ARE NOW LOCATED ON THE LA MEDICAID WEB SITE TO ASSIST YOU IN SUBMITTING NDC/HCPCS CODE INFORMATION FOR PHYSICIAN-ADMINISTERED DRUGS ON THE 837I (INSTITUTIONAL TRANSACTION) AND THE UB-04 CLAIM FORM. THIS
ATTENTION ALL PROVIDERS 2011 HCPCS UPDATE The Louisiana Medicaid files have been updated to reflect the new and deleted HCPCS codes for 2011. Refer to the Professional Services Fee Schedule on the LA Medicaid website, www.lamedicaid.com. Claims denied due to use of the new 2011 codes prior...
Claims that previously denied with errors 210 �PROVIDER NOT CERTIFIED FOR THIS PROCEDURE�, 298 �INVALID PROCEDURE CODE FOR DATE OF SERVICE� AND 299 �PROC/DRUG NOT COVERED BY MEDICAID� were systematically adjusted on the RA of Dec 21, 2010. As a result of this update, claims...
TPL AND ELIGIBILITY REMINDERS Many services covered under the Louisiana Medicaid Program require some form of prior authorization, pre-certification, or extension request. Please remember that authorization of services does not override any other Medicaid Program policy and does not guarantee payment of ...
A private insurance EOB does not support proof of timely filing with Medicaid. All outstanding claims over 1 year old must be submitted with either the Shared Plan or Molina EOB indicating proof of timely filing. If a situation involves private insurance, that TPL EOB must also be submitted ...