RA Messages for September 14, 1999
PHARMACY PROVIDERS,PLEASE NOTE!!!
IF YOU ARE
UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE CONTACT
THE PBM HELP DESK AT 1-800-648-0790
MAKE THE FOLLOWING CHANGES TO THE 8/15/98 VERSION OF APPENDIX A:
PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN
PHARMACY PROVIDERS--XENICAL DIAGNOSIS
CLARIFICATION --EDIT #020
THE DIAGNOSIS ICD-9 CODE SUBMITTED ON A PRESCRIPTION CLAIM
MUST MATCH EXACTLY THE ICD-9
DIAGNOSIS CODE WRITTEN BY THE PRESCRIBER ON THE PRESCRIPTION.
DHH WILL ONLY PAY FOR VALID ICD-9 CODES LISTED IN THE MOST CURRENT ICD-9-CM
Notice to Home Health Agencies
FIMS # 55779
The June/July issue of the Louisiana Medicaid Provider Update includes an
article to Home Health Agencies entitled "RN Qualifications for Psychiatric
Home Health Visits."
The last paragraph of this article includes an incorrect statement./
The correct wording of the last paragraph is "Additionally , the services
must be medically necessary and provided only to recipients who meet Medicaid's
We apologize for any inconvenience this may have caused.
Thisi s a reminder that Act 1142 of the 1997 Regular Session of the Louisiana
Legislature requires that all Medicaid related records be retained for a period
of (5) years.
The Department's contact person for civil rights issues has changed.
Providers may now contact Ms. Evella Collins at (225)342-3797.
This check write, dates 9/14/99, includes a recycle of outpatient hospital
claims that were previously denied in error with error edit 251 (procedure
denied, not justified by diagnosis)."