RA Messages for September 7, 1999
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
PLEASE
MAKE THE FOLLOWING CHANGES TO THE 8/15/98 VERSION OF APPENDIX A:
|
DRUG |
DOSAGE |
STRGTH |
MAC |
EFF.DATE |
|
ACEMANNAN/ASPARTAME |
SOLN RECON |
|
|
06/01/99 |
|
FENOFIBRATE,MICRONIZED |
CAPSULE |
200MG |
|
08/16/99 |
|
NAPROXEN
SODIUM |
TABLET SA |
412.5MG; 550MG |
|
05/01/99 |
PLEASE FILE
ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID
PHARMACY
PROVIDERS--XENICAL DIAGNOSIS CLARIFICATION --EDIT #020
THE DIAGNOSIS ICD-9 CODE SUBMITTED ON A PRESCRIPTION CLAIM
MUST MATCH EXACTLY THE ICD-9 DIAGNOSIS CODE WRITTEN BY THE
PRESCRIBER ON THE PRESCRIPTION. DHH WILL ONLY PAY FOR VALID ICD-9 CODES LISTED
IN THE MOSTCURRENT ICD-9-CM TEXT.
Notice to Home Health Agencies
FIMS # 55779
The June/July issue of the Louisiana Medicaid Provider Update includes an
article to Home Health Agencies entitled "RN Qualifications for Psychiatric
Home Health Visits."
The last paragraph of this article includes an incorrect statement./
The correct wording of the last paragraph is "Additionally , the services
must be medically necessary and provided only to recipients who meet Medicaid's
homebound criteria."
We apologize for any inconvenience this may have caused.
All Providers
FIMS #5780
Thisi s a reminder that Act 1142 of the 1997 Regular Session of the Louisiana
Legislature requires that all Medicaid related records be retained for a period
of (5) years.
The Department's contact person for civil rights issues has changed.
Providers may now contact Ms. Evella Collins at (225)342-3797.