Additional Recent Policy

ICD-10 UPDATE: External Cause of Injury Diagnosis Codes (Diagnosis Codes Beginning with V, W, X or Y) Are now Billable as Non-Primary Diagnosis Codes 03/18/19

Attention All Providers Receiving Electronic Remit Transactions (835) 03/18/18

Attention Physicians and Independent Laboratories: 2019 Clinical Laboratory Services - Reimbursement Changes 03/12/18

Attention Submitters of Electronic Claim Files 03/12/18

2019 Allowed Procedures for Assistant Surgeon and Assistant at Surgery Providers 02/25/19

2019 HCPCS and Physician-Administered Drug Reimbursement Updates 02/01/19

Attention Durable Medical Equipment Providers 01/30/19

ATTENTION: Providers and Submitters of Electronic Claims – Urgent Message 01/29/19

Attention FQHC and RHC Providers 01/18/19

Public Forum - Quality Performance Measures Tracked by MCOs. 01/16/19

Non Invasive Prenatal Testing 01/11/19

Attention Ob/Gyn Providers – Sterilization Consent Form 01/11/19

Attention All Providers Receiving Electronic Remit Transactions (835) 01/03/19

Attention Providers/Submitters of Electronic Claims - November and December 2018 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/15/18 (Revised 12/4/18)

Coverage of Hepatitis B Adult 2 Dose Vaccine 12/04/18

Attention Providers of Home Health Services 11/15/18

Home Health Prior Authorization Guidance for Recipients Aged 21 and Older 11/15/18

Physician Requirements for Ordering Home Health Services 11/15/18

Attention Providers of Preventive Medicine Visits 11/07/18

Medicaid Check Write Schedule for Calendar Year 2019 11/07/18

LTC Monthly Processing Schedule for Calendar Year 2019 11/07/18

Attention FQHCs and RHC Providers 11/01/18

Attention Durable Medical Equipment Providers 11/01/18

Reimbursement Changes for Physician-Administered Drugs – Medicare Crossover Claim Adjustments 10/26/18

Reimbursement for Lynch Syndrome and Familial Adenomatous Polyposis (FAP) Genetic Testing 10/26/18

Claims Adjustment/Recycle Reimbursement Changes for Physician-Administered Drugs 10/18/18

Physician-Administered Drugs - Reimbursement Changes 10/05/18

ATTENTION: Providers of Hospice Services 10/01/18

Attention ICF Providers - ICF/IID Billing Reminder 9/25/18

ATTENTION PROVIDERS/SUBMITTERS: MEDICARE AND MEDICAID ADVANTAGE FILING GUIDELINES 09/17/18

ATTENTION: Provider Portal Login Update on LAMEDICAID.com 09/11/18

ATTENTION PROVIDERS OF HOME HEALTH SERVICES 09/07/18

Attention All Providers Receiving Electronic Remit Transactions (835) 08/29/18

Louisiana Department of Health Provider Feedback Survey 08/03/18

Attention: EarlySteps Speech Language Pathologists 07/10/18

ATTENTION ALL PROVIDERS: INCORRECT USE OF ICD-10 CODES WILL RESULT IN CLAIM DENIALS 06/27/18

ATTENTION Vision (Eyewear) SERVICES PROVIDERS: 05/24/18

ATTENTION PROVIDERS OF HOSPICE SERVICES 05/18/18

ATTENTION OUTPATIENT HOSPITAL PROVIDERS: LARCs Inserted in the Outpatient Hospital Setting 04/30/18

Attention All DME Providers - Portable Oxygen Coverage and Reimbursement 04/25/18

Attention All Providers Receiving Electronic Remit Transactions (835) 04/24/18

Electronic Submission of Medicare Advantage Claims 04/24/18

Attention Providers of CLIA Waived Tests 04/17/18

Attention: LTC and ICF-DD Providers 04/04/18

Attention Providers of Immunizations 03/21/18

ATTENTION: Electronic Health Records Participants 03/21/18

2018 Clinical Laboratory Services – Fee Reimbursement Changes 03/16/18

2018 HCPCS Claims Recycle 02/23/18

Clear Claim Connection Security Update-March 2018 02/21/18

ATTENTION PROVIDERS BILLING FOR MEDICARE CROSSOVER SERVICES 02/19/18

ATTENTION: LTC and ICF-DD FACILITIES 11/16/17 (Revised 12/21/17) (Revised 02/08/18)

2018 Update to ‘ClaimCheck’ Product Editing 02/06/18

Attention LTC and ICF-DD Facilities 02/05/18

2018 HCPCS and Fee Schedule Update 02/01/18

2018 Assistant Surgeon and Assistant at Surgery Covered Procedures 02/01/18

ATTENTION: Providers and Submitters of Fee for Service (FFS) Medicare Crossover Claim Denials for Dual QMB/Take Charge Plus Members 01/31/18

Providers May Now Submit Medicare Advantage Claims Electronically to Medicaid 01/31/18

ATTENTION: Providers and Submitters of Electronic Claims—Urgent Message 01/11/18

Attention all Providers Receiving Electronic Remit Transactions (835) 01/05/18

Re- implementation of the LaHIPP Program 01/03/18

LaHIPP Only Providers 01/03/18

2017 Annual 1099 Notice for Providers 01/02/18

Attention Providers – 2018 HCPCS Update 12/22/17

Attention ICF/IID Providers 12/20/17

ATTENTION MEDICAID PROVIDERS 12/1/17

Attention Hospitals - SFY 2018 Act 540 Uncompensated Care Costs Survey 11/22/17

Attention Providers/Submitters of Electronic Claims - November and December 2017 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/14/17

Attention Providers of Immunization Services – Fee Schedule Update 11/02/17

Attention Providers of Immunization Services 11/02/17

Attention Providers of End Stage Renal Disease Services 11/02/17

Medicaid Check Write Schedule for Calendar Year 2018 10/13/17

LTC Monthly Processing Schedule for Calendar Year 2018 10/13/17

Attention Applied Behavioral Analysis Providers Billing Behavior Identification Assessment – 0359T 10/10/17

CHANGES TO DURABLE MEDICAL EQUIPMENT (DME) SERVICES DUE TO TROPICAL STORM NATE OCTOBER 2017 IN THE AFFECTED PARISHES 10/07/17

CHANGES TO PHARMACY SERVICES DUE TO TROPICAL STORM NATE OCTOBER 2017 IN THE AFFECTED PARISHES 10/07/17

Attention ICF/IID Providers 10/03/17

ATTENTION PROFESSIONAL PROVIDERS 09/20/17

Hurricane Harvey FAQ 09/02/17

ATTENTION PROVIDERS AND SUBMITTERS OF ELECTRONIC CLAIMS 08/31/2017

Attention Portable Radiology Services Providers 08/30/17

Attention Users of the 5010 837P Claim Transaction 08/24/17

Attention Outpatient Hospital Services Providers 08/16/17

ATTENTION SMALL RURAL HOSPITALS FFY 2018 UCC 08/15/17

ATTENTION ALL LOUISIANA MEDICAID PROVIDERS:Webinar Announcement 07/28/17

Professional Component of Clinical Laboratory Services – Fee Reimbursement 07/18/17

ATTENTION PROVIDERS OF HOSPICE SERVICES: HOSPICE RATE ADJUSTMENTS FOR FFY 2017 EFFECTIVE 10/01/16 07/06/17

2017 Assistant Surgeon and Assistant at Surgery Covered Procedures – Revised May 2017 05/31/17

Institutional Providers Provider Disallowance 05/25/17

Professional Providers Provider Disallowance 05/25/17

Attention Electronic Claim Submitters/Providers 05/25/17

Attention EPSDT Personal Care Services Providers-ACA Requirement to Enter Ordering Provider on Medicaid Claims 05/25/17

Attention Hospital Providers: High Medicaid DSH Pool FFY 2017 deadline June 9, 2017 05/18/17

PCS Ordering Requirements – May 2017 05/17/2017

Providers May Now Submit Denied Medicare Claims Electronically to Medicaid 05/16/17

Hospital Rate Increase and Claims Reprocessing Message 05/04/17

Notice of Requirement for Fingerprint Based Criminal Background Checks (FCBC) on ‘High’ Risk Medicaid Providers 05/04/17

Fee Schedule Publishing Change 05/03/17

Clinical Laboratory Services – Fee Reimbursement Changes 05/02/17

Attention all Providers Receiving Electronic Remit Transactions (835) 04/18/17

Attention Outpatient Hospital and Outpatient Hospital Clinic Providers 04/07/17

Attention Podiatrists: Removal of the Podiatry Table 03/30/17

Attention Professional Services Providers: Revised Billing Instructions - ACA Requirement Ordering Providers 03/24/17

Attention DME Providers: Revised Billing Instructions - ACA Requirement Ordering Providers 03/24/17

Important Information on Fulfilling New Medicaid Requirements for Attending, Ordering, Prescribing and Referring Providers 08/09/16 (Reposted 03/24/17)

2017 HCPCS Claims Recycle 03/23/17

2017 HCPCS and Fee Schedule Update 02/27/17

2017 Assistant Surgeon and Assistant at Surgery Covered Procedures 02/23/17

Attention Professional Providers – Requirement for Entering Ordering Provider on Claims 02/21/17

Attention Submitters and Providers of Electronic Claim Submissions Processing Fee-For-Service Claims Containing Missing, Invalid, or Incorrect Billing NPIs 02/15/17

Attention Professional Providers, Independent Laboratory Providers, Take Charge Plus Providers and Outpatient Hospital Providers 01/25/17

2016 Annual 1099 Notice for Providers 01/18/17

Attention All Providers – 2017 HCPCS Update 12/19/16

Attention all Providers Receiving Electronic Remit Transactions (835) 12/08/16

Attention ABA Providers: Implementation of New ABA Procedure Codes and Rates 12/01/16

Attention Professional Providers, Independent Laboratory Providers, Take Charge Plus Providers and Outpatient Hospital Providers 11/29/16

Alert for VFC Providers: Coverage of HPV Vaccine, CPT Code 90651 11/23/16

Medicaid Check Write Schedule for January through December of 2017 11/18/16

LTC MONTHLY PROCESSING SCHEDULE FOR THE YEAR 2017 11/18/16

Policy Change for Transplant Claims 11/17/2016

Attention Hospitals - SFY 2017 Act 540 Uncompensated Care Costs Survey 11/15/16

Attention Providers/Submitters of Electronic Claims - November and December 2016 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/15/16

ATTENTION Providers of Maternity and Obstetrical Care 11/01/16

ATTENTION Submitters and Providers Receiving the 835 Remittance Transaction 11/01/16

LDH's CMS Emergency Rule Information/Resource Brief 10/27/16

Attention Outpatient Hospital and Outpatient Hospital Clinic Providers 10/25/16

Billing Immunization Administration Code 90472 10/25/16

Update to ClaimCheck Editing 10/25/16

ATTENTION PROVIDERS OF OUTPATIENT SERVICES: MEDICAID RESPONSIBILITY FOR MEDICAID ELIGIBLE INCARCERATED RECIPIENTS 10/11/16

Attention Providers of Breast Reconstruction Surgery 10/11/16

ATTENTION PROVIDERS AND SUBMITTERS OF ELECTRONIC CLAIMS 09/30/16

Attention Providers Breast Reconstruction Post Mastectomy 09/26/16

Attention Providers: Information Regarding Intranasal Flu Vaccine for 2016-2017 09/23/16

Attention Providers – Genetic Testing for Breast and Ovarian Cancer 09/06/16

Attention ICF Providers-New Cost Report Template 08/30/16

Attention ICF Provider Impacted Recent Weather Events 08/30/16

Attention all Providers Receiving Electronic Remit Transactions (835) 08/30/16

Attention All Providers – All Private TPL and Medicare Advantage Plan Request Update 08/24/16

Attention Medicaid Providers: Administrative Correction Voids processed in August 30, 2016 payment cycle 08/23/16

Medicaid Services Provided in the Home for Displaced Members 08/22/16

CHANGES TO DME, HOME HEALTH, REHABILITATION AND PERSONAL CARE SERVICES DUE TO THE AUGUST 2016 FLOOD IN AFFECTED PARISHES 08/17/16

Timely Filing for Retroactive Eligibility 08/10/16

ATTENTION SMALL RURAL HOSPITALS FFY 2017 UCC 08/10/16

ATTENTION GNOCHC PROVIDERS – DEMONSTRATION YEAR 6 CLAIMS DEADLINE 07/26/16

ATTENTION EarlySteps Providers: Edit 781 Changed to a Denial 07/26/16

ATTENTION HOME HEALTH PROVIDERS: TRANSITION TO 15 (fifteen) MINUTE UNITS FOR HOME HEALTH AIDE SERVICES 06/28/16

Attention All Providers – All Fee Schedules Available on New Display 06/07/16

ATTENTION HOSPITAL PROVIDERS - FFY 2016 Federally Mandated Statutory Hospitals UCC (High Medicaid DSH Pool) 06/01/16

340B Policy Clarification FFS Provider Notice 05/26/16

ATTENTION ALL PROVIDERS INCORRECT USE OF ICD-9/ICD-10 CODES AND QUALIFIERS WILL RESULT IN CLAIM DENIALS 05/19/16

ATTENTION SCHOOL BOARDS/EARLY INTERVENTION CENTERS/LEAs 05/12/16

Requirements for Attending and Referring Providers on Institutional Claims 05/11/16

Requirements for Ordering, Prescribing, and Referring Providers Revised 05/11/16

Attention Providers of CLIA Waived Tests 05/05/16

New Hospice Rates for Service Intensity - Effective 1/1/2016 04/29/16

ATTENTION ALL LOUISIANA MEDICAID PROVIDERS: CAQH/CORE Rule 360 for Electronic Remit Transactions (835) 04/28/16

ATTENTION Non-Emergency Ambulance Providers 04/21/16

Implementation of NCCI MUE for Practitioner and ASC Services 4/12/16

Attention All Case Management Providers (NPI Notice) - Second Notice 04/07/16

Attention All Behavioral Health Providers 04/06/16

Attention Providers 2016 HCPCS Claims Recycle/Fee Schedule Update (PDF Format) 03/31/16

ATTENTION ALL PROVIDERS MANAGING UPDATES TO ENROLLEES' TPL FILES. 03/08/16 (Revised 03/31/16)

National Correct Coding Initiative (NCCI), Medically Unlikely Edits (MUE) for Practitioner and Ambulatory Surgical Center (ASC) Services 3/29/16

Attention Durable Medical Equipment and Supplies Providers 03/28/16

Attention All Providers Claims Voided Due To Timely Filing Error 03/24/16

Attention All Providers – New Fee Schedule Displays 03/24/16

ATTENTION LTC PROVIDERS = ADUJUSTMENTS OF FEBRUARY 2016 CLAIMS 03/17/16

ADHC Billing Form and Procedure Code Changes – Second Notice 03/15/16

Attention Home Health Providers Billing for Skilled Nursing Services (PDF Format) 03/10/16

ATTENTION Bayou Health Plans: Emergency Ambulance Claims Incorrectly Paid by Fee for Service Medicaid (Molina) Voids. 03/09/16

Update to ClaimCheck Product Editing 03/03/16

ATTENTION PRIMARY CARE PROVIDERS: 02/26/16

Attention All Case Management Providers (NPI Notice) 02/24/16

2016 Assistant Surgeon and Assistant at Surgery Covered Procedures 02/19/16

ClaimCheck® 2016 Assistant Surgeon and Assistant at Surgery Procedure Codes 02/19/16

Attention All Supports Waiver Providers!!! New Date for the Implementation Date of the Supports Waiver Changes 02/19/16

ATTENTION ALL ADULT DAY HEALTH CARE PROVIDERS - Change in Billing Form for ADHC Services 02/18/16

Attention EPSDT-Personal Care Services (EPSDT-PCS) Providers 02/17/16

LAConnect EHR Attestation Portal to Re-Open for Meaningful Use in Late February 02/12/16

Attention Providers 2016 HCPCS Update 02/10/16

Attention Providers of Obstetrical and Gynecological Services: Implanon (J7306) Discontinued 02/03/16

Proper use of the STATE SUPPLEMENT (OSS) CHECKS System 01/29/16

Attention Home Health Providers 2016 HCPCS Update 01/28/16

ATTENTION PROVIDERS WHOSE FEE-FOR-SERVICE CLAIMS PEND FOR PREPAYMENT REVIEWSYSTEM PROCESSING ISSUE INVOLVING THESE PENDS (EDIT 241) 01/28/16

Home Health Required Changes to Type of Bill 01/26/16

Prescribing Providers Encouraged to Enroll in Fee-for-Service (FFS) Medicaid - Effective January 19, 2016 1/25/16

Attention LT-PCS and PCA Waiver Providers 01/21/16

2015 Annual 1099 Notice for Providers 01/21/16

Attention Providers: Removal of the Twelve (12) Visit Limit 01/19/16

Attention all Providers receiving Electronic Remit Transactions (835) 01/08/16

Attention Providers Who Submitted Electronic Files 01/06/16

ATTENTION PROVIDERS SUBMITTING PROFESSIONAL MEDICARE CROSSOVER CLAIMS TO MOLINA – CLAIMS DENIED FOR EDIT 204 IN ERROR TO BE RECYCLED 01/06/16

Attention OB/GYN Providers – Sterilization Consent Forms 01/06/16

Crossover Claim Denials for Edit 544 TCP 12/29/15

Attention All Providers 2016 HCPCS Update 12/29/15

Attention New and Revised Place of Service Codes (POS) for Outpatient Hospital – Implementation Date 01-01-2016 12/28/15

Attention Providers of EPSDT Services 12/23/15

Attention ICF Providers, Nursing Home Providers, and Hospice Providers CMS required billing changes 12/22/15

Attention Professional Providers Licensed Midwives Now Eligible to Enroll as Medicaid Providers 12/16/15

Attention Professional Obstetrical and Hospital Providers 12/16/15

ATTENTION EPSDT PCS PROVIDERS 12/15/15

Medicare Crossover Claims for Incarcerated Recipients 12/10/15

ATTENTION DENTAL - ORAL SURGEON - PROVIDERS - CORRECTION to 12/1/2015 Remittance Advice 12/9/15

EDI Submitter Self-Test System Maintenance 12/8/15

ATTENTION GNOCHC PROVIDERS - DEADLINE FOR DY5 CLAIM ADJUSTMENTS OR RESUBMITTALS 11/25/15

Medicaid Check Write Schedule CY 2016 11/24/15

Medicaid Checkwrite Schedule for LT, ICF-DD & Hospice (Room and Board) CY 2016 11/24/15

ATTENTION DENTAL – ORAL SURGEON PROVIDERS REGARDING CLAIMS INAPPROPRIATELY PAID BY LEGACY MEDICAID FOR DOS BEGINNING 02-01-2015 11/20/15

Home Health Provider Over Payment 11/18/15

Update to ‘ClaimCheck’ Product Editing 11/16/15

Attention Professional Providers of Laboratory Services-CLIA Waived Tests 11/16/15

Attention Providers/Submitters of Electronic Claims - November and December 2015 Holiday Cut-off Dates for Receiving Electronic Claim Files 11/13/15

ATTENTION PROVIDERS AND SUBMITTERS OF ELECTRONIC CLAIMS 11/12/15

Waiver and PCS Provider Claims Processing Problem 11/10/15

Attention Physician and Outpatient Hospital Providers-Calculating OB Ultrasound Service Limits 11/9/15

ATTN WAIVER AND PCS PROVIDERS 11/3/15

Attention Hospital Providers: Policy Clarification-Hospital Owned Clinics and Provider Based Billing 10/23/15

ICD-10 Claims Processing Reminders 10/15/15

Attention OB/GYN Providers-Sterilization Consent Form 10/5/15

ICD-10 Readiness Alert 10/1/15

Take Charge Plus ICD-10 Coding 9/25/15

Home and Community Based Services – Recycle of Claims Due to Post Authorization Adjusts 9/24/15

ICD-10 Testing nformation Update 9/18/15

BAYOU HEALTH, LBHP, and DBPM PMPM PAYMENTS SCHEDULE, STATE FISCAL YEAR 2016 9/15/15

ICD-10 Information Update 9/10/15

ICD-10 QA 9/10/15

Attention all Providers receiving Electronic Remit Transactions (835) 9/8/15

Attention ALL Adult Day Health Care (ADHC) Providers Transition from Monthly Billing Cycle 9/1/15

Timely Filing Requirements for Close out of Shared Plans 8/26/15

Attention Durable Medical Equipment Providers 8/21/15

Take Charge Plus Claims Processing Corrections 8/7/15

ICD-10 Implementation Webinar Presentation 8/7/15

ATTENTION PROVIDERS OF LAB SERVICES 8/6/15

Attention Professional Providers of Obstetrical Services 7/31/15

Attention ICF Providers, Nursing Home Providers, and Hospice Providers CMS required billing changes 7/10/15

Billing of Shared Savings Plan Claims after July 31, 2015 7/9/15

ICD-10 Outreach 7/6/15

LBHP and Bayou Health PMPM Payments Schedule through December 2015 6/29/15

Reimbursement Changes for Over-the-Counter Products 6/26/15

Attention Hospital Providers-Revenue Code 761 6/23/15

ATTENTION ALL PROVIDERS MANAGING TPL UPDATES TO RECIPIENT FILES 06/19/15

Attention GNOCHC Providers Systematic Adjustments To Paid Claims RA of 06/02/15 6/17/15

Attention Professional and Hospital Providers Billing Radiation Oncology Services for Medicare Crossover Claims 6/11/15

ATTENTION PROVIDERS OF TAKE CHARGE PLUS SERVICES SYSTEMATIC ADJUSTMENTS TO PAID CLAIMS RA OF 06/02/15 6/2/15

Medicaid Check Write Schedule for July through December 2015 6/1/15

Attention Long Term Care, ICF-DD, Hospice (Room & Board) & Adult Day Care Providers 6/1/15

Attention Intermediate Care Facility Providers 5/20/15

Attention Hospital and Independent Lab Providers-Coverage and Reimbursement of CPT Code 81220 5/19/15

Radiation Oncology Rate Change and Adjustment of Claims (PDF Format) 5/15/15

Attention Intermediate Care Facility Providers, Nursing Home Providers and Hospice Providers 5/12/15

FREE STANDING REHABILITATION CENTERS TRANSITION TO THE CMS 1500 CLAIM FORM 5/6/15

Shared Savings Close Out Notice 5/4/15

5010 EDI General Companion Guide Update 5/1/15

Procedure Code Changes related to Oncotype DX and Fluoride Varnish Application 4/24/15

Attention LTC Providers regarding OSS Payments 4/21/15

BAYOU HEALTH Billing Information 4/17/15

Obstetrics Policy Billing Changes (PDF Format) 4/16/15

Attention Hospital Providers: Diabetes Self-Management Training Payments 4/15/15

ATTENTION ALL PROVIDERS CLAIMS VOIDED DUE TO TIMELY FILING ERROR 4/14/15

New HCPCS Modifiers XE, XP, XS and XU 4/9/15

Attention Hospital Providers: Direct Observation Billing Recycle 4/6/15

ATTENTION ALL MEDICAID PROVIDERS 3/25/15

Attention Obstetrical Providers 3/19/15

Attention Providers/Submitters receiving 835 Transaction (Electronic Remittance) 3/16/15

Rotary Wing Ambulance Fee Schedule Update 3/16/15

ATTENTION EPSDT-PROVIDERS and HOSPICE PROVIDERS 3/13/15

OSS Payment Remittances to be Published 3/4/15

Provider Instructions - Medicaid Recipient Insurance Information Update Form 2/24/15

Reimbursement of Delivery Codes including Antepartum Care 2/19/15

URGENT: Attention DME Providers-Implementation of NCCI DME Procedure to Procedure Edits 02/16/15

Attention Outpatient Hospital Speech Therapy Providers 2/12/15

Attention Long Term Care, ICF-DD and Hospice (room & board) Providers: 2/11/15

Attention Long Term Care Providers: Updated Notice on OSS Checks 2/9/15

Shared Plan Claims with 52 Modifier 2/9/15

Fair Labor Standards Act to Domestic Service Rule for Homecare Providers 2/9/15

Attention Labor and Delivery Service Providers (Hospital and Professional) 2/5/15

Outpatient Visit Extensions 2/2/15

ATTENTION PROFESSIONAL SERVICES PROVIDERS: OUTPATIENT VISIT EXTENSIONS 1/30/15

National Correct Coding Initiative - 2015 Quarter One Editing Update 01/29/15

OSS Checks 1/23/15

Attention Hospital and Professional Providers: Discontinuation of Precert for Inpatient Hospitalization 1/22/15

1099 Notice for Providers 1/22/15

DHH to host Wednesday Teleconference for Providers about Bayou Health 1/14/15

Attention All DME Providers – Portable Oxygen Criteria Update 1/8/15

Attention DME Providers: NCCI Procedure to Procedure Edits to be Implemented for DME Providers 12/23/14

Policy Update: Billing Add-on Codes for Maternity Related Anesthesia 12/23/14

ATTENTION GNOCHC PROVIDERS: DY4 Claims Received after Due Date 12/22/14

Electronic Remit Transaction Updates (835) 12/17/14

REMINDER: ACA Primary Care Services Enhanced Rates End December 31, 2014 12/16/14

Attention All Providers Changes in Post Office Boxes for Submission of Paper Claims Effective February 1, 2015 12/12/14

Attention Users of Molina Electronic Prior Authorization Web Application 12/09/14

First Transit Non-Payment /Claim Denials 12/02/14

Attention OB and Outpatient Providers Billing Ultrasounds 11/25/14

Medicaid Check Write Schedule for January through June 2015 11/24/14

Long Term Care, ICF-DD, Adult Day Care, Hospice (Room & Board) Providers Regular and Supplemental Processing for January through June 2015 11/24/14

Attention Users of Molina Submitter Self-Test 11/24/14

DHH Offers Take Charge Plus for Males and Females 11/13/14

Attention Providers/Submitters of Electronic Claims---November and December 2014 Holiday Cut-off Dates for Receiving Electronic Claim Files 11/06/14

ATTENTION: LTC, ICF-DD, HOSPICE (ROOM & BOARD) and ADULT DAY HEALTH CARE FACILITIES: 11/06/14

ATTENTION HOSPITAL PROVIDERS: CORRECTION TO HOSPITAL INPATIENT CLAIMS DENIED WITH EDIT 048 10/24/14

LARC Reimbursement-Professional Services program 10/20/14

Take Charge Plus Second Teleconference 10/08/14

Attention Providers Billing TPL Claims and Paper Medicare Crossover Claims 9/29/14

Attention Providers Billing Private Insurance TPL Claims Electronically For Legacy and Shared Health Plan 9/29/14

ATTENTION AMBULANCE PROVIDERS 9/18/14

Medicaid Transportation Call Center Changes 9/18/14

State Web Search for Adverse Actions 9/18/14

DHH to Discuss New Take Charge Plus in Provider Teleconference 9/16/14

Electronic Remit Transactions 9/05/14

Deliveries Prior to 39 Weeks Policy Effective September 1, 2014 8/29/14

Update to Guidelines for Teaching Facilities and Billing for Physician Services 8/26/14

Issues Concerning Non-OB Anesthesia Services and Claims 8/21/14

ATTENTION ALL PROVIDERS CLAIMS RELATED TO BAYOU HEALTH RETROACTIVE ENROLLMENT/DIS-ENROLLMENT 8/06/14

Medicaid Dental Program Prior Authorization Changes 8/04/14

CLAIM ADJUSTMENT-CAS SEGMENTS IN LOOPS 2100/2110 OF THE 5010 835 TRANSACTION 8/01/14

Attention Intermediate Care Facility Providers 7/30/14

AFFORDABLE CARE ACT ENHANCED REIMBURSEMENT RECYCLE - Medicare Crossover Claims and Place of Service Edits 7/25/14

Radiation Treatment Management: Billing Clarification 7/17/14

New Family Planning Program 7/16/14

Attention Intermediate Care Facility Providers 7/15/14

ATTENTION ALL DENTAL PROVIDERS 6/30/14 (Revised 7/15/14)

DHH Takes Steps to Address Inadvertent Medical Claim Denials 7/8/14

Hepatitis C Pre-authorization Provider Notice 6/30/14

Hydrocodone Prescriber to Prescriber Provider Notice 6/30/14

Attention DME Providers: Coverage of Compression Garments and Related Items 6/27/14

Attention Personal Care Providers 6/27/14

Inpatient Hospital Additional Payment for LARCs 6/23/14

Revision of Insulin Pump Criteria - Effective June 1, 2014 6/17/14

CAS Segments in Loops 2100/2110 of the 5010 835 Transaction 6/16/14

Medicaid RFI for Qualified Health Professionals to Conduct Comprehensive Diagnostic Evaluations 6/5/14

ER Visit Limit Removed 6/5/14

ATTENTION ALL PROVIDERS USING THE CMS 1500 02/12 FORM FOR CLAIMS SUBMISSION - DATA ENTERED IN FIELD 22 5/29/14

ATTENTION PROVIDERS: AFFORDABLE CARE ACT ENHANCED REIMBURSEMENT RECYCLES – Medicare Crossover Claims 5/29/14

Removal of Hospital Emergency Room Visit Limit – Effective June 1, 2014 5/22/14

Medicaid Check Write Schedule for July through December of 2014 5/21/14

Long Term Care, ICF-DD and Adult Day Care Providers Regular and Supplemental Processing for July thru December 2014 5/21/14

ATTENTION PROVIDERS: AFFORDABLE CARE ACT ENHANCED REIMBURSEMENT RECYCLES POSTPONED 5/16/14

AFFORDABLE CARE ACT ENHANCED REIMBURSEMENT RECYCLES – Dates of Service in 2014 and Medicare Crossover Claims 5/8/14

Attention Intermediate Care Facility Providers 5/1/14

ATTENTION PROVIDERS: Why ACA Primary Care Enhanced Reimbursement Rates Changed from 2013 to 2014 4/24/14

Dental Provider Conference Calls 4/23/14

ATTENTION PROVIDERS: ACA Enhanced Reimbursement 2014 Rates 4/21/14

Attention Obstetrical Providers: Makena Coverage for Prematurity Prevention-Effective May 1, 2014 4/21/14

Dental Benefit Management Plan FAQ 4/16/14

ATTENTION PRIMARY CARE PROVIDERS: Affordable Care Act Primary Care Services Enhanced Reimbursement Information 4/14/14 (Revision from 11/18/13)

ATTENTION PROVIDERS: ACA Enhanced Reimbursement Deadline Established for APRNs 4/14/14

INFORMATIONAL UPDATE TRANSITION TO THE NEW CMS-1500 (02/12) FORM FAST APPROACHING FOR PAPER CLAIMS SUBMITTED TO MOLINA AND BAYOU HEALTH SHARED PLANS 4/11/14

Attention Providers Submitting Medicare/Medicaid Crossover Claims: Sequestration Reduction is Provider Responsibility 4/9/14

DHH to host weekly Dental provider Q & A calls 4/1/14

Applied Behavioral Analysis Available as a Medicaid Covered Service 3/31/14

Children’s Choice Waiver Additional Services - Professional Services -Therapy Services 3/20/14

Hospice and LTPCS 3/20/14

Recycle “194” denied claims from 8-12-13 3/19/14

ACA enhanced and Medicaid standard fees 3/17/14

ATTENTION PROVIDERS: CMS 1500 Claim Form from 08/05 Version to 02/12 Version 2/14/14

ATTENTION PROVIDERS: ACA-Eligible Claims Recycle for Nurse Practitioners 2/7/14

Attention Take Charge Program Providers - Take Charge Reimbursement Rate Change 2/6/14

1099 Notice for Providers 1/30/14

ATTENTION PROVIDERS: ACA-Eligible Claims Recycle for Newly Attested Providers 1/27/14

ATTENTION ALL PROVIDERS: PROCESSING ERROR IMPACTED CLAIMS ON 01/21/14 RA 1/23/14

Urgent National Correct Coding Initiative Update: Preventive Care Codes and Immunization Administration Codes 1/17/14

Attention all Providers - Receiving Electronic Remit Transactions (835) 1/16/14

Attention Providers -- Affordable Care Act Mandates 1/8/14

ER Revenue Codes 12/18/13

Attention Providers Receiving Payment Via EFT and 835 Electronic Remittance Advice 12/12/13

Long Term Care, ICF-DD and Adult Day Care Providers Regular and Supplemental Processing Schedule for January through June 2014 12/05/13

Medicaid Check Write Schedule for January thru June 2014 12/03/13

Attention Providers/Submitters of Electronic Claims---End of Year Cut-off Dates for Receiving Electronic Claim Files 11/18/13

Attention All Providers Receiving the 5010 835 Transaction 11/08/13

ATTENTION PROVIDERS: DEADLINE EXTENSION FOR AFFORDABLE CARE ACT ENHANCED REIMBURSEMENT 11/07/13

ATTENTION PROVIDERS: IMPORTANT NOTICE TO PROVIDERS (Revised 10/31/13) NEW PROCESS IMPLEMENTED TO ADDRESS MEMBER RETRO ENROLLMENT and DISENROLLMENT FOR MANAGED CARE (Bayou Health) 11/01/13

ATTENTION PROVIDERS: NEW PROCESS IMPLEMENTED TO ADDRESS MEMBER RETRO ENROLLMENT and DISENROLLMENT FOR MANAGED CARE (Bayou Health) 10/28/13

Revised status on LTC/ICF-DD Adjustments and Voids scheduled for the 10/29/2013 checkwrite 10/28/13

ATTENTION WAIVER LTC-PCS PROVIDERS: Waiver PCS Providers Service Limit Edit 10/23/13

ATTENTION PROVIDERS: TERMINATION OF PROVIDER EXEMPTION OF PROFESSIONAL SERVICES FEE SCHEDULE 10/22/13

Attention Providers That Submit Professional Crossover Claims Paper Crossover Claims Paid In Error 10/16/13

Attention LTC, ICF-DD, ADHC and Hospice Room & Board Providers
INFORMATION RELATED TO BILLING FOR SEPTEMBER AND OCTOBER, 2013 10/15/13

Attention All Providers: Payment of DX Code 3051 Tobacco Use Disorder 10/14/13

Attention LTC, ICF-DD, ADHC and Hospice (Room & Board) Providers—Revised payment schedule (Revision from 9/18/13)

ATTENTION LTC-PCS PROVIDERS 10/09/13

Attention All Providers: Affordable Care Act Mandated Changes 10/08/13

ATTENTION LOUISIANA BEHAVIORAL HEALTH PROVIDERS UPDATE TO THE NOTICE DATED 8/15/13 CONCERNING NEW EDIT 133 FOR BEHAVIORAL HEALTH CROSSOVER CLAIMS 9/26/13

Attention All Providers - Check Write Date Change 9/18/13

Attention: LTC, Hospice (Room & Board), ADHC & ICF Providers 9/18/13

Attention Long Term Care, ICF-DD and Adult Day Care Providers 9/18/13 (Revision from 6/24/13) (See Revised Notice dated 10/10/13)

Medicaid Check Write Schedule for July through December of 2013 9/18/13 (Revision from 6/24/13)

ATTENTION PROVIDERS: CONTINUED ACA ENHANCED REIMBURSEMENT CLAIMS RECYCLES AND IMPLEMENTATION OF ENHANCED PAYMENTS FOR APRNS 9/05/13

Attention Electronic Billers/Submitters of Institutional Claims 9/13/13

Attention Louisiana Behavioral Health Providers – New Edit 8/15/13 (Revision from 7/18/13)

Attention Providers: Medicaid RAC Educational Seminar scheduled for 9/18/13 8/12/13

ATTENTION PROVIDERS: ADDITIONAL INFORMATION ON A SECOND CYCLE TO REPROCESS ERRONEOUSLY DENIED CLAIMS FROM THE JULY 30, 2013 RA 8/8/13

Medicaid Dental Programs Fee Revisions Effective August 1, 2013 8/1/13

Second ACA Claims Recycle 7/26/13

Attention Louisiana Behavioral Health Providers – New Edit 7/18/13 (See Revised Notice dated 8/15/13)

ATTENTION ACA PROVIDERS: SECOND ADJUSTMENT TO OCCUR FOR CLAIMS WITH SERVICE DATES 1/1/13 – 2/19/13 7/18/13

Attention Dental Providers. 7/12/13

Scheduled Claims Recycle for Primary Care Services with Affordable Care Act Enhanced Rates 7/9/13

Criteria for Wearable Cardioverter Defibrillator Life Vest 7/5/13

Attention Long Term Care, ICF-DD and Adult Day Care Providers 6/24/13 (See Revised Notice dated 9/18/13)

Attention Primary Care Providers – Implementation of Enhanced Reimbursement for ACA Primary Care Services 6/17/13

ATTENTION: For EHR incentive payments, eligible professionals must login using individual logon credentials 5/17/13

ATTENTION ALL PROVIDERS 2013 HCPCS UPDATE COMPLETED 5/15/13

ATTENTION SUBMITTERS/PROVIDERS OF ELECTRONIC CLAIMS: 5/9/13

Provider Enrollment Update 4/19/13

Attention All Submitters, EDI Billing Cut-off Deadline 4/19/13

Attention Professional Services Providers: Prior Authorization Required for Brentuximab Vedotin Instructions 4/12/13

Attention Professional Services Providers: Prior Authorization Required for Brentuximab Vedotin 4/12/13

Designated Physician Forms Received by PRISM as of March 18, 2013 and Validated by DHH 4/09/13

Outpatient Hospital Providers: Pulse Oximetry Claims 3/25/13

ATTENTION PROVIDER ENROLLMENT OPERATIONS 3/25/13

ATTENTION ALL TRANSPORTATION PROVIDERS 3/18/13

REMINDER TO ALL DME AND PHARMACY PROVIDERS EMERGENCY PRIOR AUTHORIZATION REQUESTS 3/07/13

ATTENTION PROFESSIONAL PROVIDERS PERFORMING BEHAVIORAL HEALTH SERVICES FOR LEGACY OR SHARED HEALTH PLAN RECIPIENTS 2/05/13

SFY 2013 Summary of Rate Cuts 7/3/12 (Revised 1/29/13)

Update to ‘ClaimCheck’ Product Editing – ‘Clear Claim Connection’ Information 01/23/13

Emergency Rules Address Budget Deficit 01/17/13

Long Term Care, ICF-DD and Adult Day Care Providers Regular and Supplemental Processing Schedule for January through June 2013 1/2/13

Avoid Hiring or Employing Excluded Individuals Letter 10/30/12

EHR Incentive Payment Program Update 7/10/12

Attention Nursing Home, ICF-DD, ADHC and BAYOU HEALTH Shared Plan United Providers 7/9/12

Additional Recent Policy Print

Additional Recent Policy