Please check at the first of each month for current news and updates

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Important Notice Regarding Documentation:  To provide faster, more reliable service, all documentation is in the Adobe Acrobat PDF format.   To view and print documents, you must install Adobe Acrobat Reader.  This free software allows you to view documents from within your web browser.  You may experience formatting problems if you are not using the latest version of Adobe Acrobat Reader.   Follow the link to get the latest version of this software.

Colorado Regional Integrated Care Collaborative (CRICC) Letter (05/08)    Letter to providers about a new intensive care management program to improve the quality of care for Colorado's highest need, highest cost fee-for-service clients.

National Provider Identifier (NPI) Information

NPI Registration Help (05/08)   This document provides instructions for registering your National Provider Identifier (NPI) in the MMIS.

All providers, with the exception of atypical providers, must have an NPI in order to submit Medicaid claims electronically. The three ways to apply for an NPI and obtain additional helpful information are available on the CMS webpage at: www.cms.hhs.gov/NationalProvIdentStand

NPI information is also available on the NPPES Web site at https://nppes.cms.hhs.gov or by calling the Enumerator at 1-800-465-3203 (TTY 1-800-692-2326).

Providers can apply for an NPI online at: https://nppes.cms.hhs.gov or call the NPI enumerator at 1-800-465-3203 to request a paper application.

Pharmacy News and Updates

HIPAA Transaction Data Guide

The HIPAA implementation guide for Pharmacy NCPDP version 5.1 can be found in the Pharmacy Billing Manual, under "NCPDP Version 5.1 Payer Sheet - B1/B3 Transactions.

The NCPDP Version 5.1 Payer Sheet - B1/B3 Transactions allow providers to program their systems for transactions that are HIPAA compliant and work with the Colorado Medical Assistance Program.

EPSDT News and Updates

The ABCD Project (11/07)  -This article contains information about a program that is available in Colorado to help primary care providers improve identification of developmental delay by using standardized testing.

An EPSDT Screen Should Include Testing for Lead Poisoning (11/07)   -This article contains information about the importance of testing for lead poisoning during EPSDT screening.

Frequently Used Phone Numbers, Addresses and Web Sites

Colorado Medical Assistance Program Fiscal Agent Phone Numbers and Addresses (10/09)

Two identical lists that can be separated and placed by your telephone(s).

Frequently Used Phone Numbers and Web site Addresses (07/09)

Medicare Crossover Claims

If a crossover claim does not appear on the Medical Assistance Program Provider Claim Report within 30 days after the Medicare processing date you must submit the crossover either electronically through the Web Portal or on paper. For additional electronic billing information or billing instructions please go to the General Provider Information manual.

24 Hour Nurse Hotline, 1-800-283-3221

Did you know that Medicaid offers this free service to all of its Primary Care Physician Program and fee-for-service clients? Whenever a client is hurt or sick, please encourage him or her to call the nurse hotline prior to seeking treatment. This can help reduce unnecessary emergency room and office visits and allow providers more time to spend with those who truly need medical attention. By promoting this nurse hotline to your Medicaid patients, it enables an RN to assess the client's condition and direct his or her care appropriately. This service is available after hours too! For more information, or to request promotional materials, please call Gloria Johnson at 303-866-4092.