Bulletins

Provider Bulletin Index

Provider Bulletin Index (03/15) - 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.

2015: B1500363 - Current

Medicaid Program News and Updates (B1500364 - 03/15) - This bulletin contains information on Medicare-Medicaid Enrollees; Record Retention; Submitting Diagnostic Imaging PARs; Group Home Resident PARs; Physical and Occupational Therapy PARs; Durable Medical Equipment PARs; CWQI Access; Intent to Submit an Application to Extend Colorado’s Title XXI Section 1115 Demonstration Project; DentaQuest Office Reference Manual Update; Qualified Medical Personnel Billing Procedure Guidance; Non-citizen Emergency Dental Service; Adult Dental Rule Update; Billing and Program Updates from DentaQuest; Durable Medical Equipment Supplier License; Update on FQHC/RHC Submissions with Multiple Lines; Pharmacy Audits; Hepatitis C Medication Update; Genotropin Update; and the Preferred Drug List Update.

Medicaid Program News and Updates (B1500363 - 02/15) -This bulletin contains information on the 2015 Healthcare Effectiveness Data and Information Set Data Collection Study; Pain Management ECHO Project; Continuous Positive Airway Pressure Prior Authorization Request; Lack of Information Denials; New CWQI Fields; PeakHealth; ICD-10; 2015 HCPCS Update; Tax Season and 1099s; February 2015 Holiday; Dental Program Benefits – Rules and Regulations Update; Current Dental Terminology Changes; Bill and Program Updates from DentaQuest; Durable Medical Equipment Supplier Licenses; Approved Home Health Rates; Pharmacy PAR Letters; and Prior Authorization Process for Hepatitis C Treatment: Addressing Harvoni and Viekira.

Medicaid Program News and Updates (B1500361 - 01/15) - This bulletin contains information on the CMS 1500 Claim Form Transition; Payment Collection from Medicaid Members; Influenza and Pneumonia Vaccine Code Update; 2015 HCPCS; The Colorado PAR Program; Eligibility Response Changes; PeakHealth Mobile App; CHP+ Logo Update; Benefits Collaborative Meeting Schedule Update; Tax Season and 1099s; January and February 2015 Holidays; Dental Provider Rate Increase; Adult Dental Program Benefit – Rule and Regulations Date Change; Billing and Program Updates from DentaQuest; DME and Supplies Billing Manual Update; FQHC and RHC Accommodation for Submission with Multiple Lines; Nursing Facility & Intermediate Care Facility for Individuals with Intellectual Disabilities PAR Provider Instructions for Xerox State Healthcare Transition; PAR Process for the CCT Program; Notice to Case Managers on Changes to the Alternative Care Facility; ACF PAR Process Reminder; Addendum to the December 2014 Provider Bulletin Prior Authorization/Changes: Hepatitis C Medications.

2015 Practitioner HCPCS Codes (B1500362 - 01/15) - This bulletin contains listings of discontinued procedure codes, codes with description changes, and new procedure codes. All codes and changes are effective 01/01/2015. This bulletin replaces bulletin B1400348 (05/13).

2014: B1400346 - B1400360

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

Synagis® and Influenza Vaccines (B1400358 - 10/14) - This bulletin contains updated information about Synagis® and Influenza Vaccine benefits and reimbursement for children and adults for the 2014-2015 season.

Medicaid Program News and Updates (B1400357 - 10/14) - This bulletin contains information about CMS 1500 Claim Form Transition; Financial System Schedule; Additional Payments for PCMPs; October and November Holidays; DentaQuest Transition Updates; Non-Citizen Emergency Services; Member Eligibility Verification Dental Rules and Regulations; Dialysis Treatment Centers; CRT Suppliers; Billing Reminder – LT & RT Modifiers; DIDD TCM Services; DIDD Homemaker Services; Operations Processing Schedule; Nursing Facility Providers; Requested Nursing Facility Information; ATA Assessments; Substance Use Disorder Providers; Enrollment in BHO’s; NEMT Broker Transition; Usage Reduction for procedure codes PAR Requests; 430B Drug Pricing Program; Prescription Drug List Update; Hydrocodone Combo Rescheduling; P&T Meeting; Oct & Nov Provider Training Workshops.

Medicaid Program News and Updates (B1400356 - 09/14) - This bulletin contains information about Clients with Reinstated Benefits; July 1, 2014 Rate Increases; NCCI Notification of Quarterly Updates; ACC Program Auto-Enrollment Process; Child Welfare Eligibility Verification; Labor Day Holiday; ACA - Provider Screenings; Coverage to Care Resources; Protect Yourself by Understanding Healthcare Fraud; ColoradoPAR Program; Prior Authorization

(PAR) Revisions; Private Duty Nursing (PDN) Hours; Colorado Medicaid Nurse Advice Line; DentaQuest Office Reference Manual (ORM) Status Update; Rate Increase Update; QMB/SLMB Beneficiaries; Children’s Dental Benefit; Assistive Technology Assessments; Short-Acting Opioids; Butalbital-Containing Product Policy; Take Back Initiative; Preferred Drug List (PDL) Update; Pharmacy and Therapeutics meeting; September and October 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 (B1400352 - 06/14) - This bulletin contains information about Medicaid Fee-for-Service Provider Rate Increases 07/01/14; Targeted Provider Rate Increases 07/01/14; ColoradoPAR Program; Financial Reporting System Transition; Changes to BHOs; New HCPF Website Coming Soon; New Provider Training for Implementing Tobacco Cessation Guidelines in Clinical Practice; NCCI Notification of Quarterly Updates; ICD-10 Update;Independence Day Holiday; ASC Procedure Code Updates; DentaQuest; ICD-10 and Dental Claims; Reminders for FQHCs; Rate Increases for FQHCs; Medicaid Hospital Coverage for Correctional Facility Populations; SBHC required to bill with POS Code 03; CLLI Waiver Service Change; Pharmacy Global Prior Authorization Form & Criteria; Osphena, Copaxone, & Sovaldi; Oral Allergen Extracts; Preferred Drug List (PDL) Update; Clinical Pearl: Long-Acting Insulin Conversions; June & July 2014 Provider Workshops; and Attachment A - Targeted Rate Increases.
06/02/2014 - Corrected CPT code 96110 to T1026 under Pediatric Developmental Assessments.
06/09/2014 - Replaced 92506 with 92521, 92522, 92523, 92524 (All for Speech/Hearing Evaluations) on Attachment A.

Medicaid Program News and Updates (B1400351 - 05/14) - This bulletin contains information about the ICD-10 delay; Financial Reporting System Transition; NCCI Edits & Global Surgery Modifiers; Client Eligibility Verification Reminder; Client Billing Permitted; Memorial Day Holiday; Dental Updates; Oxygen Claim Edits; Rate Increases for FQHCs; Hospice Legislative Rate Increases Effective October 1, 2013; NCCI changes for RCCFs; Billing for Psychotherapy for Crisis; DUR Board Meeting; PDL Update; and May & June 2014 Provider Workshops.

Medicaid Program News and Updates (B1400350 - 04/14) - This bulletin contains information about ColoradoPAR; Important Changes to Certain SSA Services; 1099s Returned to the Department; the Memorial Day Holiday; ASC & Dialysis Center Rates Effective July 1, 2013; Hearing Aids Rates Adjustments; Softband Hearing Aids for Children; Adult Dental Program Policy & Billing; OAP Dental Benefit; Secondary/Back-Up Wheelchairs & NCCI - PTP Edits; Disposable Oxygen Probes; DME - Oxygen Claim Edits; IP Hospital Billing for Children Age 1 or Under; OP Hospital Billing Edits for ‘Other Diagnosis Not Covered’; OP Hospital Rate Increases Effective July 1, 2013; ACF Providers; Hepatitis C Treatment; P&T Board Meeting; PDL Update; April & May 2014 Provider Workshops; and Adult Dental Benefit Procedure Code Table.

Medicaid Program News and Updates (B1400349 - 03/14) - This bulletin contains information about Postpartum Depression Screenings & Payment in the Pediatric Primary Care Office; Persons with Disabilities Parking Application Changes; New Medicaid Clients Are Looking for Providers; 2014 HCPCS; NCCI Notification of Quarterly Updates; How Will ICD-10 Change a Provider’s Practice?; ColoradoPAR Program; Web Portal Internet Explorer 11 Compatibility View Update; Medicare-Medicaid Enrollees; Record Retention; Help Improve the Department’s Website; 1099s Returned to the Department; Rate increases for FQHCs, OP Hospital Services, & RHCs; Adult Dental Benefit; Secondary/Back-Up Wheelchairs & NCCI PTP Edits; Inpatient Hospital Billing for Newborns; NHVP Billing Manual Update; Waiver PAR Over Utilization Review – Revision; Copay Exemption for Aspirin & Vitamin D; Hepatitis C Treatment; Medicaid Coverage of Injections for Prevention of Preterm Birth; P&T Meeting; PDL Update; March & April 2014 Provider Workshops; and Persons with Disabilities Parking Privileges Application.

03/04/2014 - Updated Hepatitis C Treatment article and added Attachment B.

2014 Practitioner HCPCS Codes (B1400348 - 02/14) - This bulletin contains listings of discontinued procedure codes, codes with description changes, and new procedure codes. All codes and changes are effective 01/01/2014. This bulletin replaces bulletin B1300337 (05/13).

Medicaid Program News and Updates (B1400347 - 02/14) – This bulletin contains information about Preventive & Wellness Services Procedure Codes; ColoradoPAR; Claims for Prior Authorized Services and PAR Inquiries; 1099s Returned to the Department; February 2014 Holiday; Abortion Services Update; Upcoming Dental Benefits Collaborative; State Fiscal Year 2013-2014: Rate Increase for Medicaid Family Planning Services; NCCI Impacts on Immunization and Evaluation & Management (E&M) Codes; Billing Change for Mental Health Clients with Retroactive Eligibility; PT, OT, ST Alternative Benefits Plan (ABP); Radiology Billing Manual; PLWA Waiver Change; DUR Board Meeting; Copay Exemption for Aspirin and Vitamin D; February and March 2014 Provider Workshops; and USPSTF & ACIP 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.

2013: B1300332 - B1300345

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.

Synagis® and Influenza Vaccines (B1300343 - 10/13) - This bulletin contains updated information about Synagis® and Influenza Vaccine benefits and reimbursement for children and adults for the 2013-2014 season.

Medicaid Program News and Updates (B1300342 - 10/13) – This bulletin contains information about NCCI Modifiers 24, 25, and 57 Guidelines; NCCI Quarterly Update; ColoradoPAR Program; Updated MED-178; New ACA Consumer Site; ACA HIPAA Operating Rule Changes Improve Colorado Medical Assistance Program Web Portal Eligibility Response Information; October and November 2013 Holidays; Dental Benefit Update; DME NCCI Edits; DME Wheelchair Billing Requirements; AACD Benefit Coverage Standard; Increase to Hospice Provider Rates; Immediate Postpartum Long-Acting Reversible Contraception (LARC); Waiver Prior Authorization Request Over Utilization Review; Distribution of Cost of Dispensing and Total Annual Prescription Volume Surveys; PDL Update; P&T Committee Open Positions Beginning 2014; P&T Committee Meeting; October and November 2013 Provider Workshops.

Medicaid Program News and Updates (B1300341 - 09/13) – This bulletin contains information about Medicare Disallowance Update; Medicare-Medicaid Enrollees; NCCI Impacts on Vaccine/Immunization/Depression/Vision Services; Medicaid PCP Supplemental Payment Program Update; Additions to Billing Physician Administered Drugs HCPCS/NDC Crosswalk; Record Retention; Updated Provider Enrollment Applications; September & October 2013 Holidays; Dental Benefit Update; DME NCCI Edits; DME Wheelchair Billing Requirements; AACD Benefit Coverage Standard; EPSDT Services; Skyla Contraceptive Method; Hospice Rate Update; Changed Billing Requirements for Selected Pathology Codes; Billing Errors for NMT Services; Radiology PARs; Update for Implementation of New Waiver Rates; Preferred Drug List (PDL) Update; 2014 P&T Committee Open Positions; P&T Committee Meeting; AAC Rate Update Date Shift; and September & October 2013 Provider Workshops.

Medicaid Program News and Updates (B1300340 - 08/13) – This bulletin contains information about the Labor Day Holiday; Implementation of New Provider Rates; The Online ACC Contract; ACC Payments; Expansion of Colorado Access into an Additional County; PARs for Dental Services; APR-DRGs Implementation; SBIRT Benefit Updates; New Online Training for SBIRT; Speech-Language Pathology Practice Act; Changes to HCPCS Code S3005; HCBS for Developmentally Disabled Program Payment Errors; August & September 2013 Provider Workshops; and Client Appeals Rights.

Medicaid Program News and Updates (B1300339 - 07/13) – This bulletin contains information about the ACC Contract Online; Well Child Key Performance Indicator; Implementation of New Provider Rates; ColoradoPAR; Updated Provider Enrollment Applications; Nurse Advice Line; Independence Day Holiday; ASC Billing Reminder; DME, Prosthetics, Orthotics, and Supply (DMEPOS) and Medicare Crossover Claims; DME Billing Manual Updates; Clarification on Qualifying Sleep Studies for CPAP/BiPAP Requests; FQHC/RHC Billing Changes; NCCI Impacts on Immunization & Adolescent Depression Screening; Depression Screening; Medicaid PRTF/RCCF Provider Rate Increases Effective July 1, 2013; NCCI Impacts on Vision; P&T Committee Meeting; Other Drug Coverage Updates; PDL; and July & August 2013 Provider Workshops.

Medicaid Program News and Updates (B1300338 - 06/13) – This bulletin contains information about the Medicaid Provider Rate Increases Effective July 1, 2013; Children’s Medical Home Reimbursement and the ACC Program; 2013 HCPCS; NCCI Quarterly Update; Billing Reminders for NCCI; NCCI Requirements & Billing Endoscopy Procedures; ColoradoPAR; Planning for ICD-10; Provider Communication Survey Reminder; Independence Day Holiday; CPAP/BiPAP; DME Reimbursement Rates and Manually Priced Items; DME NCCI Edits; Depo Shot, Skyla – New Long-Acting Reversible Contraceptive Method; Acceptable Application Documents for FQHC; Colorado Access Transition; HCBS NMT Providers; Inpatient Hospital ICD-9-CM Crosswalk Update; NCCI Impact to Vaccine Administration & Procedure Codes and 99211; Pharmacy P&T Meeting & PDL Update; and June & July 2013 Provider Workshops.

02/07/2014 - Updated to remove Hospice service from rate increases.

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.

05/28/2013 - Updated description for code E0600.

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.

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.

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.

09/16/2011 - Changed PAR information from CFMC to ColoradoPAR and changed procedure code A4335 from conditional to always requiring a PAR.

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

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

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

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

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

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

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

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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