Bulletins
HIPAA News | Provider Bulletins "B" | Billing News | Provider Bulletins "L"
Provider Bulletin Index (11/09) - The Provider Bulletin Index contains a list of topics and sub-topics in 2009, 2008, 2007 and several other 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.
Provider Bulletins "B"
| 2009 | B0900256 - Current |
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September and October Holidays; CDT Codes D0145 and D1330; Pre-Authorization Requirement to Extract Third Molars Is Rescinded; Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA); DME Accreditation; "Present on Admission" Indicator on Hospital Claims; Smoking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 |
| 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. |
| 2007 | B0700227 - B0600242 |
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.
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| 2006 | B0600208 - B0600226 |
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.
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| 2005 | B0500191 - B0500207 |
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) - Information includes WINASAP and Web Portal updates, survey information, HCBS updates, pharmacy PAR updates, 2005 May statewide workshop schedule, and updated Waiver PAR, PPI PAR and Publications Preferences forms.
Medical Assistance Program Updates and Changes (B0500193 - 04/05) - Information includes WINASAP and Web Portal updates, survey information, HCBS updates, pharmacy PAR updates, 2005 May statewide workshop schedule, and updated Waiver PAR, PPI PAR and Publications Preferences forms.
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. |
| 2004 | B0300166 - B0400190 |
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. |
| 2003 | B0300147- B0300165 |
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. |
| 2002 | B0200118 - B0200146 |
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.
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. |
| 2001 | B0100087 - B0100117 |
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:
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. |
| 2000 | B0000042 - B0000086 |
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.
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. |
| 1999 | B9900007 - B9900012 |
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. |
| 1998 | B9800001 - B9800005 |
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. |
| ALL | Newsletter 1 - 2 |
HIPAA Newsletter #2 (10/03) - This newsletter contains updates on HIPAA local codes termination and HIPAA billing changes.
HIPAA Newsletter #1 (09/03) - This newsletter contains noteworthy HIPAA information and the HIPAA workshop schedule. |
Billing News
Medicaid Billing News No. 11 (09/01) - This newsletter contains information about eligibility for new Medical Assistance Program clients. Medicaid Billing News No. 10 (05/01) - This newsletter contains information about emergency transportation. Medicaid Billing News No. 9 (08/00) - This newsletter contains information about automatic Medicare crossovers for FQHCs. Medicaid Billing News No. 8 (10/99) - This newsletter contains a revised listing of dental codes for Medicare crossover claims. Medicaid Billing News No. 7 (10/99) - This newsletter contains important Medicare crossover pricing information and dental billing information for FQHC and RHC providers. Medicaid Billing News No. 6 (10/99) - This newsletter contains important Medicare crossover pricing information for Supply and Pharmacy provider. Medicaid Billing News No. 5 (09/99) - This newsletter contains important hospital payment and billing information. Medicaid Billing News No. 4 (08/99) - This newsletter contains an HCBS-EBD, MI & PLWA code change for electronic monitoring equipment. Medicaid Billing News, No. 3 (07/99) - This newsletter contains important dental claim information. Medicaid Billing News, No. 2 (02/99) - This newsletter contains billing tips for Home Health providers. Medicaid Billing News, No. 1 (02/99) - This newsletter contains billing tips for Hospice providers.
ALL Newsletter 1 - 11
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| ALL | Letters 1998 - 2003 |
PAR Conversion Letter (12/03) - This letter contains information about the conversion of local codes submitted on PARs to national standard codes.
Pharmacy claims reprocessing (L0200023 - 05/02) - Correction of pharmacy payment errors between 04/02/01 and 06/22/01. Sent to affected providers.
Serial Number Requirement (L0100022 - 09/01) - Serial number requirement for wheelchair repairs. Sent to affected providers.
Overpayment Recovery (L0100021 - 04/01) - This letter was mailed to affected Nursing Facility providers.
NECS Software Information (L0100020 - 01/01) - This letter contains information about NECS Software and was mailed to affected providers.
Invalid/Missing Rendering Provider Numbers (L0000019 - 11/00) - This letter contains information about payment errors and adjustments for affected providers.
FQHC Automatic Medicare Crossover Delay (L0000018 - 09/00) - This letter contains updated information about the crossover implementation.
Letter and quick reference mailed with Medicare Part B claims report (L0000017 - 09/00) - This letter was sent to affected providers with a report of Medical Assistance Program overpayments for clients with Medicare Part B only coverage.
WINASAP upgrade Notice (L0000016 - 08/00) - This notice contains information about obtaining the upgraded WINASAP software.
Final notice for Nursing Facility providers (L0000015 - 08/00) -This letter contains important ULTC-100 information.
Letter mailed with ULTC-100 report (L0000014 - 05/00) -This letter was sent to affected providers with a report of clients without an approved ULTC-100 on file with the fiscal agent.
Capitation claim reprocessing (L0000013 - 02/00) - This letter contains information about the reprocessing of specific capitation claims for February 2000.
Dental batch letter (L9900012 - 02/00) -This letter contains information about dental batch claim submission.
DRG 385 Reprocessing (L0000011 - 02/00) - This letter contains information about the reprocessing of specific DRG 385 claims processed 12/01/98 through 02/04/00 and was sent to affected providers only.
State Pharmacy letter (L9900010 - 12/99) - This letter contains Y2K information for pharmacies.
December 1999 & January 2000 payment cycles (L9900009 - 11/99) -This letter contains important special claims payment cycle information.
HCBS PAR Q & A (L9900006 03/99) - This notice is intended to help providers understand the PAR form and processes.
Nursing Facility and HCBS Adjustment Transaction and Remittance Statement (RS) Explanation (L9900005 - 01/99) - This notice explains the adjustment process and remittance statement appearance of claims processed under the old system and adjusted under the new system.
Prior Authorization/Medical Certification Code & Number Correction (L9800004 - 12/98) - This notice contains a correction to the NCPDP Payor Sheet instructions. The correction is to the code for clients in the maternity cycle.
Prior Authorization Request Form Change (L9800002 - 12/98) - This notice contains information about completing the diagnosis field on the PAR form. Both a diagnosis code and a description now are required. |