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 Providers: Medicaid RAC Provider Education Seminar
The Department of Health and Hospitals and Myers and Stauffer LC is hosting a Provider Education Seminar on the new Medicaid Recovery Audit
Contractor (RAC) program mandated by the Centers for Medicare and Medicaid Services (CMS). Seating for the seminar is limited and will be
reserved by registration only. The seminar will be streamed live for those who are not present at the seminar and recorded for future
viewing by those providers who cannot attend or view by live stream.
To reserve a seat, please register for the RAC Provider Education Seminar by emailing:
Please include specific questions you or your organization may have about the RAC in your email.
Date: September 18, 2013
Time: Seating begins at 8:30 a.m., seminar 9:00 a.m. - 11:00 a.m.
Location: 628 North 4th Street, Baton Rouge-1st floor, room 118
Starting July 18, 2013, a notice was posted on Molina's web site and in RA messages from Molina informing providers that
effective 8/6/2013 (date of payment), Medicare crossover claims for Behavioral Health services would be denied with new
edit 133 and the claims would automatically be sent to Magellan for processing. We are notifying you that there is a delay
in the automatic transfer, but that it will occur, just at a point toward the end of this month or early in September.
Providers will continue to see these denials (edit 133) in Molina's processing system, and all of these claims
(with payment date 8/6/2013 and after) will be transmitted to Magellan. No action is required on the part of the
provider. We apologize for any inconvenience this may cause.