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 http://www.lamedicaid.com/.
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 Pharmacists and Prescribing Providers of Louisiana Legacy Medicaid:
Effective April 27, 2015, there will be changes in the Point of Sale (POS) response for Fee for Service pharmacy claims. NCPDP field 506-F6 (ingredient cost paid) will now only contain the ingredient cost, NCPDP field 507-F7 (dispensing fee paid) will include the dispensing fee and provider fee, and NCPDP field 509-F9 (total amount paid) will contain the total amount paid for the claim.
ATTENTION PROVIDERS BILLING RADIOLOGY SERVICES TO BAYOU HEALTH SHARED PLANS
On 4/7/15, radiology claims previously inappropriately denied in error were reprocessed, and several overpayments occurred. DHH and Molina have identified these overpayments, and will systematically perform voids on these claims on this remittance advice. We apologize for any inconvenience this may cause.