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.