Medicaid Program News and Updates (B1200312 - 02/12) - This bulletin contains information about Coverage for Adults without Dependent Children (AwDC); ACC Update; Change to Provider Contact Information for the Colorado Medical Assistance Program RAC Program; Provider Outreach Page (POP) LIVE; Add-A-Baby Process Training; President’s Day Holiday; Amendments to the HCBS-DD Services; Home Health Telehealth; Pharmacy Cost of Dispensing and Acquisition Cost Surveys; P&T Committee News; PDL Update; Appropriate use of  PPIs; Prior Authorization Criteria (Appendix P) Updates; DUR Board Update; February & March 2012 Workshops; and HCBS Rates, Procedure Codes, Modifiers & Service Limitations.

Medicaid Program News and Updates (B1200311 - 01/12) - This special Prior Authorization Request (PAR) bulletin contains important information about PARs that are currently processed and will be processed beginning February 1, 2012 by the ColoradoPAR Program. It also contains PAR submission clarification and PAR criteria. Please read the bulletin carefully and retain it for referencing PAR guidelines.

Medicaid Program News and Updates (B1200310 - 01/12) - This bulletin contains information about the HIPAA 5010 Implementation Update; PAR Status via AVRS; ACC Update; Tax Season & 1099s; Updated Companion Guides; January & February 2012 Holidays; Lead Screening Diagnosis Code; Office Administered Injections & Devices; Providers Serving Pregnant Woman; Pharmacy Billing; Payer of Last Resort; Pharmacy Claim Form; Emergency 3-day Supply; Next P & T Meeting; PDL Update; Prior Authorization Criteria Update; and the January & February 2012 Workshops.

Medicaid Program News and Updates (B1100309 - 12/11) - This bulletin contains information about HIPAA 5010 Implementation Update; Colorado Medical Assistance Program Web Portal (Web Portal) Reminders; Provider Billing Workshops Handouts; Elimination of the CHP+ Pre-HMO Period; Non-Emergent Medical Transportation (NEMT) Broker; Tax Season and 1099s; Updated Companion Guides; Healthy Living Initiatives: Prevention Efforts for Medicaid and CHP+ Clients; December 2011 & January 2012 Holidays; Home Health Face-to-Face Encounter; PASRR Level II Evaluation and Determination; NF Late Bill Override Date (LBOD); Nursing Facility Billing; Next P&T Committee Meeting; Preferred Drug List (PDL) Update; DUR Board Updates; Appropriate use of PPIs; December 2011 & January 2012Workshops; and 2012 Holiday Payment Processing Schedule.

Medicaid Program News and Updates (B1100308 - 11/11) - This bulletin contains information about ACC; Clerical Errors Can Be Costly; Updated Companion Guides; Recovery Audit Contractor (RAC) Award Made; Tax Season and 1099s; Healthy Living Initiatives; November 2011 Holidays; Correction to the October 2011 Synagis® and Influenza Vaccines Bulletin; ASC Procedure Coding; Revised Home Health, Extraordinary Home Health and Private Duty Nursing PAR Form; Updates to Outpatient Cost-to-Charge Ratios; Physician-Administered Drugs Require Both NDC Number and HCPCS Code; Potential P&T Committee Members; PDL Update; DUR Board Updates; Simvastatin and November & December 2011 Workshops.

11/03/11 - Revised with current information for ACC clients.

Synagis® and Influenza Vaccines (B1100307 - 10/11) - This bulletin contains updated information about Synagis® and Influenza Vaccine benefits and reimbursement for children and adults for 2011.

Medicaid Program News and Updates (B1100306 - 10/11) - This bulletin contains information about HIPAA 5010 Implementation; New PAR Vendor; New ICD-9-CM Diagnosis and Procedure Codes Crosswalk; ACC Contact Information; Correction to September 2011 Dual Eligibles Bulletin Article; October & November 2011 Holidays; New Billing Manuals on the Web site; Healthy Living Initiatives; New Electronic Verification Systems; Orthodontic Providers ; Nursing Facility 5615 Form; Rx Review Program; Pharmaceutical Reimbursement Calculation ; Pharmacy Billing Manual; Next P&T Committee Meeting; PDL Update; DUR Board Updates; Prior Authorization Updates; Physician Administered Drugs; Hippotherapy (Equine Therapy) and October & November 2011 Workshops. 

Medicaid Program News and Updates (B1100305 - 09/11) - This bulletin contains information about New Prior Authorization Request Vendor; Implementation of New Provider Rates for FY 2011-12; Program Integrity Fraud Reporting; Medicaid Clients and the ACC Program; ICD-10-CM Clinical Documentation Improvement; September and October 2011 Holidays; Benefits of Direct Deposit; Dual Eligibles; Record Retention; DME Accreditation; Utilization and Billing of Acute and Long-Term Home Health Services; Items to Include in the Home Health POC; NF PETI Fee Schedules 2011 Update; Pharmaceutical Reimbursement Methodology Change; Future Plans for Pharmaceutical Reimbursement; Next P&T Committee Meeting; PDL Update; DUR Board Updates; Physician Administered Drugs and September & October 2011 Workshops.

Medicaid Program News and Updates (B1100304 - 08/11) - This bulletin contains information about Developmental, Depression & Autism Screening; Providers Serving Pregnant Women Office-Administered Injections; Labor Day Holiday; DME Oxygen Policy; DMEPOS Supplier Accreditation; FQHC/RHC Billing Update when Primary Diagnosis Is a BHO Covered Diagnosis; CMS DRG System Reminder; Pharmacy Save the Date; No Rate Reduction for FY 2011-12; Pharmaceutical Reimbursement Calculation Changes; State Maximum Allowable Cost (State MAC) Information; Pharmacy Email Distribution List; DUR Board News; Correct Procedure Codes for Speech Therapy Services; August & September 2011 Workshops; Certificate of Medical Necessity for Oxygen Benefits and Questionnaire #16 - Oxygen Contents in Excess of 6 Liters Per Minute.

Medicaid Program News and Updates (B1100303 - 07/11) - This bulletin contains information about the Delay in Implementation of New Provider Rates for FY 2011-12; Eligibility Verification; ICD-10; Development, Depression & Autism Screening; Mental Health First Aid; Rx Review Program; Independence Day Holiday; ASC Procedure Migration Project; Updated Supplies & DME Manual; Billing for Dually Eligible Clients; Billing for Insulin Administration & Other Uncomplicated Visits; Items to Include in the HH Plan of Care; Telehealth; Groupers Used to Process Medicaid Inpatient Hospital Claims; Fluoride Treatments for Children by Medical Personnel; Pediatric Immunization Codes 90460 & 90461 Billing Clarification; Provider Referrals; Pharmacy Record Keeping; Override Codes; Next P&T Committee Meeting; Preferred Drug List (PDL) Update; New Prior Authorization Policies; DUR Board Updates; New Vision and Eyewear Manual; and July and August 2011 Workshops.

Medicaid Program News and Updates (B1100302 - 06/11) - rev. 06/06/11 This bulletin contains information about FY 2011-12 Rate Reductions; Elimination of Reimbursement for Circumcision; Adding/Changing Banking Information; CLIA Update; Termination of TPID; Independence Day Holiday; Limits on Fluoride Applications & Dental Prophylaxis; Elimination of Reimbursement for Oral Hygiene Instruction; Elimination of Reimbursement for Dental Implants; DME & Supply Providers Specific Rate Reductions; Hospital Readmission Within 48 Hours; Facility Rate Reductions for Uncomplicated Cesarean Sections; HH, PDN, and HCBS FY 2011-12 Provider Rate Reductions; Revised LTHH, PDN, EPSDT HH PAR Form; Nursing Facility FY 2011-12 Provider Rate Reductions; Provider Referrals; Free Text Message Program for Pregnant Women//New Mothers; Pregnant Women//Clients Who Smoke; PDL Update; New Pharmacy Prior Authorization Policies; DUR Board Updates; June and July 2011 Workshops; Termination of TPID Form and HH, PDN and HCBS Rate Tables. - Updated July 2011 Workshop Calendar.

Medicaid Program News and Updates (B1100301 - 05/11) - This bulletin contains information about PAR Revisions; Corrections to April 2011 Bulletin (B1100300); Code 96110 – Depression Screenings Clarification; Memorial Day Holiday; Claims Processing Schedule for the Remainder of 2011; CLIA Update; Update to Appendix T; Three Provider Service Centers; Reimbursement Increase for J7300; Colonoscopy Billing; Billing Invega ® Sustenna™ in an Office-Setting; Next DUR Board Meeting; May and June 2011 Workshops and an example of a CLIA number on the Colorado 1500.  

Medicaid Program News and Updates (B1100300 - 04/11) - rev. 04/12/11 - This bulletin contains information about the Provider Payment Delay; ACC Program Update; CCHAP Update; CLIA Update; W-9 Process; Report Suspicion of Provider Fraud; Memorial Day Holiday; DME/Supply HCPCS; Next P&T Committee Meeting; PDL Update; Proton Pump Inhibitors and April & May 2011 Billing Workshops. (Updates:  The customer service phone number for the Rocky Mountain Health Plan’s ACC program was corrected on 4/6/11 and the Workshop calendar for May 2011 was corrected on 4/12/11.)

2011 Supply HCPCS Codes (B1100299 - 03/11) - rev. 09/16/11 - This bulletin contains billing information and the approved Supply, DME, Orthotics and Prosthetics HCPCS Codes for billing services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2011. This bulletin replaces B1000280 (02/10).  07/27/11 - Added Questionnaire #16 - Oxygen Contents in Excess of 6 Liters per Minute and Colorado Medicaid Certificate of Medical Necessity for Oxygen Benefits form.
09/16/2011 - Changed PAR information from CFMC to ColoradoPAR and changed procedure code A4335 from conditional to always requiring a PAR.

Medicaid Program News and Updates (B1100298 - 03/11) - This bulletin contains information about the Payment Delay Update; CLIA Update; Lower of Pricing; Web Portal News; W-9 Process; Medicaid Adjustments; Refunds and Returned Warrants; New Electronic Prior Authorization Request (PAR) Form; Dual Eligibles; Record Retention; November 2010 Enrollment Application; Unsolicited Diagnostic Casts ; Dental PARs; 2011 Dental Program Policy and Billing Bulletin; New Value for 837 Institutional Facility Type Code Field; Next P&T Committee Meeting; PDL Update; Benefits Collaborative Meetings; DUR Board Updates; Appropriate use of PPIs; March & April Workshops and the Refund to Medicaid or Return Warrant Form.

2011 Dental Program Policy and Billing (B1100297 - 02/11) - This bulletin contains the approved Dental ADA codes for billing the Colorado Medical Assistance Program and includes policies and important changes effective January 1, 2011. This bulletin replaces bulletin B0900258 (1/09).

Medicaid Program News and Updates (B1100296 - 02/11) - This bulletin contains information about the End of Paper Bulletins by Mail; NPI Reminder; the Presidents' Day Holiday; CLIA Certification; Persons with Disabilities Parking Privileges Application; New Executive Director Sue E. Birch; 2011 HCPCS; Updated Medicaid Provider Application; Tax Season and 1099s; CMS NCCI; February & March Workshops and the Persons with Disabilities Parking Privileges Application Form.

Billing Instruction Update for Ambulatory Surgery Centers (ASCs) (B1100295 - 01/11) - rev. 02/25/11 - This bulletin contains a complete list of the Medicaid-approved ASC procedure codes effective January 1, 2011. The list is divided into related groups for payment. Only surgical procedure codes that are published in this bulletin are ASC Medicaid benefits. This bulletin replaces bulletin B1000277 (01/10).

2011 Practitioner HCPCS Codes (B1100294 - 01/11)  This bulletin contains listings of Discontinued Procedure Codes, Codes with Description Changes, New Procedure Codes, New Non-Covered Procedure Codes and Reactivated Procedure Codes. All codes and changes are effective 01/01/2011. This bulletin replaces bulletin B1000275 (01/10).

Immunization Benefit Update (B1100293 - 01/11) - rev. 04/25/11 - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference is included with the bulletin. This bulletin replaces B1000276 (01/10).
 

Medicaid Program News and Updates (B1100292 - 01/11) - This bulletin contains information about Application Assistance – Mapping Tool ; Electronic Only Notifications; Web Portal News; CLIA Certification; 2011 HCPCS; Medicaid Post-Payment Review; Oxygen Benefit for Dually Eligible Clients in Home and Community Setting; Updated Medicaid Provider Application; Tax Season and 1099s; January & February 2011 Holidays; Diagnostic Casts and Study Models; Unsupervised Dental Hygienists Medicaid Allowable Procedures Expanded; Dental Web Portal Claim Submissions; Reimbursement for Providers After FQHC or RHC Application; Services Incident to Physician’s Professional Services; ICD-9-CM Codes Crosswalk; Next P&T Committee Meeting; PDL Update; DUR Board Updates; Updates to Prior Authorization Criteria; Synagis® PAR Updates; January & February Workshops and the Email Opt-Out Form.

Medicaid Program News and Updates (B1000291 - 12/10) - This bulletin contains information about Electronic PAR Letters through FRS; Load Letter Requests; Increase Well-Care/Dental Visits Study; Laboratory Processing Changes; CMS NCCI; Updated Standard Provider Application; Tax Season and 1099s; Electronic Only Notifications; December 2010 and January 2011 Holidays; Dialysis Billing Manual Update; J7300 Reimbursement Rate Increase; Additional Code for Prior Authorization; 2011 Social Security COLA; Next P&T Committee Meeting; PDL Update; DUR Board Updates; Updates to Prior Authorization Criteria; Synagis® PAR; Additional Code for Prior Authorization; December & January Workshops; Synagis®  PAR Instructions and Synagis® Diagram.

Medicaid Program News and Updates (B1000290 - 11/10) - This bulletin contains information about a Proposed Provider Payment Delay for FY 2010-11; Security Changes Coming to the Colorado Medical Assistance Program Web Portal; New Chief Medical Officer/Deputy Medicaid Director; Tax Season and 1099s; Electronic Only Notifications Coming Soon; November 2010 Holidays; Retroactive Enrollment Change for Mental Health Clients; Enrolling for Access to the Colorado Medical Assistance Program Web Portal; Updated Hospice Rates; Updates to Outpatient Cost-to-Charge Ratios; Drug Utilization Review (DUR) BoardNews; Synagis® Immune Globulin; November & December Workshops and Synagis® PAR form & Examples.

Medicaid Program News and Updates (B1000289 - 10/10) - This bulletin contains information about Web Portal Security Changes; CMS National Correct Coding Initiative (NCCI);  Claims Paying at Zero - Lower of Pricing for Medicare Crossover Claims; New Benefit SBIRT Update;  Columbus and Veteran’s Day Holidays; FQHCServices Incident to Physician’s Professional Services; Changing Inpatient Status to Outpatient; Changes to DRG System; IP & OP Billing Instructions Update; Readmission Policy & Condition Code B4; 2010 PETI Fee Schedule Update; P&T Committee News; Preferred Drug List (PDL) Update; Updated PA Criteria ; October & November Workshops and the PETI Fee Schedules.

Medicaid Program News and Updates (B1000288 - 09/10) - This bulletin contains information about Non-Medicaid Prescribers; the CMS National Correct Coding Initiative; Medicaid 1931 Program Policy Update; New AVRS; New Benefit for SBIRT; Rx Review Program Update; September & October Holidays; Your Email Address; Billing the Client; Dual Eligibles; Record Retention; Procedure Code 43775; Elimination of “County” PAR Requirement; P&T Committee News; Preferred Drug List (PDL) Update; DUR Board News; Change to Dispensing Requirements; and the September & October Workshops.

Medicaid Program News and Updates (B1000287 - 08/10) - This bulletin contains information about the New Claims Disclosure Affirmation for Web Portal; Provider Status Verification; Providers Serving Pregnant Women and Medicaid Clients Who Smoke; New AVRS; Survey Results for CFMC Web Portal; National Coverage Determinations (NCD) CPT Code Modifiers for ASCs; National Coverage Determinations (NCD) for Hospital providers; Guidelines for Billing Outpatient Substance Abuse Treatment Services; P&T Committee News; Preferred Drug List (PDL) Update; DUR Board News; Change to Dispensing Requirements; NCD CPT Code Modifiers for Practitioners; VFC Program; and August & September Workshops.

Medicaid Program News and Updates (B1000286 - 07/10) - This bulletin contains information about New AVRS; New MICs; PERM Program; Changes to Medicaid 1931 Program Policy; Provider Satisfaction Survey; Independence Day 2010 Holiday; PAR Option for CFMC; Benefits of Direct Deposit; Electronic Bulletin Notification; Benefits Collaborative Meeting for Oxygen Providers; PT/OT PARS; Benefits Collaborative Meeting for Bariatric, Circumcision and Intersex Surgery Providers; Preferred Drug List (PDL) Update; Colorado Medicaid Pharmacy and Therapeutics Committee; Change to Dispensing Requirements and July & August Billing Workshops.

Medicaid Program News and Updates (B1000285 - 06/10) - This bulletin contains information about Payment Delay due to the fiscal emergency and pursuant to the authority set forth in 25.5-4-401(1)(c), C.S.R. (2009), we will be delaying provider payments to two weeks. 

Medicaid Program News and Updates (B1000284 - 06/10) - This bulletin contains information about FY 2010-2011 Reimbursement Reductions; New look for MICs; July 2010 holiday; ASC Procedure Code 54692; Durable Medical Equipment (DME) Accreditation; Family Planning Reimbursement Rate Increase for J7302; HH, PDN & HCBS Fiscal Year (FY) 2010-11 Provider Rate Reductions; Medicaid & CHP+ Managed Care Providers Capitation Payment Delay/ Schedule Change REPEALED; Nursing Facility FY 2010-11 Reimbursement Reductions; Change to Pharmacy Dispensing Requirements; State Maximum Allowable Cost; Preferred Drug List (PDL) Update; June & July Billing Workshops; DME/Supply Letter; HH, PDN, & HCBS Rate Tables and State MAC List.

Medicaid Program News and Updates (B1000283 - 05/10) - This bulletin contains information about New Electronic Interactive CO-1500 Form; May 2010 Holiday & State Furlough Day; New Look for Medical Identification Cards - June 1st; EPSDT and Medicaid Lead Testing, Reimbursement Rate Updates for Selected DME and Supply Codes; DME Stakeholder Information Meeting; BHO Covered Diagnoses; Bundling of Related IP and OP Hospital Claims; Capitation Payment Delay UPDATE; Medical Foods; Synagis Coverage; Atypical Antipsychotics; Change to Dispensing Requirements; SMAC Rate Update; Practitioner Reimbursement for Hysteroscopic Sterilizations; Services/Supplies Included in Code 56585; Sterilization Consent Form Requirement; Additional Guidance; National Health Reform Primary Care Provider Rate Provision; PAR for Substance Abuse IP Admissions & May & June 2010 Billing Workshops

Medicaid Program News and Updates (B1000282 - 04/10) - This bulletin contains information about: Add-A-Baby Program Update; Administration and Prior Authorization of Synagis ® Immune Globulin; New Look for Medical Identification Cards; Claims Paid at Zero vs. Denied Claims; State Furlough Day; Dental Providers Providing Services in an Outpatient Hospital or Ambulatory Surgery Center; Echocardiogram Clinical Policy; Capitation Payment Delay and Schedule Change; Preferred Drug List (PDL); PDL Change; Support Lines for Growth Hormones; State Maximum Allowable Cost List; and April & May Provider Billing Workshops.

Medicaid Program News and Updates (B1000281 - 03/10) - This bulletin contains information about: Incorrect Benefit Message for Child Presumptive Eligibility Benefits; Verifying Client Eligibility; Colorado Health Care Affordability Act Program Implementations; A New Look for Medical Identification Cards; Colorado Access to New Contract Mode; Prior Authorization When Medicaid Is Secondary; Report Suspicion of Provider Fraud; ACS Call Center Assistance; Capitation Payment Delay and Schedule Change; New Orthodontic Bulletin; Providers Billing Physician-Administered Drugs; Reimbursement Rate Updates For Injectable Drugs in the Office Setting; Reimbursement Rate Updates for Selected Medical Services Codes; Discontinuation of CPT Consultation Codes; Rx Review Program; P&T Committee News; Preferred Drug List Update; State MAC List; text4Baby; Manual Updates; Pulse Oximeter Rental for Children under Age 3; Positive Airway Pressure Device HCPCS Codes and March & April Provider Billing Workshops.

2010 Supply HCPCS Codes (B1000280 - 02/10) - Updated 07/10 - This bulletin contains billing information and the approved Supply, DME, Orthotics and Prosthetics HCPCS Codes for billing services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2010. This bulletin replaces B0900261 (01/09).

Orthodontic Program Changes (B1000279 - 02/10)  - This bulletin contains information about the Medicaid orthodontic benefit, revised procedures for submitting Prior Authorization Requests (PARs), as well as information about services most likely to be billed by an orthodontist. This bulletin replaces all previous Orthodontic bulletins.

Medicaid Program News and Updates (B1000278 - 02/10) - This bulletin contains information about Recovery of payments for claims with dates of service after death of Medicaid client ; A New Look for Client ID Cards; Payment Error Rate Measurement (PERM) Program; 2010 Holiday Processing Schedule; State Furlough Day; Tax Season and 1099s; Dental Services Provided in an Ambulatory Surgery Center or Outpatient Hospital Setting; Orthodontic PAR; "Out-of-Network" Providers Serving Managed Care Clients; Provider-Purchased Contraceptives; New Medicaid Disability Determination Contractor; P&T Committee News; Preferred Drug List Update; State Maximum Allowable Cost List; Invega ® Sustenna™ Administered in the Office Setting; Direct Deposit; Electronic Provider Bulletin Notification; February and March 2010 Denver Provider Billing Workshops.

Billing Instruction Update for Ambulatory Surgery Centers (ASCs) (B1000277 01/10) - Updated 08/03/10 - This bulletin contains a complete list of the Medicaid-approved ASC procedure codes effective January 1, 2010. The list is divided into related groups for payment. Only surgical procedure codes that are published in this bulletin are ASC Medicaid benefits. This bulletin replaces bulletin B0900259 (01/09).

 Immunization Benefit Update (B1000276 - 01/10)  - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference and the 2010 Recommended Childhood and Adult Immunization Schedules are included with the bulletin. This bulletin replaces B0900262 (01/09).

2010 Practitioner HCPCS Codes (B1000275 - 01/10)  This bulletin contains listings of Discontinued Procedure Codes, Codes with Description Changes, New Procedure Codes, New Non-Covered Procedure Codes, Reactivated Procedure Codes and New Procedure Code Modifiers. All codes and changes are effective 01/01/2010. This bulletin replaces bulletin B0600260 (01/09).
 

Medicaid Program News and Updates (B1000274 - 01/10)  This bulletin contains information about Dual Eligibility; Provider Co-Pay Agreement; Records Retention; Essential Community Providers; January and February 2010 Holidays; State Furlough Day; Tax Season and 1099s; ICD-9-CM Codes Crosswalk; Billing Change for Mental Health Clients with Retroactive Enrollment; Pharmacy and Therapeutics (P&T) Committee News; Preferred Drug List Update[ Azmacort; Physical Therapy and Occupational Therapy Providers Prior Authorization Requirement Reminder; Notice to All Providers Billing Physician-Administered Drugs; Botulinom Neurotoxins Administered in the Office Setting; Enjoy the Benefits of Direct Deposit; Electronic Provider Bulletin Notification and January & February 2010 Denver Provider Billing Workshops.
 

Medicaid Program News and Updates (B0900273 - 12/09)   - This bulletin contains information about Reimbursement Reductions; December and January Holidays; State Furlough Day; Colorado Health and Health Care Profiles; Submission of PARs to CFMC; Correction to Nov 2009 Provider Bulletin "Did you Know?" article; Tax Season and 1099s; Updated FY 09-10 Provider Rate Reductions for HH, PDN and HCBS Providers Inpatient Hospital Services Rate Reduction; Billing for Delivery and Newborn Services; Updates to Outpatient Cost to Charge Ratios and Outpatient Reimbursement; 2010 Social Security COLA; H1N1 Vaccine; Preferred Drug List; Azmacort; Billing Physician-Administered Drugs; December & January 2009 Denver Provider Billing Workshops; Program Rate Adjustment Explanations and Schedules for HH, PDN, and HCBS.

Medicaid Program News and Updates (B0900272 - 11/09) (Rev.11/04/09)   - This bulletin contains information about the H1N1 Vaccine; Synagis® Immune Globulin; Provider Load Letters;  Add-A-Baby Requests; Screening Requirement for Excluded Employees and Contractors; Tax Season and 1099s; November & December Holidays; State Furlough Day; Dental Hygiene Providers; People with Developmental Disabilities (HCBS-DD) Waiver; Clarification of Equipment, Supply, Orthotic & Prosthetic Rate Change; Post-Eligibility Treatment of Income (NF PETI) Fee Schedule; Pharmacy H1N1 Vaccine; Smoking Cessation Benefit; Increased Access for Prenatal Vitamins and Folic Acid; November and December 2009 Denver Provider Billing Workshops; Add-A-Baby Request Form and PETI FEE Schedules.

Medicaid Program News and Updates (B0900271 - 10/09)   - This bulletin contains information about Reporting Suspicion of Fraud; October Holiday and State Furlough Day; Rescinding of Prior Authorizations Requirement to Extract Third Molar; Rates for CDT Code D2791; Long-Term Home Health Prior Authorizations; Updated FY09-10 Provider Rate Reductions; Changes to DRG System; Smoking Cessation Benefit; PDL Update; Reimbursement Rate Change; Folic Acid Prior Authorization Criteria; New ACS Call Center Hours; October and November 2009 Denver Provider Billing Workshops; and Program Rate Adjustment Explanations and Schedules for HH, PDN, and HCBS.

Medicaid Program News and Updates (B0900270 - 09/09)  (Rev 09/03/09)  - This bulletin contains information about Reimbursement Reductions; Prenatal Appointments; Diagnostic Imaging Prior Authorization Request (PAR); Change of Ownership (CHOW); State Furlough Days; September and October Holidays; CDT Codes D0145 and D1330; Pre-Authorization Requirement to Extract Third Molars Is Rescinded; Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA); DME Accreditation; "Present on Admission" Indicator on Hospital Claims; Smoking Cessation Benefit; Rx Review Program; PDL Update; Pharmacy Reimbursement Methodologies; September & October 2009 Denver Provider Billing Workshops and Colorado Medicaid Serious Reportable Events SFY 2008-2009.

Medicaid Program News and Updates (B0900269 - 08/09)   - This bulletin contains information about Fee for Service Rate Adjustments; New Option for CFMC PARs; PARs for Non-Emergent CT Scans, Non-Emergent MRIs & All PET Scans; Labor Day Holiday; State Furlough Day; Dental Limitation Change on D4355;DMEPOS Pharmacy Supplier Accreditation Changes; Pharmacy Reimbursement Rate Change; NCPDP Reject Code 41 (Edit 4077); Rx Review Program; Colorado Cares Rx; August & September 2009 Denver Provider Billing Workshops; Prior Authorization Request for Diagnostic Imaging.

Medicaid Program News and Updates (B0900268 - 07/09)  - This bulletin contains information about No Medicaid Payment Delay; Independence Day Holiday; Provider Rate Decreases; Report Suspicion of Provider Fraud; Dental Procedures in ASCs; Administration of Fluoride Varnish; Changes in DME Wheelchair Repair; DMEPOS Supplier Accreditation Under Review; Correction to 2009 Supply HCPCS Codes Bulletin (B0900261); Home Health, PDN, HCBS Provider Rate Decreases; Hospital Readmission Policy; Non-Reimbursement for Serious Reportable Events;  Pharmacy Reimbursement Rate Change; PDL Update; Global Prior Authorization; Mail Order Pharmacy Update; Rx Review Program; Colorado Cares Rx; July and August 2009 Denver Provider Billing Workshops; Wheelchair Repair Codes and Home Health, PDN & HCBS Rates.

Medicaid Program News and Updates (B0900267 - 06/09)  - This bulletin contains information about Possible Payment Delay; Reimbursement Rate Reductions; CRICC Update; Benefits Collaborative Update - Reproductive Health Services; Health Care Policy and Financing Disease Management Program Changes; Cochlear Implants Reminder; FQHC CPT and CDT Codes; HCBS and CMAS Critical Incident Reporting System Changes; Adult HCBS PAR Changes; DMEPOS Supplier Accreditation; Correction to Ocular Prosthetic Benefits and Billing Requirements Article; Correction to 2009 Supply HCPCS Codes Bulletin; Pharmacy Reimbursement Rate Change; PDL Update; Global Prior Authorization; Rx Review Program; Independence Day Holiday; Electronic Provider Bulletin Notification; Enjoy the Benefits of Direct Deposit; and the June and July 2009 Denver Provider Billing Workshops.

Medicaid Program News and Updates (B0900266 - 05/09)   - This bulletin contains information about Fee for Service Rate Adjustments; OAP Health and Medical Care Program; Regional Conferences in May & June 2009; New Procedure Codes for DME & Oxygen Equipment Repair/Non-Routine Service; Ocular Prosthetic Benefits & Billing Requirements; 2009 Supply HCPCS Code Bulletin Update; Inpatient Hospitals and Mental Health Services; DRG Review and Education Program Update; Pharmacy Prior Authorization Approval & Denial Letters; Billing Requirements for Physician-Administered Drugs; Botulinum Toxins Administered in the Office Setting and May & June 2009 Provider Workshops.

Medicaid Program News and Updates (B0900265 - 04/09)  - This bulletin contains information about Dental Reimbursement Rates; Occupational Therapy Practice Act; Fingertip Formulary; PDL Update; Mail Order Pharmacy Update; Non Emergent Medical Transportation (NEMT);  Correction to HH PAR Article in February 2009 Bulletin; UB-04 Specialty Manuals; Electronic Bulletin Notification; Benefits of Direct Deposit; April & May 2009 Provider Workshops and Workshop Calendars.

Medicaid Program News and Updates (B0900264 - 03/09) - This bulletin contains information about Electronic Claim Submissions;    Medicaid Reform; CRICC; ASC bulletin; Additional procedure codes; Fingertip Formulary; PDL Update; Mail Order Pharmacy Update; Fee-For-Service Rates; Billing Physician-Administered Drugs; Corrections to February 2009 Bulletin; March & April 2009 Provider Workshops and Calendar; Top 20 Multiple Source Drugs and Corresponding NDC Numbers.

Medicaid Program News and Updates (B0900263 - 02/09)  - This bulletin contains information about the Benefits Collaborative; OAP & Medical Care Program; Program Integrity Fraud Reporting; Provider Taxonomy; Tax Season and 1099s; Change to the Positioning Car Seat Procedure Code; Long Term Home Health and EPSDT Home Health Providers PAR; Payer of Last Resort; Available Transportation Services; Procedure Codes Bulletins; New Forms on the Web site; Presidents' Day Holiday; February & March 2009 Provider Workshops and Calendar; Revised Long Term Home Health and EPSDT HH PAR form.

Immunization Benefit Update (B0900262 - 01/09)  - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference and the 2009 Recommended Childhood and Adult Immunization Schedules are included with the bulletin. This bulletin replaces B00700241 (12/07).

2009 Supply HCPCS Codes (B0900261 - Revised 06/09) - This bulletin contains billing information and the approved Supply, DME, Orthotics and Prosthetics HCPCS Codes for billing services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2009. This bulletin replaces B0700228 (01/07).

2009 Practitioner HCPCS Codes (B0900260 - 01/09)  - This bulletin contains listings of Discontinued Procedure Codes, Codes with Description Changes, New Procedure Codes, Non-Covered New Procedure Codes, Reactivated Procedure Codes and New Procedure Code Modifiers. All codes and changes are effective 01/01/2009. This bulletin replaces bulletin B0600242 (12/07).

Billing Instruction Update for Ambulatory Surgery Centers (ASCs) (B0900259 - 01/09)  - This bulletin was updated in February 2009 and contains a complete list of the Medicaid-approved ASC procedure codes effective January 1, 2009.  The list is divided into related groups for payment.  Only surgical procedure codes that are published in this bulletin are ASC Medicaid benefits. This bulletin replaces bulletin B0600226 (12/06).

Dental ADA Codes (B0900258 - 01/09)  - This bulletin contains the approved Dental ADA codes for billing the Colorado Medical Assistance Program and includes policies and important changes effective January 1, 2009. This bulletin replaces bulletin B0600221 (12/06).

Medical Assistance Program Orthodontic Program Information & Codes (B0900257 - 01/09) - This bulletin only contains information about services an orthodontist is likely to use in the treatment of a handicapping malocclusion. This bulletin replaces all previous Orthodontic bulletins.

Medicaid Program News and Updates (B0900256 - 01/09) - This bulletin contains information about OAP & Medical Care Program; Billing this client is specifically prohibited; Updates to Outpatient cost to charge ratios; Family Planning clinic or Non-Physician Practitioner groups; Providers performing mastectomies or breast reconstruction; Pharmacy discount programs; Albuterol inhalers; PDL update; Par requirements for A4353; Updated Questionnaires #6 & #8; Oral & Enteral Nutrition Formula Questionnaire #10; New Dental codes bulletins and  manual; Procedure codes bulletins; January & February 2009 holidays; Electronic bulletin notification; Direct deposit; Denver January & February 2009 provider billing workshops

Medicaid Program News and Updates (B0800255 - 12/08)  - This bulletin contains information about Call Center early holiday closings; Title II of the ADA; PAR processing clarification; Client billing Q & A; Home Health and Dual Eligibility; Questionnaire #10 update for Supply/DME Providers; CLIA requirement; Pharmacy discount programs; Albuterol inhalers; Payer of last resort; Colorado Cares Rx Program; December 2008 & January 2009 Holidays; 2009 Holiday processing schedules; Electronic bulletin notification; Direct deposit; Denver January 2009 provider billing workshops; Questionnaire #10; CLIA Update form.

Medicaid Program News and Updates (B0800254 - 11/08) - This bulletin contains information about procedures requiring prior authorization; the Department's new website; Tax season and 1099s; PAR processing; Incontinence products and briefs; Changes to DRG system; New ICD-9-CM diagnosis and procedure codes crosswalk; Patients admitted to inpatient stays from observation; Non-reimbursement for serious reportable events; HBU services provided in SNFs; Pharmacy discount programs; Albuterol inhalers; Features required for tamper-resistant pads/paper; Billing colonoscopies; Influenza vaccine; November holidays; Electronic bulletin notification; Direct deposit; Denver, November 2008, provider billing workshops.

Medicaid Program News and Updates (B0800253 - 10/08)  - This bulletin contains a CRICC Update; Information about he Department's new web site; Claim Forms Reminder; Dental supernumerary numbers; Discontinuation of DME briefs procedure code; Payment system for HBU services in NF; Pharmacy discount programs; Revised tamper-resistant pads/paper rule; Preferred Drug List update; Columbus Day claims processing; Electronic bulletin notification; Direct Deposit; October and November 2008 provider billing workshops; Specialty class descriptions; Denver workshop calendar.

Medicaid Program News and Updates (B0800252 - 09/08)  - This bulletin contains information about Public Health Agencies, County Nursing Services and PE Sites E/M Services & PE Applications; Dental Providers - Supernumerary system for identifying teeth; Pharmacy Discount Programs & Tamper-Resistant Pads/Paper rule revision; Labor Day Claims Processing Schedule; Correction to August Bulletin; Electronic Bulletin Notification; Benefits of Direct Deposit; September and October 2008 Statewide and Denver Provider Billing Workshops Information and Calendars.
 

Medicaid Program News and Updates (B0800251 - 08/08)  - This bulletin contains Pharmacy Prior Authorization Procedure Reminder, Tamper-Resistant Pads and Preferred Drug List Update; Revised Enrollment Applications Reminder; Claim Resubmission Reminder; Benefits of Direct Deposit; Electronic Bulletin Notification Information; August and September 2008 Provider Billing Workshop Information; and Denver and Statewide Workshop Calendar.

Medicaid Program News and Updates (B0800250 - 07/08)  - This bulletin contains Fee for Service rate increases; Online Fee Schedule reminder; HCBS Providers medication reminders; Pharmacy Claim and PAR form, PDL update, Suggested Soma tapering, PDL clarification information; Alternative Care Facility (ACF) rate correction; Electronic Rendering Provider Application; Holiday processing for Independence Day; Direct Deposit; Electronic bulletin notification; July & August 2008 Provider Billing Workshops; Denver Workshop calendar; and Evaluation & Management, Dental, Vision, Outpatient and Special Connections rate tables.

Medicaid Program News and Updates (B0800249 - 06/08) - This bulletin contains Pharmacy News: Pharmacy Claim form, Pharmacy PAR form, PDL update, Medicaid preferred drugs, Suggested Soma Tapering, Tamper-Resistant prescription pads clarification; Resolving NPI edits; Rate increases for HCBS, HH, PDN, ACF providers and CDASS; HCBS Specialty Billing Information; Billing NDC numbers on outpatient hospital claims; CHP+ ASO transition update; FitLogix^TM; DDM; Independence Day holiday processing; Direct Deposit; June & July 2008 Provider Billing Workshops; Denver Workshop Calendar; HCBS, HH and PDN Rate tables; FitLogix^TM  Fax Referral form.

Medicaid Program News and Updates (B0800248 - 05/08)  - This bulletin contains information about the NPI Deadline; One NPI at several locations; Batch billers; When an NPI is not required; Did you know...? feature; Universal procedure and diagnosis coding; Colorado Regional Integrated Care Collaborative (CRICC); DME by invoice billing modifier; Supply HCPCS correction; PAR survey; HCBS billing manual & PHW rates; New immunization billing procedures; Direct deposit ; Electronic bulletin notification; May-June 2008 Statewide& Denver provider billing workshops.

Medicaid Program News and Updates (B0800247 - 04/08) - This bulletin contains information about NPI reminder; Pharmacy news including Medication management, NPI, new forms, manuals, PAR type code 4, Xenical, PDL and Tamper-Resistant Prescription Pads; Supply HCPCS corrections; 2006 ADA claim form reminder; Outpatient hospital claims, NDC requirements; NF Denver Health managed care and discharge/death; Direct Deposit; Electronic Bulletin Notification; April-June 2008 Denver and Statewide Workshop schedule.

Medicaid Program News and Updates (B0800246 -03/08)  - This bulletin contains information about NPIs; Pharmacy news including new forms and Tamper-Resistant Prescription Pads; Prescribing practitioners; DME and Supply news; Non-citizen medical emergencies; 2008 HCPCS CD; 2008 Immunization schedules; Correction to NF 02/08 article; Tax season and 1099s; Direct Deposit; Electronic Bulletin Notification; March-May 2008 Denver and Statewide Workshop schedule.

2008 Supply HCPCS Codes (B0800245 Revised - 04/08) - This bulletin contains billing information and the approved Supply, DME, Orthotics and Prosthetics HCPCS Codes for billing services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2008. This bulletin replaces B0700228 (01/07).

Medicaid Program News and Updates (B0800244 -02/08) - This bulletin contains information about Tamper-Resistant Prescription Pads; Pharmacy News; Extension for NDC Codes; NF Notification of Redeterminations; Possible NF Payment Errors; New UB-04 Claim Form & Billing Manuals; Dental PARs; ICD-9-CM & Procedures Crosswalks; Eligibility Verification; February 2008 Holiday Payment Processing; Direct Deposit; Electronic Bulletin Notification; February-April 2008 Denver Workshop schedule; Attachment A and Appendix W.

Medicaid Program News and Updates (B0800243 -01/08)  - This bulletin contains Pharmacy news; Information about Vaccines; Presumptive Eligibility; Client application assistance; OP cost-to-charge ratio; New ADA 2006 claim form; Address reminder; The Improper Payments Information Act; January 2008 holiday processing schedule; The benefits of direct deposit; Electronic bulletin notification; January-March 2008 Billing Workshops and the January-March 2008 Workshop calendar.

2008 Practitioner HCPCS Codes (B0600242 - 12/07) - This bulletin contains billing information and the approved Practitioner HCPCS Codes for billing Practitioner services to the Colorado Medicaid Program. This bulletin also includes Vision Eyewear, Radiology and Laboratory billing information and HCPCS Codes. All codes and changes are effective 01/01/2008. This bulletin replaces bulletins B0500223, B0500224 and B0500225 (12/06).

Immunization Benefit Update (B0700241 revised - 12/07) - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference and the 2008 Recommended Childhood and Adult Immunization Schedules are included with the bulletin. This bulletin replaces B00600222 (12/06).

Medicaid Program News and Updates (B0700240 -12/07) - This bulletin contains information about the 2008 holiday processing schedule; 2008 HCPCS;CPT and HCPCS codes fee schedules; Verifying client eligibility; Weekly warrant information through CMERS; New Hospice waiver for children; New PAR Form; Consumer Directed Attendant Support Services (CDASS);Updates to the DRG system; Hospital crossover claims; Pharmacy claim form; Pharmacy Prior Authorization edit; Preferred Drug List (PDL) update; The ABCD project; Lead Poisoning testing; Colorado maternity care; New billing requirements for physician-administered drugs; Fee for Service rate increase; Benefits of direct deposit; Electronic bulletin notification; January 2008 Denver Provider Beginning Billing workshop schedule.

Medicaid Program News and Updates (B0700239 - 11/07) - This bulletin includes information about the Web Portal; Provider Enrollment; November 2007 Holiday Processing Schedules; HH Dual Eligibility Policy Clarification; Five Most Common HH PAR Errors; NF Cost and Rate Information on the Internet; Tamper-Resistant Prescription Pads Update; Brand and Generic Drugs; Benefits of Direct Deposit; Electronic Bulletin Notification; and November 2007 Denver Provider Billing and Enrollment Application Workshops.

Medicaid Program News and Updates (B0700238 - 10/07) - This bulletin includes information about Change of Ownership; Institutional Claim Changes; HH Dually Eligible Beneficiaries; Proposed CMS DRG Changes; Hospital Billing for Newborns; Corrected Adult Immunization Rates; PT, OT and ST; Telemedicine; Tamper-Resistant Prescription Pads; Pharmacy Paper Claims, Transportation; Direct Deposit; Electronic bulletin notification; October and November 2007 Denver Provider Billing Workshops.

Medicaid Program News and Updates (B0700237 - 09/07) - This bulletin includes important NPI information and Web Portal Updates. It also contains the new address for ACS; and information on Telemedicine; Injectable Drugs and Immunizations; Mastectomy and Breast Reconstruction Procedure Codes; Medicaid Prenatal Eligible Clients; CMS Proposed Changes to DRG System; Prescription PAR Approval Length; Rx Tamper-Resistant Prescription Pad; Direct Deposit; Electronic bulletin notification; September and October 2007 Denver & Statewide Provider Billing Workshops.

Medicaid Program News and Updates (B0700236 - 08/07) - This bulletin includes important NPI information and Web Portal Updates. It also contains information about the Medicaid non-citizen emergency medical assistance; New address for ACS; Fee for Service rate increases; Adult emergency dental extractions clarification; Dental assistant surgeons; Home Health rate clarification; Mastectomy and breast reconstruction procedure codes; Use of DAW 5; DME/Supply PAR submission via FAX; HCPF website redesign; Direct Deposit; Electronic bulletin notification; August & September 2007 Denver & Statewide Provider Billing Workshops. For Fall Statewide Provider Billing Workshop details go to: 2007 Fall Statewide Workshop locations and information.

Medicaid Program News and Updates (B0700235 - 07/07) - This bulletin includes important NPI information and Web Portal Updates. It also contains information about the Holiday claims payment schedule; CMERS; Manual revisions; Rate increases; PAR updates; New Call Center hours; Updated enrollment applications; DI telephone number; HCBS Waiver, HH and PDN rate increases; DRG education and review project; Implanon contraceptive; Pharmacy news and updates; Pulse Oximeters; EFT; Electronic bulletin notification; July & August 2007 Denver Provider Billing Workshops; Enrollment application workshop and HCBS Waiver, HH and PDN fee schedule.

Medicaid Program News and Updates (B0700234 - 06/07) - This bulletin includes important NPI information and Web Portal Updates. It also contains information for providers submitting institutional claims; the Arapahoe County call center; the Children's Habilitation Residential Program (CHRP) Waiver procedure code modifications; Upcoming reviews for dental and home health providers; NF PETI Fee schedule 2007 update; Pharmacy updates; Substance Abuse Treatment  Special Connections; EFT; Electronic bulletin notification; June & July 2007 Denver Provider Billing Workshops and the PETI Dental, Hearing & Vision fee schedule.

SPECIAL SUPPLEMENTAL BULLETIN (B0700233 - 05/07) - This bulletin contains new, urgent information regarding NPI implementation.

Medicaid Program News and Updates (B0700232 - 05/07) - This bulletin includes important NPI information. Information about the Web Portal; DME PARs; FQHC & RHC Type of Bill; HCBS & SEP Critical Incident Reporting System; Hospital DRG project & Cost-to Charge ratios; Pharmacy claim processing system update & Compound claims; Cochlear Implants & HPV vaccine; Revised Enrollment Application; EFT; Electronic bulletin notification; May & June 2007 Denver & Statewide workshop schedule; HCBS Critical Incident Reporting forms; and the Publication Preference form.

Medicaid Program News and Updates (B0700231 - 04/07) - This bulletin includes information about NPI; the Web Portal; Enrollment Application workshop; Billing Manual updates; Check/Warrant amounts; EFT; HCBS, HH & PDN rate increases; EPSDT Extraordinary HH; Pharmacy claim processing system update; Electronic bulletin notification; April & May 2007 Denver & Statewide workshop schedule; HCBS-BI rates; HCBS-EBD, MI & PLWA rates; and the Publication Preference form.

Medicaid Program News and Updates (B0700230 - 03/07) - This bulletin includes information about NPI; Paper claims billing instructions; the Web Portal; Enrollment Application workshop; Revised Appendices & Dental billing instructions; EFT; OP Substance Abuse codes; Pharmacy PAR correction, Injectable drug coverage and Tamiflu; NF and Hospice clients; Physician and Acute Care task force; CLIA update; Update to Dental Codes bulletin; Web Portal email; Electronic bulletin notification; March & April 2007 Denver workshop schedule; Required CLIA certificates; and the Publication Preference form.

Medicaid Program News and Updates (B0700229 - 02/07) - This bulletin includes information about NPI; the Web Portal; Eligibility; Presidents' Day processing schedule; Enrollment Application workshop; 2007 HCPCS codes; Electronic bulletin notification; EFT; Update to Dental Codes bulletin; New version of PDCS; Pharmacy Prior Authorization changes; Update to Immunization bulletin; HPV Vaccine reimbursement; Outpatient substance abuse treatment; February & March 2007 Denver workshop schedule; and the Publication Preference form.

2007 Supply HCPCS Codes (B0700228 - 01/07) - This bulletin contains billing information and the approved Supply, DME, Orthotics and Prosthetics HCPCS Codes for billing services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2007. This bulletin replaces B0500205 (12/05).

Medicaid Program News and Updates (B0700227 - 01/07) - This bulletin includes information about NPI; the Web Portal; 835 transactions; Weight loss guidance; 2007 HCPCS codes information; Martin Luther King Jr Day processing schedule; EFT; Electronic bulletin notification; New HCBS PAR forms; Hospital BHO non-covered services; New version of Grouper; 2007 Denver & Statewide workshop schedule; HCBS-BI PAR form: HCBS PAR form; and the Publication Preference form.

ASC Update (B0600226 - 12/06) - This bulletin contains updated ASC billing information and current ASC surgical procedure codes.

Vision Eyewear HCPCS Codes (B0600225 - 12/06) - This bulletin contains billing information and the approved Vision Eyewear HCPCS Codes for billing Vision Eyewear services to the Colorado Medicaid Program. All codes and changes are effective 01/01/2007. This bulletin replaces B0500205 (12/05).

Radiology and Laboratory HCPCS Codes (B0600224 - 12/06) This bulletin contains billing information and the approved Radiology and Laboratory HCPCS Codes for billing Radiology and Laboratory services to the Colorado Medicaid Program. All codes and changes are effective 01/01/2007. This bulletin replaces B0500204 (12/05).

2007 Practitioner HCPCS Codes (B0600223 - 12/06) - This bulletin contains billing information and the approved Practitioner HCPCS Codes for billing Practitioner services to the Colorado Medicaid Program. All codes and changes are effective 01/01/2007. This bulletin replaces B0500203 (12/05).

Immunization Benefit Update (B0600222 - 12/06) - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference and the Recommended Childhood Immunization Schedule are included with the bulletin. This bulletin replaces B0500207 (12/05).

Dental ADA Codes (B0600221 - 12/06) - This bulletin contains the approved Dental ADA codes for billing the Colorado Medical Assistance Program and includes policies and important changes effective 01/01/2007. This bulletin replaces bulletin B0400189 (12/04).

Medical Assistance Program News and Updates (B0600220 - 12/06) - This bulletin includes information about NPI; the Web Portal; Improper payments; Collecting payments from clients; 2007 Holiday processing schedule; 2007 CMS codes information; Fee schedules; Electronic bulletin notification; Autism waiver; HH advisory committee; New version of Grouper; Synagis vaccine; EPSDT periodicity schedule; Out-of-State DME providers; January Denver workshops; and the Publication Preference form.

Medical Assistance Program News and Updates (B0600219 - 11/06) - This bulletin includes information about NPI; the Web Portal; OB workshop; Holiday processing schedule; Rendering Provider Application; Enrollment application workshop; Updated Appendices section; Electronic bulletin notification; Procedure code T1005-HCBS providers; NF ULTC 100.2 & PETI; Pharmacy Part B billing & PAR forms; Denver workshops; PETI Fee Schedules and the Publication Preference form.

Medical Assistance Program News and Updates (B0600218 - 10/06)  - This bulletin includes information about NPI; the Web Portal; Columbus Day processing schedule; Revised Enrollment Applications; Enrollment application workshop; Electronic bulletin notification; New Hospital DRG Grouper; NF copay; PT, OT, ST manual section; Denver workshops; and the Publication Preference form.

Medical Assistance Program Updates and Changes (B0600217 - 09/06) This bulletin includes information about Title VI; NPI; Enrollment application workshop; Applications; the Call Center; CO Access providers; PCPs; OAP; the Web Portal; Dental reimbursement; HBU; NF TOB; Pharmacy PARs Statewide workshops; and the Publication Preference form.

Medical Assistance Program Updates and Changes (B0600216 - 08/06) This bulletin includes information about the New crossover process; NPI; Colorado Access; Web Portal; PAR reminders; Co-pay; Fee schedules; Labor Day processing; Emergency Transportation correction; HCBS personal care; NF reminders & PETI flowchart; August & September 2006 - Denver & Statewide Provider Billing Workshops; Copy of Maximus letter to Access clients; Publication Preference form.

Medical Assistance Program Updates and Changes (B0600215 - 07/06) This bulletin includes information about the Web Portal; NPI; Reporting Medicaid/CHP+ issues; Timely filing & Reconsiderations; 24 Hour nurse hotline; Denver Health Medicaid Choice; Rate changes for Dental & Orthodontia, DME & Supply, Emergency Transportation providers and Practitioners; HCBS-BI PERS; NF CHOW PARs & PETI flowchart; Pharmacy changes; Meningococcal vaccine PARs; July, August & September 2006 - Denver & Statewide Provider Billing Workshops; Publication Preference form.

Medical Assistance Program Orthodontic Treatment for Handicapping Malocclusions (B0600214 - 06/06) This bulletin only contains information about services that orthodontists are likely to use in the treatment of a handicapping malocclusion.

Medical Assistance Program Updates and Changes (B0600213 - 06/06) This bulletin includes information about the Web Portal; Eligibility verification; OAP; Updating provider information; Charge for TADs; PAR denial reasons; Trading partners submitting more than 5 eligibility batches per day; DME reimbursement changes; HCBS quality management; NF PETI and oral cavity conditions; Pharmacy PPIs, injectable drugs & NeuroScience program; Substance abuse treatment benefits; June, July & August 2006 - Denver Provider Billing Workshops; Publication Preference form.

Medical Assistance Program Updates and Changes (B0600212 - 05/06) This bulletin includes information about National Provider Identifiers (NPIs); the Web Portal; Eligibility; Enrollment FAQs; Dental changes reminder; DME reimbursement changes; EPSDT Toolkit; HCBS-EBD Community Transition Services; BI, EBD, MI, PLWA, and CHCBS Home Health and Private Duty Nursing Providers Rate Increases; Home Health billing; NF billing reminder; May and June 2006 - Denver & Statewide Provider Billing Workshops; FY 05-06 HCBS-BI Rates & HCBS-EBD, MI and PLWA Rates; Publication Preference form.

Medical Assistance Program Updates and Changes (B0600211 - 04/06) This bulletin includes information about National Provider Identifiers (NPIs); the Web Portal and WINASAP; Trading partners submitting more than 5 batches per day; Enrollment application workshop; Hardcopy (Paper) Provider Claim Reports (PCRs) Requests; Adult dental treatment updates; Institutional claims when the Colorado Medical Assistance Program is not the only payer; CPT and CMS procedure codes fee schedule; April and May 2006 - Denver & Statewide Provider Billing Workshops; Publication Preference form.

Medical Assistance Program Updates and Changes (B0600210 - 03/06)  - This bulletin includes: Web Portal update; National Provider Identifier;PCR request information; Approved Software Vendor information; 2006 Fee Schedule information; ULTC 100.2 tracking end dates; Re-dispensing unused medication policy; March and April 2006 Denver Workshop Schedule; & Publications Preferences form.

Medical Assistance Program Updates and Changes (B0600209 - 02/06)  - This bulletin includes: Web Portal update; training schedule correction; client eligibility verification; National Provider Identifier; provider termination for inactivity; claims not on PCRs; holiday processing; Medicare prescription drug program; mental health coding changes; February and March 2006 Denver Workshop Schedule; Frequently used telephone numbers and websites & Publications Preferences form.

Medical Assistance Program Updates and Changes (B0600208 - 01/06)  - Information includes National Provider Identifier, new phone line for web portal access and password resets and 2006 CMS Codes and Immunization bulletins. Reminders include outpatient cost-to-charge ratios, tracking of ULTC 100.2 end dates, January and February 2006 Denver Workshop Schedule & Publications Preferences form.

Immunization Benefit Update (B0500207 - 12/05)  - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference and the Recommended Childhood Immunization Schedule are included with the bulletin. This bulletin replaces B0400188 (12/04).

2006 Supply CMS Codes (B0500206 - 12/05)  - This bulletin contains billing information and the approved Supply, DME, Orthotics and Prosthetics CMS Codes for billing services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2005. This bulletin replaces B0400190 (12/04).

Vision Eyewear CMS Codes (B0500205 - 12/05)  - This bulletin contains billing information and the approved Vision Eyewear CMS Codes for billing Vision Eyewear services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2006. This bulletin replaces B0400186 (12/04).

Radiology and Laboratory CMS Codes (B0500204 - 12/05)  - This bulletin contains billing information and the approved Radiology and Laboratory CMS Codes for billing Radiology and Laboratory services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2006. This bulletin replaces B0400185 (12/04).

2006 Practitioner CMS Codes (B0500203 - 12/05)  - This bulletin contains billing information and the approved Practitioner CMS Codes for billing Practitioner services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2006. This bulletin replaces B0400187 (12/04).

Medical Assistance Program Updates and Changes (B0500202 - 12/05)  - Bulletin contains WINASAP/Web Portal, HIPAA, CMS codes, PAR updates; 837P crosswalk; Dental notices; New version of Grouper; Nursing Facility updates; Pharmacy changes; 2006 Workshop schedule; Publications Preferences form.

Medical Assistance Program Updates and Changes (B0500201 - 11/05)  - Bulletin contains WINASAP, Web Portal FAQ and OAP updates; Finance email; Claims and Veterans' Day payment information; Dental Certification reminder, Pharmacy PPI update, Vaccine information; Denver November workshop schedule; and the & Publications Preferences forms.

Medical Assistance Program Dental Claims Update (B0500200 - 10/05)  - Certification form requirement for all Dental ADA paper claims.

Medical Assistance Program Updates and Changes (B0500199 - 10/05)  - Bulletin includes WINASAP & Web Portal updates; Holiday processing schedule; Emergency Processing Unit & New HCPF director information; Dental certification & mass adjustment information; DPU, Grouper and New NF PETI forms information. Also includes the Denver fall workshop schedule, and the Dental Certification & Publications Preferences forms.

Medical Assistance Program Updates and Changes (B0500198 - 09/05)  - Bulletin includes Web Portal update, Holiday processing schedule, New addresses for DOAH & CFMC, Insurance & application reminders; Information about Healthcare professional toolkit, Nursing Facility respite clients, Pharmacy changes, Practitioner reimbursement increases; Corrected Supply PAR information. Also includes the summer and fall workshop schedule and the Publications Preferences form.

Medical Assistance Program Updates and Changes (B0500197 - 08/05)  - Bulletin includes Web Portal and WINASAP updates; OAP, Application & Publications information; Home Health, PDN Nursing Facility PETI and Pharmacy updates. Also included are the updated summer and; fall workshop schedule and the Publications Preferences form.

Medical Assistance Program Updates and Changes (B0500196 - 07/05)  - Bulletin includes Web Portal and WINASAP updates, ASC code updates and HCBS, HH & PDN rate changes. Supply CMS code and Presumptive Eligibility updates. Amended summer & fall workshop schedule, revised HCBS PAR form and Publications Preferences form.

Medical Assistance Program Updates and Changes (B0500195 - 06/05)  - Bulletin includes National Provider Identifier information, WINASAP update, Independence Day holiday processing, ACF CHOW information, DME/Supply, Home Health & Presumptive Eligibility updates, Revised summer & fall workshop schedule, and Publications Preferences form.

Medical Assistance Program Updates and Changes (B0500194 - 05/05)  - This bulletin contains information about: Transactions through the Web Portal; WINASAP Eligibility Verification Ends; All Provider Satisfaction Survey ; Electronic Publications Notification; Statewide Training; New HCBS Waiver Program; New HCBS Waiver Prior Authorization Form; Proton Pump Inhibitors; Zorbtive; Revised Waiver PAR Form; Revised PPI PAR Form and Publications Preferences Form.

Medical Assistance Program Updates and Changes (B0500193 - 04/05)  - This bulletin contains information about: WINASAP Eligibility Verification; Medical Assistance Program Payment Error Rate Measurement (PERM) Project; Payment Accuracy Measurement (PAM) Project; Electronic Publications Notification; Email Example; Statewide Training; Acute Home Health; Physician reminder to keep the fiscal agent, informed of any changes to your medical practice, billing information or location including address, telephone, etc.; Mapping Rx number to claim payment information; Pharmaceuticals requiring prior authorization; Proton Pump Inhibitors; Growth Hormones; Private Duty Nursing providers required to submit a discharge Prior Authorization Request (PAR) within five days of a client’s death or discharge; Referrals and Billing Reminders; Provider Billing Workshop Schedule; Home Health Letter; RTP Pended Long Term Home Health PAR Form; PPI PAR Form and Publications Preferences Form.

Medical Assistance Program Updates and Changes (B0500192 - 02/05 & 03/05)  - This bulletin contains information for all providers including Delayed Eligibility, Web Portal, Provider Bulletin Board, Home Health, Hospital & Pharmacy Billing, CHOW & PCP updates/information, and the 2005 Spring Workshop schedule.

Medical Assistance Program Updates and Changes (B0500191 - 01/05)  - This bulletin contains information for all providers including Web Portal, HIPAA, Hospice and Mental Health updates, 2005 CMS codes information, and the 2005 Workshop schedule.
 

2005 Supply CMS Codes (B0400190 - 12/04; Updated 08/05)  - This bulletin contains billing information and the approved Supply, DME, Orthotics and Prosthetics CMS Codes for billing services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2005. This bulletin replaces B0400172 (03/04).

Dental ADA Codes (B0400189 -12/04)  - This bulletin contains the approved Dental ADA codes for billing the Colorado Medical Assistance Program and includes policies and important changes effective 01/01/2005. This bulletin replaces B0200146 (12/02).

Immunization Benefit Update (B0400188 - 12/04)  - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference and the Recommended Childhood Immunization Schedule are included with the bulletin. This bulletin replaces B0400173 (03/04).

2005 Practitioner CMS Codes (B0400187 - 12/04)  - This bulletin contains billing information and the approved Practitioner CMS Codes for billing Practitioner services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2005. This bulletin replaces B0400171 (03/04).

Vision Eyewear CMS Codes (B0400186 - 12/04)  - This bulletin contains billing

information and the approved Vision Eyewear CMS Codes for billing Vision Eyewear services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2005. This bulletin replaces B0400169 (03/04).

Radiology and Laboratory CMS Codes (B0300185 - 12/04)  - This bulletin contains billing information and the approved Radiology and Laboratory CMS Codes for billing Radiology and Laboratory services to the Colorado Medical Assistance Program. All codes and changes are effective 01/01/2005. This bulletin replaces B0300170 (03/04).

Medical Assistance Program Updates and Changes (B0400184 - 12/04)  - This bulletin contains information for all providers including Batch Submissions, Eligibility, Office Closures, Processing Schedule, Denver Beginning Provider Workshops, DRG Grouper 22, and the revised PPI PAR form.

Medical Assistance Program Updates and Changes (B0400183 - 11/04)  - This bulletin contains Medical Assistance Program updates for Crossovers, the File and Report Service, OAP, Nursing Facilities, PT/OT, Pharmacy, Adult Preventative Care, Influenza Vaccine and Prenatal Presumptive Eligibility.

Medical Assistance Program Updates and Changes (B0400182 - 10/04)  - This bulletin contains Medical Assistance Program updates for the File and Report Service, 2005 HCPCS, Dialysis, Non-Emergent Medical Transportation, Supply/DME & Pharmacy and DRG Grouper 22 information.

Medical Assistance Program Updates and Changes (B0400181 - 09/04) - This bulletin contains Medical Assistance Program Workshop, CBMS, Electronic Provider Report, Hospital Newborn Benefit, Non-Emergent Medical Transportation, Independent OT & PT, Supply/DME, and Pharmacy information and updates.

Medical Assistance Program Updates and Changes (B0400180 - 08/04) - This bulletin contains Medical Assistance Program Workshop, Nurse Home Visitor Program, Physical & Occupational Therapy, Speech Therapy, Hospital and Pharmacy information and updates.

Medical Assistance Program Updates and Changes (B0400179 - 07/04) - This bulletin contains Medical Assistance Program information and Web Portal updates for all providers.

ASC Update (B0400178 - 06/04) - This bulletin contains updated ASC billing information and current ASC surgical procedure codes.

Medical Assistance Program Updates and Changes (B0400177 - 06/04) - This bulletin contains Medical Assistance Program and Web Portal updates and information for all providers.

Important Change to Dental Crown Policy (B0400176 - 05/04) - This bulletin contains information about limiting the number of crown placements per date of service.

HIPAA and Medical Assistance Program Updates and Changes (B0400175 - 05/04) - This bulletin contains Medical Assistance Program and HIPAA updates and information about billing and workshops, Nursing Facilities, Waiver, Transportation programs.

HIPAA and Medical Assistance Program Updates and Changes (B0400174 - 04/04) - This bulletin contains Medical Assistance Program and HIPAA updates including the Colorado Benefits Management System (CBMS), Dental, Home Health, Nursing Facility and Primary Care Physician Program.

Immunization benefits (B0400173 - 03/04) - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference, Immunization schedule and CDPHE letter are included with the bulletin.

2004 Supply HCPCS (B0400172 - 03/04) - This bulletin contains Supply, DME, Orthotics, Prosthetics HCPCS codes and Medical Assistance Program billing information effective 01/01/2004.

2004 Practitioner HCPCS (B0400171 - 03/04) - This bulletin contains Practitioner HCPCS codes and Medical Assistance Program billing information effective 01/01/2004.

Laboratory and X-ray HCPCS (B0300170 - 03/04) - This bulletin contains

Laboratory and X-ray HCPCS for Independent and Hospital Radiology and Laboratory providers effective 01/01/04.

Vision Eyewear HCPCS (B0400169 - 03/04) - This bulletin contains Vision Eyewear HCPCS for Opticians and Optometrists effective 01/01/04.

HIPAA and Medical Assistance Program Updates and Changes (B0400168 - 03/04) - This bulletin contains Medical Assistance Program HIPAA, Audiology, EPSDT, HMO & Supply  updates and Dental billing clarifications.

HIPAA and Medical Assistance Program Updates and Changes (B0300167 - 02/04) - This bulletin contains HIPAA updates, DRG updates, Medical Assistance Program information for all providers.

HIPAA and Medical Assistance Program Updates and Changes (B0300166 - 01/04) - This bulletin contains HIPAA updates and Medical Assistance Program changes for all providers.

Medical Assistance Program Updates and Changes (B0300165 - 12/03) - This bulletin contains the 2004 claims processing schedule, the 2004 workshop schedule, as well as additional important information for all providers.

Medical Assistance Program Updates and Changes (B0300164 - 11/03) - This bulletin contains HIPAA & new provider manual updates, as well as additional important information for all providers.

Medical Assistance Program Updates and Changes (B0300163 - 09/03) - This bulletin contains important HIPAA updates, new medical card information and additional information for all providers.

Billing update for Ambulatory Surgical Centers (ASCs) (B0200162 - 08/03) - This bulletin contains updated information and codes for ASC billing.

Medical Assistance Program Updates and Changes (B0300161 - 07/03) - This bulletin contains important HIPAA updates for all Medical Assistance Program providers and billing changes for Pharmacy providers.

Orthodontic Program for Children with Handicapping Malocclusions (B0300160 -07/03) - This bulletin contains information about orthodontic benefits and procedures effective August 1, 2003.

Revised Transportation HCPCS (B0300159 - 07/03) - This bulletin contains

Transportation HCPCS effective 07/01/2003.

Information and Changes for Hearing Services Providers (B0300158 - 07/03) - This letter and bulletin contain important information about changes in claims and PAR processing.

Medical Assistance Program Updates and Changes (B0300157 - 06/03) - This bulletin contains important Medical Assistance Program updates and billing changes for all Medical Assistance Program providers.

Medical Assistance Program Updates  (B0300156 - 05/03) - This bulletin contains important Medical Assistance Program updates for all Medical Assistance Program providers.

Medical Assistance Program Updates and Billing Information (B0300155 -04/03) - This bulletin contains important billing updates and information for all Medical Assistance Program providers.

Medical Assistance Program Updates and Changes (B0300154 - 04/03)  - This bulletin contains important billing updates and changes for all Medical Assistance Program providers.

2003 Supply HCPCS (B0300153 - 03/03) - This bulletin contains Supply, DME, Orthotics, Prosthetics HCPCS codes and Medical Assistance Program billing information effective 01/01/2003.

2003 Practitioner HCPCS (B0300152 - 03/03) - This bulletin contains Practitioner HCPCS codes and Medical Assistance Program billing information effective 01/01/2003.

Vision Eyewear HCPCS (B0300151 - 03/03) - This bulletin contains Vision Eyewear HCPCS for Opticians and Optometrists effective 01/01/03.

Important Medical Assistance Program Billing Information (B0300150 - 03/03) - This bulletin contains important billing updates and changes for all Medical Assistance Program providers.

Transportation HCPCS (B0300149 - 03/03) - This bulletin contains Transportation HCPCS effective 01/01/2003.

Laboratory and X-ray HCPCS (B0300148 - 02/03) - This bulletin contains

Laboratory and X-ray HCPCS for Independent and Hospital Radiology and Laboratory providers effective 01/01/03.

Medical Assistance Program Updates and Changes (B0300147- 02/03) - This bulletin contains important updates and changes for all Medical Assistance Program providers.

Dental HCPCS (B0200146 -12/02) - This bulletin contains current Dental HCPCS including Medical Assistance Program policies and important changes effective 01/01/03. This bulletin replaces B0100087 (01/01).

Medical Assistance Program Updates and changes (B0200145 - 12/02) - This bulletin contains important updates and changes for all Medical Assistance Program providers.

2003 Winter/Spring Denver & Statewide Provider Billing Workshop Schedule (B0200144 - 12/02) - This bulletin contains the schedule for Denver and statewide provider training for January 2003 through May 2003.

Medical Assistance Program Updates and changes (B0200143 - 12/02) - This bulletin contains current updates and changes for all Medical Assistance Program providers.

Medical Assistance Program Updates and changes (B0200142 - 11/02)  - This bulletin contains recent updates and changes for all Medical Assistance Program providers.

Medical Assistance Program Updates and changes for Supply and Pharmacy providers (B0200141 - 10/02)  - This bulletin contains Enteral/Oral formula and supply updates.

Medical Assistance Program Updates and changes (B0200140 - 10/02) -    This

bulletin contains current updates and changes for all Medical Assistance Program providers.

Medical Assistance Program Updates (B0200139 - 09/02) - This bulletin contains updates and changes for all Medical Assistance Program providers.
Attachment B - Attachment C - Attachment D

Medical Assistance Program Updates (B0200138 - 07/02) - This bulletin contains information for Dental, HCBS, Home Health (PDN), Hospital, Osteopath, Pharmacy and Physician providers.

Claim Filing, Remittance Statement and Payment Changes (B0200137 - 07/02) -

This bulletin contains important information about electronic filing, remittance statements and payments.

Medical Assistance Program Information and Rule Changes (B0200136 - 06/02) - This bulletin contains important information for all providers and specific provider groups about auditing, claims processing, billing and rate changes.

Utilization Review for Long Term Care Programs (B0200135 - 06/02) - This bulletin contains information about new Single Entry Point (SEP) agencies providing utilization review for the Medical Assistance Program's LTC programs as part of a test study.

Old Age Pension Health Care Program (Health and Medical Fund) (B0200134 - 06/02) - This bulletin contains information about the OAP program's payment reductions for fiscal year 02-03.

BCCP (B0200133 - 06/02) - This bulletin contains information about the Breast and Cervical Cancer Program (BCCP) that will be implemented July 1, 2002.

IP/OP diagnoses (B0200132 - 05/02) - This bulletin contains information about a processing system correction affecting UB-92 primary diagnosis codes.

Pharmacy Billing Clarification (B0200131 - 04/02)  - This bulletin contains information about Med Cert 4 and prenatal vitamins.

2002 Summer/Fall Denver & Statewide Provider Billing Workshop Schedule (B0200130 - 04/02) - This bulletin contains the schedule for Denver and statewide provider training for June 2002 through November 2002.

Medical Assistance Program Q & A (B0200129 - 04/02) - This bulletin is intended to help providers with common claim questions and problems.

Immunization benefits (B0200128 - 04/02) - This bulletin contains updated information on immunization benefits for children and adults.  An Immunization schedule is included with the bulletin. Immunization Schedule

Nursing facility billing policy and clarification (B0200127 - 03/02) - This bulletin contains nursing facility billing information and manual replacement pages.

Pharmacy reimbursement change (B0200126 - 03/02) - This bulletin contains information about a reimbursement formula change.

Dental policy changes (B0200125 - 02/02)  - This bulletin contains information about the new unsupervised dental hygienist Medical Assistance Program provider specialty.

Billing update for Ambulatory Surgical Centers (ASCs) (B0200124 - 02/02) - This bulletin contains updated information and codes for ASC billing.

Laboratory and X-ray HCPCS (B0200123 - 02/02) - This bulletin contains Laboratory and X-ray HCPCS for Independent and Hospital Radiology and Laboratory providers effective 01/01/02.

Practitioner HCPCS (B0200122 - 02/02) - This bulletin contains Practitioner HCPCS effective 01/01/2002.

2002 Supply HCPCS (B0200121 - 02/02) - This bulletin contains Supply and DME HCPCS, including Medical Assistance Program billing information, effective 01/01/02.

Old Age Pension Health and Medical Fund (B0200120 - 01/02) - This bulletin contains information about the change in OAP program administration effective January 4, 2002.

Acute Care Outpatient Occupational Therapy & Physical Therapy (B0200119 - 01/02) - This bulletin contains information about Outpatient Occupational and Physical therapy PARs.  A PAR example is included with the bulletin. PAR example

2002 Holiday processing schedule (B0200118 - 01/02) - This bulletin lists the 2002 holidays affecting the claims processing schedule.  Please remember to check the weekly RS messages for claims processing schedule updates.

Synagis vaccine information (B0100117 - 12/01) - This bulletin contains important updated information about the Synagis vaccine.

End - Dated Revenue Codes (B0100116 - 11/01) - This bulletin contains information about a new edit that will be used to deny end-dated revenue codes.

Medical Assistance Program Verification for Client Disability Determinations (B0100115 - 11/01) - This bulletin contains information about the Single Purpose Eligibility Application (SPA) for Client Disability Determinations.

2002 Winter/Spring Denver & Statewide Provider Billing Workshop Schedule (B0100114 - 10/01) - This bulletin contains the schedule for Denver and statewide provider training for December 2001 through May 2002.

Long Term Home Health Update (B0100113 - 10/01) - This bulletin contains LTHH FAQs and answers.

LTHH PAR examples:

• FA Approved
• SEP Approved
• PAR Example

Pharmacy Billing Clarification (B0100112 - 09/01) - This bulletin contains information about some pharmacy billing changes and problems.

Prescription Tracking (B0100111 - 09/01) - This bulletin contains information about prescription tracking and claims reversals.

Grouper 19.0 (B0100110 - 09/01) - This contains information about the installation of Grouper 19.0.

New Orthosis & Prosthesis Rates (B0100109 - 09/01) - This bulletin contains information DME billing and new rates.

Managed Care Contractor Change (B0100108 - 09/01) - This bulletin contains information about the new contractor for El Paso, Park, and Teller counties.

Edit Disposition Changes (B0100107 - 09/01) - This bulletin contains information about edit changes that may affect claims processing.

November Payment Cycle Change (B0100106 - 06/01) - This bulletin contains information about the payment cycle through Thanksgiving Week.

2001 Summer/Fall Denver & Statewide Provider Billing Workshop Schedule (B0100105 - 06/01) - This bulletin contains the schedule for Denver and statewide provider training for July 2001 through November 2001.

New Eligibility Procedure (B0100104 - 06/01) - This bulletin contains information about disability-based Medical Assistance Program eligibility.

Pricing Changes (B0100103 - 06/01) - This bulletin contains pharmacy program

pricing changes.

Benefit Criteria Change (B0100102 - 06/01) - This bulletin contains revised prior authorization criteria for D5A.

New DME Rates (B0100101 - 05/01) - This bulletin contains the updated rates for DME purchases.

New Long Term Home Health PAR (B0100100 - 05/01) - This bulletin contains new PAR information and billing checklists.

2001County Transportation HCPCS (B0100099 - 05/01) - This bulletin contains County Transportation HCPCS for 2001.

2001 Medical Transportation HCPCS (B0100098 - 05/01) - This bulletin contains Medical Transportation HCPCS for 2001, including a Medicare crossover reference.

Check client's coverage (B0100097 - 05/01) - This bulletin contains information about verifying eligibility and coverage.

Correction and replacement (B0100096 - 05/01) - This bulletin contains a date correction for B0100095 and a manual replacement page.

Possible Re-Instatement of Eligibility (B0100095 - 04/01) - This bulletin contains information about possible payment for old claims denied for eligibility.

Non-Citizen Emergency Treatment (B0100094 - 04/01) - This bulletin contains information about Medical Assistance Program Emergency-Only treatment for non-citizens.

Program Integrity (PI) Rule (B0100093 - 04/01) - This bulletin contains a summary of the PI rule recommended for adoption by the Medical Services Board.

PCPP Re-Enrollment (B0100092 - 03/01) - This bulletin contains information about the upcoming PCP Re-Enrollment and Agreement.

Dental HCPCS correction (B0100091 - 03/01) - This bulletin contains corrected replacement pages for the 2001 Dental HCPCS.

Foster Care Eligibility (B0100090 02/01) - This bulletin contains information about the current foster care eligibility problem.

2001 Supply HCPCS (B0100089 - 01/01) - This bulletin contains Supply and DME HCPCS, including Medical Assistance Program billing information, effective 01/01/01.

RTC Information (B0100088 - 01/01) - Explains RTC utilization rules and payment.

Dental HCPCS (B0100087 - 01/01) - This bulletin contains Dental HCPCS including Medical Assistance Program policies and important changes effective 01/01/01.

Practitioner HCPCS (B0000086 - 12/00) - This bulletin contains the 2001 Practitioner HCPCS effective 01/01/2001.

Copayments (B0000085 - 12/00) - This bulletin contains Medical Assistance Program copayment information.

Laboratory HCPCS (B0000084 - 12/00) - This bulletin contains the 2001 Laboratory HCPCS for Independent and Hospital laboratory providers.

Synagis vaccine (B0000083 - 12/00) - This bulletin contains information for providers billing the synagis vaccine.

2001 Winter / Spring Denver & Statewide Provider Billing Workshop Schedule (B0000082 - 12/00) - This bulletin contains the schedule for Denver and statewide provider training for January 2001 thru June 2001.

2001 Holiday processing schedule (B0000081 - 12/00) - This bulletin lists the holidays affecting the 2001 claims processing schedule.

New Medical Assistance Program Benefit (B0000080 - 10/00)  - This bulletin contains criteria for a new drug benefit.

All Provider Updates (B0000079 - 10/00) -  This bulletin contains new fiscal agent web address, bulletin corrections and updated manual appendices.

New Grouper (B0000078 - 10/00)  - This bulletin contains information about the installation of Grouper version 18 on 12/01/2000.

CMW & Children's HCBS Merger (B0000077 - 09/00) - This bulletin contains information about billing changes for former CMW providers.

ASC update (B0000076 - 09/00) -  This bulletin contains updated billing information and ASC surgical procedure codes.

New edits for newborn inpatient claims (B0000075 - 09/00) - This bulletin contains new edit information, and billing instructions for maternity & newborn, interim payments and clients with Medicare Part B only coverage.

Supply HCPCS correction (B0000074 - 08/00)  - This bulletin contains a corrected replacement page for the 2000 Supply HCPCS.

Billing changes for oxygen-related services (B0000073 - 08/00) - This bulletin contains important billing procedure code changes for providers billing oxygen-related services for NF, CCF and Hospice clients.

Automatic psychiatric crossover claims (B0000072 - 07/00) - This bulletin contains important information about adjustments to automatic psychiatric Medicare crossover claims.

New & revised pharmacy benefits (B0000071- 07/00) - This bulletin contains important drug prior authorization criteria.

Drug claim reversals (B0000070 - 07/00)  - This bulletin contains important information about Medical Assistance Program claim & log policies for pharmacy providers.

NF response instructions to ITR letters (B0000068 - 06/00)  - This bulletin contains simplified instructions for responding to Intent To Retract (ITR) letters.  ITR response forms are located in Provider Services under Forms.

Changes to mental health managed care enrollment (B0000067 - 06/00) - This bulletin contains  important information about the mental health managed care enrollment change effective  June 1, 2000.

Transportation Crossover information (B0000066 - 05/00)  - This bulletin contains important information about the reprocessing and billing of transportation crossover claims.

Medicare Crossover claim completion changes for NF providers (B0000065 - 05/00) - This bulletin contains important information about completing NF Medicare crossover claims.

Improved Medicare Crossover processing for UB-92 claims (B0000064 - 05/00) - This bulletin contains information about an additional Type of Bill values.

2000 Supply HCPCS (B0000063 - 05/00)  - This bulletin contains Supply and DME HCPCS, including Medical Assistance Program billing information, effective 01/01/00.

CFMC phone number correction (B0000062 - 04/00)  - This bulletin contains an important phone number correction for CFMC and NF PAR verification tips.

Intent to Retract Notice for Medical Assistance Program/Medicare claims (B0000061 - 04/00)  - This bulletin contains information about "Intent to Retract" letters for claims for clients with Medical Assistance Program coverage and Medicare.

Edit for Nursing Facility claims (B0000060 - 04/00)  - This bulletin contains information about the activation of the PAR edit for NF claims.

Intent to Retract Notice (B0000059 - 04/00) - This bulletin contains information about "Intent to Retract" letters that will be mailed to hospitals.

Incontinence supplies (B0000058 - 03/00)  - This bulletin contains coding changes and PAR requirements for incontinence supplies.

Practitioner HCPCS (B0000057 - 03/00)  - This bulletin contains Practitioner HCPCS, including Medical Assistance Program billing information, effective 01/01/00.

Home Health norms (B0000056 - 03/00)  - This bulletin contains norms for Home Health & HCBS personal care/homemaker services.

Rate Changes (B0000055 - 03/00)  - This bulletin contains practitioner rate changes effective 01/01/2000.

Laboratory HCPCS (B0000054 - 03/00)  - This bulletin contains the 1999 Laboratory HCPCS for Independent and 2000 Hospital laboratory providers.

CFMC DRG notice (B0000053 - 03/00)  - This bulletin contains information about incorrect DRG letters.

Home Health specialty manual revision (B0000052 - 02/00)  - This bulletin contains replacement pages for the Home Health manual.

PAR-related adjustments (B0000051 - 02/00)  - This bulletin contains information about adjustments to specific PAR related claims.

FQHC Medical & dental services (B0000050 - 02/00)  - This bulletin contains information about billing dental and medical encounters on the same date of service.

Nursing Facility claim adjustments (B0000049 - 02/00)  - This bulletin contains information about adjustments to claims for NF accommodation charges processed between 12/98 and 02/00.

Adjustment reprocessing (B0000048 - 02/00) - This bulletin contains information about the correction to adjustments processed 04/99 through 02/00.

DRG Relative Weights (B0000047 - 01/00)  - This bulletin contains information about and the effective date for  the new relative weights.

Reprocessing of compound prescription claims (B0000046 - 01/00) - This

bulletin contains important information about pharmacy overpayments and the adjustment process.

2000 Holiday processing schedule (B0000045 - 01/00)  - This bulletin contains the processing schedule  for the remaining holidays in 2000.

MMDDCCYY format (B0000043 - 01/00)  - This bulletin contains important date format information for Medical Assistance Program claims.

Pended PARs (B0000042 - 01/00) - This bulletin contains important information about a new pended PAR policy.

New grouper (B9900041 12/99)  - This bulletin contains information about Grouper Version 17.0.

VNS (B9900040 - 12/99)  - This bulletin contains information about Medical Assistance Program benefits for Vagus Nerve Stimulation.

Y2K reminders (B9900039 - 12/99)  - This bulletin contains Y2K reminders and information if there is new client eligibility problems.

Pharmacy billing reminder (B9900038 - 12/99)  - This bulletin contains billing reminders for pharmacies billing for clients in the maternity cycle.

Incontinence supplies (B9900037 - 12/99)  - This bulletin contains information about coding, pricing, and billing changes for incontinence supplies.

Anesthesia reimbursement (B9900036 - 12/99)  - This bulletin contains information about the change in the anesthesia reimbursement rate.

Nursing Facility PETI revenue codes (B9900035 - 11/99)  - This bulletin contains important PETI billing, PAR, and special workshop information.

Reprocessing of Pharmacy Overpayments (B9900034 - 11/99)  - This bulletin contains important information about pharmacy overpayments and the adjustment process.

Presumptive Eligibility Change for Undocumented Aliens (B9900033 - 11/99)  - This bulletin contains important information about PE benefit changes.

SF availability & Crossover pricing information (B9900032 - 10/99)  - This bulletin contains information about NSF version 3.1 and Medicare crossover pricing.

All providers - Y2K (B9900031 - 10/99) - This bulletin contains important Y2K readiness information for all providers.

Dental brochure information (B9900030 - 09/99)  - This bulletin contains information about obtaining the new dental brochures.

All provider bulletin (B9900027 - 08/99)  - This bulletin contains information on OBRA '89, federal penalties for fraud, revised Appendix D, Practitioner HCPCS revision, & Rx PAR criteria.

Vision HCPCS (B9900026 - 08/99) - This bulletin contains the 1999 Vision HCPCS for Opticians.

Laboratory HCPCS (B9900025 - 08/99)  - This bulletin contains the 1999 Laboratory HCPCS for Independent and Hospital laboratory providers.

Hospice Billing Change (B9900024 - 08/99)  - This bulletin contains information about the discontinuation of required PARs for hospice services.

Pharmacy Manual Revision (B9900023 - 08/99) - This bulletin contains new and replacement pages for the pharmacy manual.

Provider manual addition (B9900021 - 07/99)  - This bulletin contains Appendix P, PAR denial codes and explanations. The new appendix is located in Appendices in the Provider Manual section.

Provider responsibilities (B9900020 - 07/99)  - Reprint of letter from HCFA to State Medical Assistance Program directors and provider agreement reminders.

Home Health specialty manual revision (B9900019 - 07/99)  - This bulletin contains revisions for the Home Health specialty manual. The revised pages are located in the Home Health specialty manual in the Billing Manuals section.

Dental Rate Changes (B9900018 - 06/99)  - This bulletin contains dental rate changes effective 07/01/99.

Injectable drug policy and Supply/DME PARs & claims (B9900016 - 06/99) - This bulletin contains policy clarification for injectable drugs and available assistance for drug, & supply/DME PARs & claims.

Practitioner HCPCS (B9900015 - 06/99) - This bulletin contains Practitioner HCPCS, including Medical Assistance Program billing information, effective 01/01/99.

PAR Submission Change (B9900014 - 05/99) - This bulletin contains information on PAR submission for some DME items. The revised orthotics and prosthetics questionnaire also is included.

Timely Filing Assistance (B9900013 - 05/99) - This bulletin contains time-sensitive timely filing extension information for providers with specific transition-related timely filing problems.

Dental code additions/corrections (B9900012 - 03/99) - This bulletin contains corrections, additions, and clarifications of certain codes in B9800003.

Billing Requirement Change for Supply (B9900010 - 03/99) - This bulletin contains information on the temporary suspension of model and serial numbers for electronic claims.

Provider Manual Revision (B9900009 - 03/99) - This bulletin contains a revision for Appendix J. The corrected appendix is located in the Appendices of the Provider Manual Section.

New Version of Grouper (B9900008 - 01/99)  - This bulletin contains the effective date of the new version of the grouper used to process inpatient claims.

Provider Manual Revision (B9900007 - 01/99) - This bulletin contains a revision to Appendix C in the Provider Manual. The corrected page, C-1, is located in the Appendices of the Provider Manual Section.

PAR Changes for Equipment Related Wheelchair Repairs (B9800005 - 12/98) - This bulletin lists equipment-related wheelchair repairs that will no longer require prior authorization.

Dental Rates (B9800004 - 12/98) - This bulletin contains rate adjustment information for certain dental codes effective 01/01/99.

Dental HCPCS (B9800003 - 12/98) - This bulletin contains Dental HCPCS including Medical Assistance Program policies and important changes effective 01/01/99.

Prior Authorization Letters (B9800002 - 12/98) - This bulletin contains information about the Prior Authorization letter language and prior authorization policies.

Changes to MHCP enrollment (B9800001 - 11/98) - This bulletin contains

information about the transition to prospective enrollment for the Medical Health Capitation Program (MHCP). Enrollment changes are effective 12/01/98.