PHARMACY PROVIDERS, PLEASE
If you are unsure about the coverage
of a drug product, please contact the PBM help desk at 1-800-648-0790.
Please file adjustments for claims
that may have been incorrectly paid. Only those products of the manufacturers
which participate in the Federal Rebate Program will be covered by the Medicaid
program. Participation may be verified in Appendix C, available at
Should you have any questions
regarding any of the following messages, please contact Molina Medicaid
Solutions at (800) 473-2783 or (225) 924-5040.
ATTENTION INSTITUTIONAL SERVICE PROVIDERS
LDH's TPL contractor, HMS, offers a web-enabled system, the Provider Portal, which
was designed specifically for providers to process disallowances on-line. The Provider
Portal offers many benefits such as immediate receipt of disallowance notifications,
elimination of paper listings, real-time access to disallowance projects, up-to-date claim
status, and on-demand reporting.
If you have not yet enrolled in the Provider Portal, we urge you to do so immediately by
contacting HMS Provider Relations at 877-259-3307 or by email at
HMSportalnotification@hms.com for enrollment and instruction assistance.
We encourage all providers to opt out of receiving paper listings in the future and only
use the Provider Portal for disallowance projects. The use of the Provider Portal will
ensure the protection of all PHI associated with these projects. Therefore, please advise
HMS Provider Relations if you are willing to opt out of receipt of paper listings.
2016 Annual 1099 Notice for Providers
Louisiana Medicaid 2016 1099s will be distributed by U.S. Mail on or before January 24, 2017. Electronic copies are now available for download by going to the Louisiana Medicaid web site, www.lamedicaid.com, Secure Portal, application link, Online 1099. If replacement copies or additional copies are needed, providers must print them from the web site. If you feel there is an error on your 1099, please contact Molina Provider Enrollment at 225-216-6370. Prior year 1099’s will be stored in the archive on www.LaMedicaid.com.