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Medicaid Program News and Updates (B1600379 - 02/16) - This bulletin contains information on the Accountable Care Collaborative Phase II: Stakeholder Feedback and Meeting Summaries; Person and Family Centered Approach: Creating a Culture of Collaboration with Members; Regulatory Efficiency Review: 8.079 Quality Improvement; ColoradoPAR Process Resources; Tax Season and 1099s; Healthcare Common Procedure Coding System (HCPCS) Updates for 2016 – Current Dental Terminology (CDT) Changes; Billing and Program Updates from DentaQuest; Coverage for Female Condoms and Spermicides; International Classification of Diseases 10th Revision (ICD-10) and Rehabilitation Specialty Hospitals; Pharmacy Dispensing Fees for Calendar Year 2016; Morphine Equivalent Limitations Update; Hepatitis C Medication Prior Authorization Process; Hepatitis C Criteria; Drug Utilization Review Board (DUR) Meeting; Outpatient Speech Therapists; and February and March 2016 Provider Workshops.
Medicaid Program News and Updates (B1400360 - 12/14) - This bulletin contains information on the CMS 1500 Claim Form Transition; ColoradoPAR Program; International Classification of Disease Version 10 (ICD-10); NCCI Quarterly Updates; Eligibility Response Changes; Increases in Payment for Office Visits and Vaccine Administration; Screening Medicaid Members for Depression; Coding Changes to the Medicaid Fee-for-Service Primary Care Depressions Screening Benefit; Comments Sought on New Federal Provider Screening Regulations; Tax Season and 1099s; December 2014 and January 2015 Holiday Schedule; Ambulatory Surgery Center Pilot Reimbursement Program; Billing Updates for DentaQuest; Dental Service for PE Children; Dental Program Benefits Update to Rules and Regulations; CRT Supplier Enrollment; Updated DME Billing Manual; Prior Authorizations for CPAP Machines; Approved FQHC Rates; Free Standing Birth Centers; Update on Inpatient and Outpatient Rate Increase; Non-Covered Days for Inpatient Claims; Billing Vxx.xxx Diagnosis Codes; Updates to Outpatient Cost-to-Charge Ratios, PT and OT PARs; Changes to FMS for CDASS Members; ACF PARs and Payment; Prior Authorization Process for HARVONI® and New Hepatitis C Treatment; PDL Update; Prior Authorization Changes; P&T Committee Openings; and December 2014 and January 2015 Provider Workshops.
Medicaid Program News and Updates (B1400359 - 11/14) - This bulletin contains information about Payment for Office Visits and Vaccine Administration; Comments Sought on New Federal Provider Screening Regulations; CMS 1500 Claim Form Transition; Customer Survey; Tax Season and 1099s; New Medicaid Members Looking for Providers; November and December 2014 Holidays; Dental Program Benefits – Update; DentaQuest Updates; CRT Supplier Enrollment; Substance Use Disorder Providers- Enrollment with BHO’s; Air Ambulance Certification Requirements; Non-Emergent Medical Transportation (NEMT) Broker; Change to FMS for CDASS Members; TAPV Form Requirement; Hepatitis C PARs; Stimulant and Attention Deficit Hyperactivity Disorder (ADHD) Medication Changes; November and December 2014 Provider Workshops
Medicaid Program News and Updates (B1400355 - 08/14) - This bulletin contains information about Postpartum Depression Screening; New HCPF Website Coming Soon; Selecting Medicaid Health Plans and Providers Online; Medicaid Members are Looking for Providers; ColoradoPAR Program; DentaQuest Provider Portal Updates; QMB and SLMB - Adult Dental; Dental General Billing Instruction Updates; Qualified Medical Personnel; Children Ages 0-2, 3 and 4 – Dental Billing; Dental Rules and Regulations; Orthodontia Updates; Correctional Facility Populations; Outpatient PT/OT Reminder; EI PT/OT Reminder; NEMT Transition; Other Drug Coverage Updates; Proton Pump Inhibitor Reminder; Smoking Cessation Reminder; P&T Committee Update; Provider Contact Info Update; DUR Board Update; August & September Provider Workshops.
Dental Benefit Update (B1400354 - 07/14) - This bulletin contains information about the Provider Electronic Funds Transfer (EFT) Information which requires action by all dental providers; DentaQuest Claims Administration; Prior Authorization Requests (PARs) with the New Dental Vendor, July 1, 2014; Pre-Payment Review (PPR); Dental Provider Seminars and Webinars.
Medicaid Program News and Updates (B1400353 - 07/14) - This bulletin contains information about the Medicaid Fee-for-Service Provider Rate Increases effective 7/1/14; Targeted Provider Rate Increases effective 7/1/14; Colorado 835 Companion Guide Revision; Billing and Reimbursement for Office Visits During Non-Regular Office Hours; ColoradoPAR Program; Old Age Pension (OAP) Health Care Program Rate Increases; New HCPF Website Coming Soon; Financial Reporting System Transition; Independence Day Holiday; Outpatient Hospital Supplemental Medicaid Payment; Children with Life Limiting Illness (CLLI) Waiver Service Change; Pharmacy and Therapeutics (P&T) Meeting; Preferred Drug List (PDL) Update; Other Drug Coverage Updates; Obstetrical Services - Ultrasound Utilization Limit Reminder; July and August 2014 Provider Workshops; Attachment A – PAF by Provider; Attachment B - Targeted Rate Increase – Final Recommendations.
Medicaid Program News and Updates (B1400346 - 01/14) – This bulletin contains information about the Correction to Rate Increase Article Published in the November 2013 Provider Bulletin; ColoradoPAR Program CWQI Reminders; New Service Related to the Medical Orders for Scope of Treatment; FFS Depression Screenings in the Primary Care Setting/New Adult Depression Screening Benefit; ACC Reaches Milestone of 400,000 Clients – Enroll as a Provider Today; Tax Season and 1099s; January and February 2014 Holidays; 2014 Holiday Processing Schedule; Upcoming Benefits Collaborative; Update on Home Health Pediatric Assessment Tool (PAT); Outpatient Hospital Supplemental Medicaid Payment; APR-DRG Implementation; SUD Integration into BHO; PLWA Waiver Change; Web Portal Inquiries for Pediatric Hospice and Children with Autism Waivers; P&T Meeting; PDL Update; January & February 2014 Provider Workshops; and Hospitals & Adjustment Factors Attachment.
Medicaid Program News and Updates (B1300345 - 12/13) – This bulletin contains information about Medicaid Benefits for Newly Eligible; Find a Healthcare Provider; Clarification on Use of Eligibility Inquiry to Verify Dates of Service in Web Portal; PCR Opt Out; 2013 Rate Increases & Fee Schedule; 2014 HCPCS & Fee Schedule; Planning Update & Survey for ICD-10; NCCI Quarterly Update; The ColoradoPAR Program; Tax Season and 1099s; December 2013 & January 2014 Holidays; Upcoming Dental Benefits Collaborative; APR-DRG Implementation; APR-DRG Web Portal Updates; Inpatient Medicaid Base Rates Effective July 1, 2013; Updates to OP Cost-to-Charge Ratios; SBIRT Code Update; SUD Integration into BHO; CWA Service Additions; Expansion of CDASS; Psychological Testing for Individuals Seeking Services from CCB; Documenting the Purpose/Intent for All Contraception Prescriptions; P&T Board Meeting’ PDL Update; Rx Review Program; Rixubis; December 2013 & January 2014 Provider Workshops.
Medicaid Program News and Updates (B1300344 - 11/13) – This bulletin contains information about the ColoradoPAR Program; Tax Season and 1099s; Rate Increase Update; Web Portal User Assistance Resources; Updated MED-178; New Health Care Reform Resource Page for Providers; November 2013 Holidays; Billing for Hearing Aids; Upcoming Benefits Collaborative; Developmental Screening ; APR-DRG Update; Immediate Postpartum Long-Acting Reversible Contraception (LARC); Updates to Outpatient Cost-to-Charge Ratios; NHVP Procedure Codes G9006 and T1017; NMT Accounts Receivable Balances; SUD Integration into BHOs; Waiver Claim Adjustments due to Rate Increases; P&T Committee Open Positions Beginning 2014; Next DUR Board Meeting; and November & December 2013 Provider Workshops.
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 (B1200310 - 01/12) - This bulletin contains information about the HIPAA 5010 Implementation Update; PAR Status via AVRS; ACC Update; Tax Season & 1099s; Updated Companion Guides; January & February 2012 Holidays; Lead Screening Diagnosis Code; Office Administered Injections & Devices; Providers Serving Pregnant Woman; Pharmacy Billing; Payer of Last Resort; Pharmacy Claim Form; Emergency 3-day Supply; Next P & T Meeting; PDL Update; Prior Authorization Criteria Update; and the January & February 2012 Workshops.
Medicaid Program News and Updates (B1100309 - 12/11) - This bulletin contains information about HIPAA 5010 Implementation Update; Colorado Medical Assistance Program Web Portal (Web Portal) Reminders; Provider Billing Workshops Handouts; Elimination of the CHP+ Pre-HMO Period; Non-Emergent Medical Transportation (NEMT) Broker; Tax Season and 1099s; Updated Companion Guides; Healthy Living Initiatives: Prevention Efforts for Medicaid and CHP+ Clients; December 2011 & January 2012 Holidays; Home Health Face-to-Face Encounter; PASRR Level II Evaluation and Determination; NF Late Bill Override Date (LBOD); Nursing Facility Billing; Next P&T Committee Meeting; Preferred Drug List (PDL) Update; DUR Board Updates; Appropriate use of PPIs; December 2011 & January 2012Workshops; and 2012 Holiday Payment Processing Schedule.
Medicaid Program News and Updates (B1100308 - 11/11) - This bulletin contains information about ACC; Clerical Errors Can Be Costly; Updated Companion Guides; Recovery Audit Contractor (RAC) Award Made; Tax Season and 1099s; Healthy Living Initiatives; November 2011 Holidays; Correction to the October 2011 Synagis® and Influenza Vaccines Bulletin; ASC Procedure Coding; Revised Home Health, Extraordinary Home Health and Private Duty Nursing PAR Form; Updates to Outpatient Cost-to-Charge Ratios; Physician-Administered Drugs Require Both NDC Number and HCPCS Code; Potential P&T Committee Members; PDL Update; DUR Board Updates; Simvastatin and November & December 2011 Workshops.
11/03/11 - Revised with current information for ACC clients.
Medicaid Program News and Updates (B1100292 - 01/11) - This bulletin contains information about Application Assistance – Mapping Tool ; Electronic Only Notifications; Web Portal News; CLIA Certification; 2011 HCPCS; Medicaid Post-Payment Review; Oxygen Benefit for Dually Eligible Clients in Home and Community Setting; Updated Medicaid Provider Application; Tax Season and 1099s; January & February 2011 Holidays; Diagnostic Casts and Study Models; Unsupervised Dental Hygienists Medicaid Allowable Procedures Expanded; Dental Web Portal Claim Submissions; Reimbursement for Providers After FQHC or RHC Application; Services Incident to Physician’s Professional Services; ICD-9-CM Codes Crosswalk; Next P&T Committee Meeting; PDL Update; DUR Board Updates; Updates to Prior Authorization Criteria; Synagis® PAR Updates; January & February Workshops and the Email Opt-Out Form.
Medicaid Program News and Updates (B1000291 - 12/10) - This bulletin contains information about Electronic PAR Letters through FRS; Load Letter Requests; Increase Well-Care/Dental Visits Study; Laboratory Processing Changes; CMS NCCI; Updated Standard Provider Application; Tax Season and 1099s; Electronic Only Notifications; December 2010 and January 2011 Holidays; Dialysis Billing Manual Update; J7300 Reimbursement Rate Increase; Additional Code for Prior Authorization; 2011 Social Security COLA; Next P&T Committee Meeting; PDL Update; DUR Board Updates; Updates to Prior Authorization Criteria; Synagis® PAR; Additional Code for Prior Authorization; December & January Workshops; Synagis® PAR Instructions and Synagis® Diagram.
Medicaid Program News and Updates (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.