ALTERNATIVE LONG TERM CARE OPTION, PLEASE CALL 1-800-660-0488.