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Provider Bulletins
Provider Bulletin Index
Provider Bulletin Index (05/13) - The Provider Bulletin Index contains a list of topics and sub-topics in current and prior year bulletins. To use the Index, simply find your topic and go to the bulletin for the date listed in the far right column. This is the bulletin in which the topic was published. If you have questions about Provider Bulletins, please contact Provider Services at 1-800-237-0757.
The Provider Bulletin is published monthly and posted to this Web page. The bulletin covers topics of interest to providers and billing professionals.
| 2013 | B1300332 - Current |
2013 Practitioner HCPCS Codes (B1300337 - 05/13) - This bulletin contains listings of discontinued procedure codes, codes with description changes, and new procedure codes. All codes and changes are effective 01/01/2013. This bulletin replaces bulletin B1200316 (02/12). Medicaid Program News and Updates (B1300336 - 05/13) – This bulletin contains information about the Memorial Day Holiday; the ColoradoPAR Program; Long-Acting Reversible Contraceptive Rate Increase; Revised Rates for HCBS NMT providers; Home Health PAR Form Changes; Home Health Telehealth; Appendix T Update; Prenatal Plus Program Billing Manual; Abilify, Risperidone and Zyprexa; Pharmacy COBManager; Updates to Pharmacy Web Pages and the May & June 2013 Provider Workshops. Medicaid Program News and Updates (B1300335 - 04/13) – This bulletin contains information about the Provider Communication Survey; Third Party Bank Accounts; the Department’s Web site Changes; Client’s Who Need Assistance; Fee-for-Service Providers & ACC Members; NCCI Requirements and Billing Colonoscopies; ColoradoPAR; 2013 HCPCS and Fee Schedule; Physician Supplemental Payments; DME/Supply Providers & NCCI; Waiver Providers & Colorado Choice Transitions; IHS Pharmacies Billing Updates; Seroquel; Updates to Appendix P and the April & May 2013 Provider Workshops.
Medicaid Program News and Updates (B1300334 - 03/13) – This bulletin contains information about Medicare-Medicaid Enrollees; Medicare/Medicaid Crossover Claims; Record Retention; Planning for ICD-10; the Second Phase NCCI; Billing Reminders; Colorado Medical Assistance Program Web Portal; PERM; Physician Supplemental Payments; ColoradoPAR; Expansion of Colorado Access into Two Additional Counties; CCT Waiver Program Launch; Renamed Waivers: PHW & MI; Waiver PAR Form Changes; Pharmacy P&T Meeting; PDL Update; Atypical Antipsychotic Update; IHS Pharmacies Billing Updates; Updated Pharmacy Reimbursement Methodology; PDL Update; Billing Update for Avonex; Updates to Appendix P; and March & April 2013 Provider Workshops.
Medicaid Program News and Updates (B1300333 - 02/13) – This bulletin contains information about Medicaid Expansion in 2014; OAP Provider Rate Increase; EHR Incentive Program; Healthy Living Initiatives; 2013 HCPCS & Fee Schedules; Presidents’ Day Holiday; The ASC Project; Billing Shared Liquid Oxygen Systems at Nursing Facilities; HH Pediatric Assessment Tool Implementation; HH Rule Update & Benefit Coverage Standard Effective as of January 1, 2013; Pediatric Home Health PAR Certification Period; Home Health Agency Change of Provider Letter; Next Home Care Information Exchange Meeting; CCT Program Launch; IHS Pharmacies Billing Updates; Updated Pharmacy Reimbursement Methodology; DUR Board Meeting; PDL Update; and February & March 2013 Provider Workshops.
Medicaid Program News and Updates (B1300332 - 01/13) – This bulletin contains information about some Web Portal Upgrades; Clarification of Blood Lead Testing for Medicaid-Eligible Children; 2013 HCPCS Codes Update; Primary Care Provider Supplemental Payments; Tax Season and 1099s; January and February 2013 Holidays; Dental PAR Processing; Appendix N Update for Home Health Providers; Outpatient Hospital Supplemental Medicaid Payment with Percentage Adjustment Factors Attachment; Office Administered Drugs, Lupron Depot; IHS Pharmacies Billing Updates; Benefit Updates for Benzodiazepines and Barbiturates; Updated Pharmacy Reimbursement Methodology; Total Prescription Volume Surveys; and January and February 2013 Provider Workshops. |
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| 2012 | B1200310 - B1200331 |
Medicaid Program News and Updates (B1200331 - 12/12) - This bulletin contains information about the Colorado PAR Program; the Second Phase Update of NCCI Implementation; ‘Meaningful Use’ Submissions from Health Care Providers Using EHR; the Add-A-Baby Project; CHP+ Income Eligibility Policy Changes for Pregnant Women; Tax Season and 1099s;December 2012 and January 2013 Holidays; ICD-9-CM Crosswalk Update; Billing 340B Drugs for OP Hospitals; Updates to Outpatient Cost-to-Charge Ratios; Home Health Benefit Coverage Standard; ACA Payment to PCPs Rate Increase; Prenatal Plus Program; Tobacco Cessation Counseling Benefit for Pregnant Women; Immunizations; Pharmacy P&T Board Meeting; P&T Committee Open Positions Beginning in 2013; PDL Update; COB Manager; IHS Pharmacies; Medicare Part D; 2012-2013 Synagis® Season; Enhanced Prior Authorization System (SMART PA); December 2012 & January 2013 Workshops; and the Immunization Coding Quick Reference.
Medicaid Program News and Updates (B1200330 - 11/12) - This bulletin contains information about PAR Submission to the ColoradoPAR Program; ICD-10 Changes to Billing Practices; NCCI Second Phase Implementation in Early 2013; Breast Reconstruction PAR Submission Changes; Tax Season and 1099s; the Add-A-Baby Project; Medicaid & CHP+ Income Eligibility Policy Changes for Pregnant Women; Web Portal User Assistance Resources; Healthy Living Initiatives; A New Location of Colorado Medical Assistance Program Forms; Removal of the “Little Billing Book” from Web site; November 2012 Holidays; Audiology & Vision PAR Requirements; Colorado Choice Transitions (CCT) Update; Dental and Orthodontic PAR Submission Update; Updates to Outpatient Cost-to-Charge Ratios; Inpatient Hospital (DRG) Rates; Inpatient Hospital ICD-9-CM Crosswalk Update; Changes to Transportation PAR Requirements; Targeted Case Management (TCM) and Early Intervention (EI) Change; Pharmacy: DUR Board Meeting; IHS Pharmacies; Medicare Part D; 2012-2013 Synagis® Season; Enhanced Prior Authorization System (SMART PA); Brand/Generic Coverage Updates; P&T Committee Meeting; P&T Committee Open Positions Beginning 2013; and the November & December 2012 Workshops.
Synagis® and Influenza Vaccines (B1200329 - 10/12) - This bulletin contains updated information about Synagis® and Influenza Vaccine benefits and reimbursement for children and adults for the 2012-2013 season.
Medicaid Program News and Updates (B1200328 - 10/12) - This bulletin contains information about Program Integrity Fraud Reporting; Changes to PAR Requirements for Breast Reconstruction; Updated Client Appeals Rights; ColoradoPAR PAR Submission; Audiology and Vision PAR Requirements; DME/Supply Special PAR Requirements; Home Health PAR Submission; Name Change for MI Waiver Providers; Outpatient PT and OT 48 Unit Limit Postponed; Add-a-Baby Process; 2012-2013 Synagis® Season; Changes to Transportation PAR Requirement; Pharmacy: Appendix P, Medicare Part D Updates, Proton Pump Inhibitors, Updates to Pharmacy Rules, PDL Update, P&T Committee Meeting, P&T Committee Open Positions in 2913; October & November Holidays; October & November 2012 Workshops; Provider Overuse, Fraud and Abuse Referral Form; and a copy of the Client Appeals Rights
Medicaid Program News and Updates (B1200327 - 09/12) - This special Outpatient Physical Therapy (PT) and Occupational Therapy (OT) bulletin addresses important information about the 48 unit limit for all Outpatient PT and OT services and Prior Authorization Requests (PARs). The changes are effective October 1, 2012. Please read the bulletin carefully and retain it for future reference.
Medicaid Program News and Updates (B1200326 - 09/12) - This bulletin contains information about the Proof of Eligibility Letter; Safeguarding Medical Identity Toolkit; Colorado Choice Transition; Medicaid Fee Schedule; PAR Submission to the ColoradoPAR Program; Client Over-Utilization Program (COUP); ACC Program Referral Requirement; ACC Payment Reform Initiative; Dual Eligibles; Record Retention; September & October Holidays; Dental and Orthodontic PAR Procedures Update; Special DME/Supply PAR Submission Requirements - including notice of revised special provider bulletin, B1200323; FQHC Provider Identification Number; HCBS Waiver Providers and PERM; Home Health PAR Submission; Inpatient Medicaid Base Rates effective July 1, 2012; ICD-9-CM Codes Crosswalk; Nursing Facility Providers and PERM; PT/OT Daily Unit Limit Changes; Next P&T Committee Meeting; Appendix P; COBManager; Medicare Part D Updates; PPI; PDL Update; September & October 2012 Workshops; and Proof of Medicaid Eligibility Sample Letter.
Medicaid Program News and Updates (B1200325 - 08/12) - This bulletin contains information about PAR Submission; Client Over-Utilization Program (COUP); ACC Program Referral Requirement; Medicaid Payment Reform; Direct Deposit Information; Labor Day Holiday; New Provider Manual Section; Dental and Orthodontic PAR Submission; DME/Supply Special PAR Submission Requirements; Home Health Providers PAR Submission; Home Health Revenue Code Change; HCBS Waiver Procedure Code Changes and Program Rates; 2012 Colorado Immunization Information System (CIIS) Participation Survey; DUR Board News; COBManager; Proton Pump Inhibitors (PPI); Open P&T Committee Positions; August and September 2012 Provider Billing Workshops; and Home and Community Based Services Rates Attachment.
Medicaid Program News and Updates (B1200324 - 07/12) - This bulletin contains information about PAR Submission; Nurse Advice Line; Implementing the SPA for TCM; Independence Day Holiday; Billing Reminder for ASCs; Dental and Orthodontic PAR Submission; Dialysis Billing Reminder; AACDs, Electrical Stimulation Devices, & Apnea Monitors Benefit Coverage Standards; Emergency & Non-Emergency Medical Transportation 1% Rate Reduction - Effective July 2012; Home Health PAR Submission; Using CPT Code 11981; School-Based Health Center (SBHC) Benefit Coverage Standard; Combined 48 Unit Limit Postponed for Therapy Providers; Coverage of Vision Therapy; Next DUR Board Meeting; Prior Authorization Updates; COBManager Process for Pharmacy Claims; PDL Update; Next P&T Committee Meeting; July and August 2012 Provider Workshops; and Transportation Rates & PAR Requirements.
Medicaid Program News and Updates (B1200323 - 06/12) - This special DME PAR bulletin addresses important information about changes in the PAR processing policy for selected codes. The codes are listed in Attachment A of this bulletin. The changes are effective July 2, 2012. Please read the bulletin carefully and retain it for future reference. 08/31/2012 - Updated list of Codes Requiring Notification
Medicaid Program News and Updates (B1200322 - 06/12) - This bulletin contains information about ColoradoPAR PAR Submission; ACC Providers; Colorado Choice Transitions (CCT) Program; Immunization Services Billing Manual; Non Payment for Provider Preventable Conditions; RAC Program Update; Provider Status Verification; Independence Day Holiday; CHP+ Copay Changes; Dental & Orthodontic PAR Submission; Revised DME & Supply Billing Manual; Home Health PARs; Prognosis Required for Hospice; PT, OT, S-L & Hearing Benefit Coverage Standards; Changes for Outpatient PT and OT Benefit; New PAR Vendor for Skilled Nursing Facility Providers; Bariatric Surgery and Intersex Surgery Benefit Coverage Standards; PDL Update; PDL News; Next P&T Meeting; and June & July 2012 Provider Billing Workshops.
Medicaid Program News and Updates (B1200321 - 05/12) - This bulletin contains information about Colorado Access Expansion; ColoradoPAR Updates; Important ACC Update; Medicaid Buy-In Program for Children with Disabilities; Colorado Web Portal Updates; Memorial Day Holiday; Children's Medical Home Providers Pay-for-Performance Reimbursement; Hospice Services Benefit Coverage Standard; Hepatitis B for Newborns; HCBS Non Medical Transportation Providers; Waiver PAR Forms; Next DUR Board Meeting; Pharmaceutical Drug Reimbursement Methodology Surveys; Prior Authorization Updates; Prescriber NPI; PDL Updates; May and June 2012 Provider Billing Workshops; BI & EBD NMT Rate Schedules; Revised Request for HCBS Prior Approval and Cost Containment for HCBS-BI; and the revised Request for Adult HCBS Prior Approval and Cost Containment form.
Medicaid Program News and Updates (B1200320 - 04/12) - This bulletin contains information about the Proof of Medicaid Eligibility Letter; Colorado Registration and Attestation System; Nurse Advice Line; ColoradoPAR Program; Memorial Day Holiday; ASCs and DTCs Policy Statements; Depression Screening; PARs for Non-Emergent CT Scans, MRIs & all PET Scans; Hippotherapy Coverage; Podiatry Policy Statement; Pharmaceutical Drug Reimbursement Methodology Surveys; NPI; Next P&T Committee Meeting; PDL Update; Prior Authorization Updates; April and May 2012 Provider Billing Workshops; and sample of the Proof of Medicaid Eligibility Letter.
Medicaid Program News and Updates (B1200319 - 03/12) - This special Home Health bulletin contains important information about PDN Providers; Extraordinary Clarification; Brief Nursing Visit; POC Requirements; Using ICD-9 V-Codes on the Plan of Care; Appropriate Utilization and Billing of Acute and LTHH Services; Home Health Advanced Beneficiary Notice; Transferring a Client’s Home Health PAR; Revised HH PAR Form; Primary Agency and the Plan of Care Reminder. The bulletin also includes a list of Reviewing Agencies; the Revised HH PAR Form; and a copy of the Plan of Care.
Medicaid Program News and Updates (B1200318 - 03/12) - This special Outpatient Radiology bulletin contains important information about new outpatient radiology policies effective April 1, 2012. It also contains the PAR web-based training schedule and lists of imaging codes requiring PARs.
Medicaid Program News and Updates (B1200317 - 03/12) - This bulletin contains information about Medicare/Medicaid Crossover Claims; Adult Buy-In Program; ACC Referral Requirement; Web Portal Training Materials and User Assistance Documents; Upcoming Benefits Collaborative Meetings; Up and Away and Out of Sight; ColoradoPAR Program; 2012 HCPCS/Procedure Codes Bulletins; Appendices & EPSDT Manual Update; Dual Eligibles; Record Retention; DME Questionnaires; Immunization Services Policy; Vaccines for Children (VFC) Program; Colorado Immunization Information System (CIIS); Policy of Setting Interim Rates for New Rural Health Centers (RHCs); New Transportation Policy Statements; Next P&T Committee Meeting; Preferred Drug List (PDL) Update; DUR Board Update; PPIs; New Generics in the PDL Classes; and March and April 2012 Provider Billing Workshops.
2012 Practitioner HCPCS Codes (B1200316 - 02/12) - This bulletin contains listings of discontinued procedure codes, codes with description changes, and new procedure codes. All codes and changes are effective 01/01/2012. This bulletin replaces bulletin B1100294 (01/11).
Immunization Benefit Update (B1200315 - 02/12) - This bulletin contains updated information on immunization benefits for children and adults. A Quick Reference is included with the bulletin. This bulletin replaces B1100293 (01/11).
Billing Instruction Update for Ambulatory Surgery Centers (ASCs) (B1200314 - 02/12) Rev. 03/20/12 - This bulletin contains a complete list of the Medicaid-approved ASC procedure codes effective January 1, 2012. 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 B1100295 (01/11). 03/20/2012 - Updated ASC Group 2
Medicaid Program News and Updates (B1200313 - 02/12) - This special Transportation bulletin contains important information about upcoming transportation claim adjustments and rate changes.
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. |
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| 2011 | B1100292 - B1100309 |
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.
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.
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| 2010 | B1000274 - B1000291 |
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. |
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| 2009 | B0900256 - B0900273 |
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 |
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| 2008 | B0800243 - B0800255 |
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; FitLogixTM; DDM; Independence Day holiday processing; Direct Deposit; June & July 2008 Provider Billing Workshops; Denver Workshop Calendar; HCBS, HH and PDN Rate tables; FitLogixTM 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. |
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| 2007 | B0700227 - B0600242 |
2008 Practitioner HCPCS Codes (B0700242 - 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.
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