RA Messages for
September 25, 2012
PROVIDERS, PLEASE NOTE!!!
If you are unsure
about the coverage of a drug product, please contact the PBM help desk
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 PHARMACISTS AND
Louisiana Medicaid will reimburse enrolled pharmacies for the 2012-2013
influenza vaccines and administration of the vaccines for Medicaid
recipients who are nineteen years of age and older when the
pharmacist is an enrolled Medicaid provider. For more details, please
refer to www.lamedicaid.com.
As a result of the recently implemented fee schedule
changes that took effect on 7/1/12, some claims for EPSDT recipients and Take
Charge recipients were overpaid. These claims were for services performed
during July and August. No action is required by the provider as these
claims are being systematically adjusted to recover the overpayment so the
claims are correctly paid.