La. Medicaid Services Manual ch. 24 (Hospice), Appendix D

Gainwell Technologies

The Medicaid Program’s fiscal intermediary (FI), Gainwell Technologies, can be contacted for

assistance with the following:

TYPE OF ASSISTANCE CONTACT INFORMATION

e-CDI technical support

Gainwell Technologies

(877) 598-8753 (Toll Free)

(225) 216-6303

Electronic Media Interchange (EDI)

Electronic Claims testing and assistance

P.O. Box 91025

Baton Rouge, LA 70898

Phone: (225) 216-6000

Fax: (225) 216-6335

Hospice Prior Authorization Unit (PAU) Phone: (800) 877-0666

Fax: (225) 216-6481

Pharmacy Point of Sale (POS)

P.O. Box 91019

Baton Rouge, LA 70821

Phone: (800) 648-0790 (Toll Free)

Phone: (225) 216-6381 (Local)

*After hours, please call REVS

PAU

Gainwell Technologies – PAU

P.O. Box 14919

Baton Rouge, LA 70898-4919

(800) 488-6334

Provider Enrollment Unit (PEU)

Gainwell Technologies - PEU

P. O. Box 80159

Baton Rouge, LA 70898-0159

(225) 216-6370

(225) 216-6392 Fax

Provider Relations Unit

Gainwell Technologies – Provider Relations Unit

P. O. Box 91024

Baton Rouge, LA 70821

Phone: (225) 924-5040 or (800) 473-2783

Fax: (225) 216-6334

Recipient Eligibility Verification (REVS) Phone: (800) 766-6323 (Toll Free)

Phone: (225) 216-7387 (Local)

Louisiana Department of Health (LDH)

TYPE OF ASSISTANCE CONTACT INFORMATION

General Medicaid Information

General Hotline (888) 342-6207 (Toll Free)

http://ldh.la.gov/index.cfm/subhome/1/n/10

MedWeb@la.gov

General Medicaid Information for Providers www.lamedicaid.com

Health Standards Section (HHS)

P.O. Box 3767

Baton Rouge, LA 70821

Phone: (225) 342-0138

Fax: (225) 342-5073

HSS.Mail@la.gov

Long Term-Personal Care Services

(LT-PCS)

P.O. Box 2031

Baton Rouge, LA 70821

Phone: 1-877- 456-1146

Fax: (225) 219-0202

E-mail: MedWeb@la.gov

http://ldh.la.gov/index.cfm/subhome/12/n/327

Louisiana Children’s Health Insurance Program

(LaCHIP)

(225) 342-0555 (Local)

(877) 252-2447 (Toll Free)

http://ldh.la.gov/index.cfm/page/222

Office of Aging and Adult Services (OAAS)

State Office

Office of Aging and Adult Services

P. O. Box 2031

Baton Rouge, LA 70821-2031

Phone: 1-866-758-5035Fax: (225) 219-0202

OAAS.Inquiries@la.gov

http://ldh.la.gov/index.cfm/subhome/12

OAAS

Regional Offices

http://new.dhh.louisiana.gov/index.cfm/directory/category/

141

Office of Management and Finance

Bureau of Health Services Financing (BHSF)-

MEDICAID

P.O. Box 91030

Baton Rouge, LA 70810-9030

http://ldh.la.gov/index.cfm/page/23

Office for Citizens with Developmental Disabilities

(OCDD)

628 N. Fourth Street

P.O. Box 3117

Baton Rouge, LA 70821-3117

Phone: (225) 342-0095 (Local)

Phone: (866) 783-5553 (Toll-free)

E-mail: ocddinfo@la.gov

Pharmacy Program – POS

P.O. Box 91019

Baton Rouge, LA 70821

Phone: (800) 648-0790 (Toll Free)

Phone: (225) 216-6381 (Local)

*After hours, please call REVS

Rate Setting and Audit

Hospital Services P.O. Box 91030

Baton Rouge, LA 70821

Phone: 225-342-0127

225-342-9462

Beneficiary Assistance for Authorized Services

Phone: (888) 342-6207 (Toll Free)

Recovery and Premium Assistance

Third-Party Liability (TPL) Unit

TPL Recovery, Trauma

P.O. Box 91030

Baton Rouge, LA 70821-9030

Phone: (225) 342-8662

Fax: (225) 342-1376

Fraud Hotline

TYPE OF ASSISTANCE CONTACT INFORMATION

To report fraud

Medicaid Program Integrity

P.O. Box 91030

Baton Rouge, LA 70821-9030

Fraud and Abuse Hotline: (800) 488-2917

Fax: (225) 219-4155

http://dhh.louisiana.gov/index.cfm/page/219

Appeals

TYPE OF ASSISTANCE CONTACT INFORMATION

To file an appeal

Division of Administrative Law (DAL) -

Health and Hospitals Section

Post Office Box 4189

Baton Rouge, LA 70821-4189

(225) 342-0443

(225) 219-9823 (Fax)

Phone for oral appeals: (225) 342-5800

Other Helpful Contact Information:

TYPE OF ASSISTANCE CONTACT INFORMATION

Adult/ Protective Services (APS)

(Office to contact to report suspected cases of

abuse, neglect, exploitation or extortion of adults

ages 18-59 and emancipated minors.)

Phone #: 1-800-898-4910

Elderly Protective Services (EPS)

(Office to contact to report suspected cases of

abuse, neglect, exploitation or extortion involving

adults age 60 and older.)

Phone #: 1-833-577-6532

Centers for Medicare and Medicaid Services

(CMS)

OASIS, CMS-485 Form

www.cms.gov

Governor’s Office of Homeland Security and

Emergency Preparedness (GOSHEP)

http://gohsep.la.gov/

Southeastern Transportation Inc.

Transportation Call Center

(Non-emergency transportation)

(All Medicaid beneficiaries who are covered under a

managed care plan should contact their respective

plans to schedule a ride).

To schedule transportation

(855) 325-7576

NEMT Provider information

(225) 342-2126

Medical Provider Line

(855) 325-7576

Federal Depository Library Program

Superintendent of Documents

http://www.fdlp.gov/about-the-fdlp/supdocs

International Classification of Disease (ICD)

Conversion Link

Convert ICD-9-CM Codes to ICD-10-CM/PCS, or

Convert ICD-10-CM/PCS Codes to ICD-9-CM

http://www.icd10data.com/Convert