News and Information
for Your Practice
Thursday, September 02, 2010









Medicaid Provider Info PDF Print E-mail

If you are already a provider or just signed up, please click here to let the LDA know so that we can maintain updated records.

For the most recent updates and information from the Department of Health and Hospitals, visit the Louisiana Medicaid Web site at www.lamedicaid.com. At this online location, providers can access information ranging from how to enroll as a Medicaid provider to directions for filling out a claim form. Specific questions about this website or provider-specific issues may be directed to Unisys Provider Relations at (800) 473-2783 or (225) 924-5040.

ENROLLING TO SERVE AS A MEDICAID PROVIDER

There are two ways that you can enroll:

1) Contact Unisys Provider Enrollment at 225-216-6370 and have a application mailed to your address , or

2) Log on to www.LaMedicaid.com and click on the "Provider Enrollment" link to download the "Application for New Enrollments" or call(800) 473-2783 for further information or assistance.

3) Once you have enrolled please notify the LDA of your participation by filling out this form

The LaMedicaid Web site contains the Manuals, Training Packets (2006), and new information as it comes available about all three Louisiana Medicaid Programs; EPSDT, Expanded Dental Services for Pregnant Women, and Adult Denture.

If you have any additional questions about dental policy, you may contact Cordelia Clay at 225-342-4182 or Wendy McGraw at 225-342-4423.  DHH also has a Dental Medicaid Unit that house the dental consultants, and they can be reached at 1-866-263-6534 or 504-941-8206.

 


Health Professional Shortage Area (HPSA)

HPSAs are defined service areas that demonstrate a critical shortage of primary care physicians, dentists, or mental health providers. An HPSA can be a distinct geographic area such as a parish or grouping of census tracts, a specific population group within a defined geographic area (such as a population under 200% poverty), or a specific public or non-profit facility such a state hospital. You can learn more about HPSAs by visiting the Louisiana Department of Health and Hospitals (DHH) Web site, or clicking here.To see whether your parish is considered an HPSA, view this map


Information on the Medicaid Reimbursement Rate Increase Provided to the LDA by the Department of Health and Hospitals, Effective December 24, 2008.

Effective for dates of service on and after December 24, 2008, changes will be imposed for the EPSDT Dental Program including increased reimbursement for certain procedures, revised policy regarding root canals, and coverage of five additional procedures.  Implementation of these changes may be delayed if required programming changes are not complete; however, if this occurs, Medicaid will recycle affected claims.  Complete details will be placed on the www.lamedicaid.com Web site under the New Medicaid Information, Billing Information, and Fee Schedule links.  If you have questions, you may contact the LSU Dental Medicaid Unit at 504-941-8206 or 1-866-263-6534 (toll-free).

Click here to download the EPSDT Dental Program Fee Schedule.


 
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