EFFECTIVE WITH DATE OF SERVICE JANUARY 1, 2000, CPT CODE J9162 WILL BE PLACED IN NON-PAY STATUS, AS IT NO LONGER APPEARS ON THE MEDICARE DRUG INJECTION LIST. CODE WILL REMAIN PAYABLE FOR DEPO-PROVERA INJECTIONS. DENTAL PROVIDERS CLARIFICATION REGARDING ORTHODONTIC SERVICES - EPSDT DENTAL PROGRAM...
Please be advised that certain pharmacy claims billed to Medicare part b which crossed over to Medicaid and denied have been recycled for Medicaid payment. These claims were billed with procedure codes recently updated by Medicare. The Medicaid system has now been adjusted to accept these codes. A...
NOTICE TO PROVIDERS OF PROFESSIONAL SERVICESCURRENTLY, CPT CODE 99239 IS PAYABLE FOR MEDICARE/MEDICAID RECIPIENTS ONLY. EFFECTIVE WITH THE DATE OF SERVICE 01/01/2003, THIS CODE WAS MADE PAYABLE FOR STRAIGHT MEDICAID RECIPIENTS ALSO AT A FEE OF $66.42.NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES...
EFFECTIVE WITH DATES OF SERVICE 9-1-05 FORWARD, CHIROPRACTORS SHOULD BILL FOR SERVICES USING THE CURRENT APPROPRIATE CPT CODE (98940 OR 98941) FOR THE SERVICE PROVIDED. LOUISIANA MEDICAID'S NON-ENHANCED FEE FOR THESE CODES IS BASED ON 80% OF THE 2005 MEDICARE ALLOWANCE. HCPCS MODIFIER 'AT' ...
LOUISIANA MEDICAID WILL BE IMPLEMENTING IMMUNIZATION PAY-FOR-PERFORMANCE SUPPLEMENTAL PAYMENTS TO COMMUNITYCARE PCPS. THESE PAYMENTS WILL BE BASED ON THE PERCENTAGE OF 24 MONTH OLD RECIPIENTS LINKED TO THE PCP THAT ARE UP-TO-DATE WITH ALL RECOMMENDED IMMUNIZATIONS; AND THE PROVIDER'S ENROLLMENT IN ...
The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.
All payments, both past and future, will be made directly to the Medicare HMO. Questions and concerns should be addressed to the Medicare HMO involved. TPL AND ELIGIBILITY REMINDERS Many services covered under the Louisiana Medicaid Program require some form of prior authorization, pre-certification...
ATTENTION PROFESSIONAL SERVICES PROVIDERS A SYSTEM PROCESSING ERROR CREATED DUPLICATE MEDICARE PART B CROSSOVER CLAIM PAYMENTS. THESE DUPLICATE CLAIMS ARE BEING VOIDED AND THE RECOUPMENT ACTIONS REFLECTED IN THE 10/03/06 REMITTANCES. PROVIDERS NEED NOT TAKE ANY ACTIONS TO CORRECT THESE PAYMENTS. ©...
UPDATES TO THE PHARMACY BENEFITS MANAGEMENT SERVICES MANUAL ARE NOW AVAILABLE ON THE LOUISIANA MEDICAID WEBSITE AT WWW.LAMEDICAID.COM. POLICY HAS BEEN UPDATED IN SECTIONS 37.5 - COVERED SERVICES, LIMITATIONS AND EXCLUSIONS; 37.6 - REIMBURSEMENT FOR SERVICES; AND 37.7 - MEDICARE PRESCRIPTION DRUG ...
AS PREVIOUSLY STATED IN THE MAY/JUNE 2006 LOUISIANA MEDICAID PROVIDER UPDATE, IN ACCORDANCE WITH CMS STATE PLAN REQUIREMENTS, EFFECTIVE 9-1-06 THE FOLLOWING GROUPS OF MEDICAID RECIPIENTS ARE NOW EXEMPT FROM MANDATORY PARTICIPATION IN THE COMMUNITYCARE PROGRAM: SSI RECIPIENTS UNDER THE AGE OF 19, ...