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.


As part of the budget reduction measures by the Department of Health and Hospitals, Medicaid will no longer pay co-insurance on therapy services (physical therapy, occupational therapy and speech/language therapy) on Medicare/Medicaid Cross-over claims effective with Date of Service July 1, 2012. Claims billed on or after this date of service will '0' pay with edit 384 -NOT COVERED FOR NURSING HOME RESIDENT. If you have questions please contact Denis Beard at 225-342-6116.


Due to a processing error during the month of March 2012,649 GSA A BAYOU HEALTH members who originally linked to Health Plans for February reverted to legacy Medicaid for the month of March only. A review has been conducted and all 649 members were relinked to their previous Health Plans effective April 1st. Please verify member linkage on eMEVS if you are getting denials for March 2012 dates of service. Providers should contact the Molina Provider Relations Unit at (800) 473-2783 or (225) 924-5040 with billing or policy questions regarding services provided to these members during the month of March.


Since January 2011, nearly 1,300 eligible medical professionals and hospitals have received more than $120 million in incentive payments through participation in Louisiana's Medicaid Electronic Health Records (EHR) Incentive Payment Program. The EHR Incentive Payment Program is a 100% federally funded initiative that promotes the adoption and meaningful use of certified EHR technology through the provision of incentive payments to eligible professionals and hospitals. Eligible professionals can receive a maximum of $63,750 in incentive payments over a six-year period, and in 2011, the average payment to Louisiana's participating hospitals was $1.1 million.