March 30, 2026 Fee-for-Service Processing Issue – Nov. 4 and Dec. 9, 2025 Cycles

Baton Rouge, Louisiana, Mar 30, 2026 - During the claim cycles on November 04 and December 9, 2025, Gainwell Technologies experienced a system error that prevented certain fee-for-service professional, outpatient hospital, and durable medical equipment (DME) claims from processing through the ClaimsXten (CXT) editing system. As a result, some claims were paid without the application of standard or National Correct Coding Initiative (NCCI) edits.

Affected claims that should have received CXT or NCCI denials have been identified.  These claims will be voided and then reprocessed to ensure the proper denials are applied. Providers can expect to see the voids beginning with the March 31, 2026, remittance cycle and then the claim denials will appear in the following cycle.

Gainwell Technologies has worked to identify the root cause of the issue and they have successfully implemented a resolution.

General questions related to the addition of these codes should be directed to Gainwell Technologies Provider Relations at (800) 473-2783 or (225) 924-5040.

For updates and more information, providers are encouraged to monitor LDH communications and visit LaMedicaid.com.