Claims with date of service and/or date of discharge of February 1, 2015 or later will follow the new timely filing guidelines, see above. Your continued cooperation and support of the Louisiana Medicaid Program efforts to coordinate care and improve health are greatly appreciated. If you ...
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 with the claim, however, it does not replace the EOB required from either the ...
rhc/fqhc providers may begin submitting claims to preserve timely filing, but should initially expect denials until programming is finished. RHC/FQHC claims that deny due to this issue will be systematically adjusted once programming is complete, and providers should monitor future RA's for further ...
GUIDELINES FOR PROVIDERS TO SUBMIT CLAIMS FOR A TWO-YEAR OVERRIDE CONSIDERATION PROVIDERS REQUESTING TWO-YEAR OVERRIDES FOR CLAIMS WITH DATES OF SERVICE OVER TWO YEARS OLD MUST PROVIDE PROOF OF TIMELY FILING AND MUST ASSURE THAT EACH CLAIM MEETS AT LEAST ONE OF THE THREE CRITERIA LISTED BELOW: ...