CT DSS rect

POSTED 05.18.18

POSTED 05.16.18

POSTED 05.14.18

Provider Bulletin – New Proc Mod List Codes for Nsg Management and Eval of the Plan of Care under the Autism ABI CHC and PCA Waiver Programs

Provider Bulletin – Obstetrics Pay for Performance Program

DSS Important Message – Service Authorization Changes and Reminders

DSS Important Message – Hospital Monthly Important Message

DSS Important Message – Electronic Visit Verification Implementation Important Message

DSS Important Message – Inpatient DRG Claims Suspended

 

POSTED 05.7.18

DSS Important Message – Program Year 2018 Modified Stage 2

Compression Garments -A6549 andA4465 – Coverage Guidelines

New Genetic Testing Prior Authorization Forms

 

POSTED 05.4.18

 

POSTED 04.29.18

Provider Bulletin – Electronic Visit Verification Enhancement Training – Using the Temporary Client and Attributes Enhancements

DSS Important Message – CMAP Addendum B Updated 04.18.2018

April 2018 Interchange Newsletter

DSS Important Message – Electronic Visit Verification Important Message

 

POSTED 04.19.18

Outpatient Hospitals – CMAP Addendum B Updated

Electronic Visit Verification (EVV) Enhancement Training– Using the Temporary Client and Attributes Enhancements

EVV Implementation Overview

MAPIR will be Available and Accepting Medicaid Eligible Professionals (EPs) Attestations for Program Year 2018 in May 2018

Change in Katie Beckett – Model Waiver Claims Processing

Hospital Monthly Important Message – Updated 04.11.2018

 

POSTED 04.10.18

Electronic Visit Verification (EVV) – Future Training Survey – Deadline: 5 pm on Friday, April 27, 2018

POSTED 04.6.2018

Scheduled Power Outage Notification: Sunday, April 8, 2018 from 7:00 a.m. to 1:00 p.m.

 

POSTED 04.5.2018

A Connecticut Medical Assistance Program Workshop For Hospital Billing Providers Presented by The Department of Social Services (DSS) and DXC Technology

Cologuard Reminder

Electronic Visit Verification Enhancement – Alternate Claim Solution

Corrected and Revised – Reductions and Adjustments to Payment for DME and MEDS

Attestation Deadline for Program Year 2017

POSTED 03.28.2018

Revisions to Previously Announced Reimbursement Changes to Durable Medical Equipment (DME) and Other MEDS Items

 

POSTED 03.22.2018

POSTED 03.08.2018

PB18_11 Timely Completion

Revised Provider Manual Updates

Medical Equipment Devices and Supplies Meeting

Update – EVV Implementation Overview

POSTED 03.01.2018

PB18_12 Nonemergency Ambulance

PB18_13 PERM Audit Requests

PB18_14 Wheelchair Comp Pricing

PB18_15 DME Pricing

 

POSTED 02.21.2018

PB2018.09 AS Modifier

PB2018.07 Autism Waiver

PB2018.06 PB15-05

PB2018.03 peer to peer review

DSS Outpatient Hospitals – CMAP Addendum B Update 2-14-18

DSS Hospital Monthly Important Message – 2-14-18

CMAP 2-6-18

POSTED 02.08.2018

CMAP Addendum B Updated

POSTED 02.01.2018

DSS Important Message – Electronic Visit Verification Implementation – Updated 01.24.2018

POSTED 01.24.2018

Methadone 01-2018

POSTED 01.16.2018

MUE_Review_Process

POSTED 01.10.2018

Hospital_Important Updates 01-2018

DSS Important Message – Fee Schedule Update Notification 01-2018

PB18-01 Weather Related Transportation Cancellation and Delays

POSTED 01.03.2018

January 2018 Healthcare Common Procedure Coding System (HCPCS) changes

PB17-94 Prior Authorization for all Non-Emergency Medical Transportation

PB17-93 Announcement of Non-Emergency Medical Transportation Contractor

PB17-91 Deletion of Select CPT Codes Listed on the Physician Office and Outpatient Fee Schedule

PB17-90 2018 HIPAA Compliant Changes on Independent Laboratory Fee Schedule

PB17-89 HIPAA Compliant Updates

PB17-88 2018 HIPAA Compliant Updates to the Family Planning Clinic Fee Schedule

PB17-87 2018 HIPAA-Compliant Update to the Dialysis Clinic Fee Schedule

PB17-86 2018 HIPAA-Compliant Update to the Medical Clinical Fee Schedule

PB17-82 2018 Independent Radiology and Physician-Radiology Fee Schedules

PB17-78 Independent Audiology and Speech & Language Pathology Fee Schedule Update

DSS Important Message – UConn Review Team Web site Change 12-2017

DSS Important Message – Birth to Three Fee Schedule Revision Announcement 12-2017

December 2017 interChange Newsletter 12-2017

PB17-92 New Clinical Guidelines Prior Authorization Cranial Remodeling Devices

CRANIAL REMODELING DEVICES 12-2017

PB17-85 Autism Waiver Program Updates for Home Health Providers

PB17-83 Important Changes to Billing Instructions for Home Health Nursing Evaluation and Therapy Services for CHC, ABI and PCA Waiver Members

PB17-79 HIPAA Compliancy Independent Physical Therapy and Occupational Therapy Fee Schedule

PB17-77 2018 HIPAA Compliant Update – Rehabilitation Clinic Fee Schedule

PB17-76 2018 HIPAA-Compliant Updates to the Freestanding Ambulatory Surgical Center Fee Schedule

PB17-75 Provider Bulletin New Clinical Guidelines Prior Authorization (PA) Whole Exome and Whole Genome Sequencing

WHOLE EXOME AND WHOLE GENOME SEQUENCING 12-2017

PB17-22 Methadone Maintenance Reimbursement Guidelines

DSS Important Message – Public Health MU Measure Update 12-2017

DSS Important Message – Hospital Monthly Important Message – Updated 12-2017

DSS Important Message – Electronic Visit Verification Implementation Update 12-2017

DSS Important Message – Autism Waiver Enrollment Reminder 12-2017

Effective 1/1/18:Coding Changes for Eteplirsen and Nusinersen

December 2017 Quarterly Drug Utilization Review Newsletter12/21/17

Non-Emergency Medical Transportation (NEMT)PB 17-84

HIPAA Compliant Update-Rehabilitation Clinic Fee SchedulePB 17-77

Update on the Status of Meaningful Use Public Health Measure Registry Options for the Medicaid EHR Incentive Program for Program Year 201712/13/17

New Clinical Guidelines – Prior Authorization (PA) Whole Exome and Whole Genome SequencingPB 17-75

Provider Manual Updatesupdated 12/7/17

Revision to the HUSKY Health Primary Care Increased Payments PolicyPB 17-72

EHR Incentive Program Information Sessions12/4/17

1) 1/1/18 Changes to the CT Medicaid Preferred Drug List (PDL); 2) Reminder About the 5-Day Emergency Supply; 3) Billing Clarification for Brand Name Medications on the PDL PB 17-74

Adjustment to the HUSKY Health Primary Care Increased Payments Policy for Dates of Service Beginning December 1, 2017

Important EVV Compliance Clarifications11/21/17
This compliance mandate is effective with visits on or after December 1, 2017.

Nusinersen Coverage Guidelines – RevisedPB 17-71

Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs)PB 17-70

Secure_Messaging_Requirements: New Thresholds for MU Attestation11/7/17

National Correct Coding Initiative (NCCI) – Medically Unlikely Edits Review ProcessPB 17-69

CMAP Autism Waiver Service Workshop Invitation

Medicare Part D Copays for Dual Eligible HUSKY Low Income Subsidy ClientsPB 17-67

Revised Provider Manual ChaptersUpdated 10/20/17

Electronic Visit Verification CompliancePB 17-66

Waiver Refresher Workshop Invitation

CMAP Addendum B October Updates

Hospital Monthly Important MessageUpdated 10/10/17

MAPIR is opening for 2017 Program Year Attestations on 11/18/17

Claims Submitted with Facility Type Code/Place of Service 19 under the HUSKY Health Primary Care Increased Payments PolicyPB 17-65

New Clinical Guidelines – Prior Authorization (PA) Electric Tumor Treatment FieldPB 17-64

Birth to Three Implementation Delay Announcementnew implementation date 11/01/17

Instructions for Claim Denials with procedure code T1001 and EOB code 6527

Face to Face Requirements for Initial Orders of Home Health Services and Certain Durable Medical Equipmentupdated 9/27/17 – new FAQ

DSS Important Message – Electronic Visit Verification ImplementationUpdated 9/21/17

Hospice Rates for Federal Year 2018PB 17-61

Important Autism Waiver Provider Enrollment and Claim Submission ChangesPB 17-63

New Face-to-Face Requirements for Initial Orders of Home Health Services and Certain Durable Medical Equipment (DME)Updated 9/20/17

Reminder to Access Agencies on Use of Pro-Rated Service CodesPB 17-62

Clarifying Billing Instructions for Therapy Evaluations and Services Performed as Part of the Home Health Care Plans-RevisedPB 17-59

Early Intervention Services Pursuant to EPSDT Coverage and ReimbursementPB 17-55

Quarterly DUR NewsletterSeptember 2017

Meaningful Use PY 2017 Requirements 0919179/19/17

interChange Provider Important Messageupdated 9/13/17

CMAP Provider Quarterly NewsletterSeptember 2017

ICD-10 Diagnosis Codes Not Covered for Date of Services (DOS)

CMAP Provider Satisfaction SurveyPB 17-58

Update: Medical and Behavioral Health Hospital Readmissions on the Same Date of Service 8/29/17

Electronic Visit Verification Tip Sheet8/22/17

Update: Electronic Visit Verification8/16/17

Reasons of Medical Necessity for Dental Periapical ImagingPB 17-54

Revised Provider Manual ChaptersAugust 2017

Partial Hospitalization ProgramPB 17-53

Hospital Readmissions on the Same Date of Service

Electronic Visit Verification Creating Claims in the Santrax System8/4/17

Face to Face Requirements for Initial Orders of Home Health Services and Certain DME8/3/17

Revised Provider Manual ChaptersAugust 2017

Provider Manual Updates7/28/17

Meaningful Use 2017 Overview7/28/17

Additional Editing to Validate the National Drug Code (NDC) Submitted in Conjunction with Procedure Codes for Physician Administered Medications

5 Ways to Get Ready for New Medicare Cards

Program Workshops for Professional Providers(July/August/September)

Medicaid EHR Incentive Program Information Session on 7/14/17

Coding Change for Hydroxypogesterone CaproatePB 17-50

Electronic Claim Submission with Paper Attachment ProcessPB 17-49

JW ModifierPB 17-48

Coverage for Electronic Consultations (E-Consults) Performed by HUSKY Health ProvidersPB 17-47

Updates to the Physician Office and Outpatient, Physician Radiology, Physician Surgical and the Independent Radiology Fee SchedulesPB 17-46

Reimbursement Update to the HUSKY Health Primary Care Increased Payments PolicyPB 17-44

New Explanation of Benefit (EOB) Codes for Manually Priced ClaimsPB 17-43

New Clinical Guidelines – Prior Authorization (PA)PB 17-42

Nusinersen Coverage GuidelinesPB 17-38

UpdatedPB 2017-19 New Face-to-Face Requirements for Certain Durable Medical Equipment

UpdatedPB 2017-02 New Face-to-Face Requirements for Initial Orders of Home Health Services

UpdatedPolicy Regarding Wheeled Mobility Device Policy, Forms and Related DocumentsPB 17-36

DSS Important Message – Correction to the June 2017 interChange Newsletter

Reminder – Requirement to Submit Written Reports PB 17-37

Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation ServicesPB 17-34

Change in Day Supply of Pharmacy Auto PA Long Acting Sustained Release Opioid MedicationsPB 17-32

InterChange Provider Important Message 061417 6/14/17

Changes to the Connecticut Medicaid Preferred Drug List (PDL), 5-Day Emergency Supply Reminder, Billing Clarification for Brand-Name Drugs on PDLPB 17-35

Medicaid Electronic Health Records (EHR) Incentive Program_2017 Information Sessions

June 2017 DUR_Newsletter

New Face-to-Face Requirements for Certain Durable Medical Equipment (DME) (updated PB 17-19)Effective July 1, 2017

New Face-to-Face Requirements for Initial Orders of Home Health Services (updated PB 17-21)Effective July 1, 2017

2017 33 Provider Bulletin – Electronic Consultations Performed in Federally Qualified Health CentersPB 17-33

CT DSS MAP Provider Quarterly Newsletter June 2017

Provider Audit TrainingsPB 17-29

Reminder About the Use of “C” Codes for Certain Advanced Imaging ServicesPB 17-28

Updated Guidelines for Smoking Cessation Agents, Counseling and Treatment ProductsPB 17-27

Expedited Medicaid Eligibility Processing for Individuals with Medical EmergenciesPB 17-26

Follow up to Provider Bulletin 2016-77 – Updated Guidance Regarding Electronic Orders for MEDS Products PB17-25

Radiotherapy Treatment and Followup CarePB 17-24

Update: Consent to Sterilization Form Submission, Hysterectomy Information Form and Physician Hysterectomy Certification Form Retroactive Eligibility Submission Process5/16/17

Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835PB 17-23

Addition of Criteria for Facial Feminization Procedures to the Gender Reassignment SurgeryPB 17-17

Hospital Provider Updates 5/10/17

Electronic Visit Verification ImplementationUpdated 5/2/17

BHH-TCM Waiver Billing and BHH – TCM Waiver and Mental Health Waiver Performing Providers E-Mail Subscription Update

New Procedure Modifier Code List for Oral Medication Administration Direct Observation Services Under the ABI CHC and PCAPB 17-20

New Personal Care Assistance Procedure Codes addedPB 17-18

MAPIR will be Available and Accepting Medicaid EP attestations after July 2017

Behavioral Health Refresher Workshop Invitation5/16 & 5/19

CMAP Addendum B Updated 04 17 2017Updated 4/17/17

Breast Tomosynthesis Outpatient Hospital BillingPB 17-16

Changes to Prior Authorization of Reconstructive Surgical ProceduresPB 17-14

Patient Volume Dates IssueThis message only applies to Eligible Professionals (EP) that are attesting to the Medicaid EHR Incentive Program

Change to Radiology Authorization Date SpanPB 17-13

Wheeled Mobility Device Policy, Forms and Related DocumentsPB 17-12

Hewlett Packard Changing to DXC TechnologyEffective 4/3/17

CT DSS Medical Assistance Program DUR Quarterly NewsletterMarch 2017

24-Hour Live-in Guidance Related to 8 AM Check-in/Check-out Policy

DSS Important Message – Electronic Visit Verification Santrax System Important Updateseffective 4/1/17

EHR Incentive Program Deadline ReminderReport by 11:59 pm on 3/30/17

CT DSS Quarterly Provider Newsletter March 2017

CT DSS MAP Hospital Billing Providers Workshops – 4/25 & 4/28

Revised 2017 Consolidated Laboratory Fee Schedule3/7/17

EHR Incentive Program Changes to Measure Thresholds3/6/17

EHR Incentive Program Specialized_Registry3/6/17

Alternate MU Attestation Deadline Extension3/3/17

CT Medicaid Provider File Request 3/3/17

Post-Payment Audit Tip Sheet 0228172/28/17

Changes to Prior Authorization Process for Genetic Testing ServicesPB 17-08

Prior Authorization for Palivumizab (Synagis)PB 17-07

Changes to Prior Authorization Process for CPAP and BIPAP DevicesPB 17-04

Changes to Prior Authorization Process for Cranial Remodeling OrthosesPB 17-06

MU Reporting Period for 2016 and 20172/14/17

Monthly Provider Update 2/8/17

MAPIR_System_Downtime 2/10/172/8/17

Provider Manual Chapter Updates2/6/17

Urgent Message: Alternate Attestation Option1/20/17

CT Medicaid Provider File Request1/20/17

Medicaid EHR Incentive Program: Audit Announcement1/10/17

Scope of Practice for Licensed Alcohol and Drug Counselors – Updated Policy TransmittalPB 17-01

Electronic Visit Verification Refresher TrainingPB 16-98

2017 Fee Schedules HIPAA Compliant UpdatePB 16-95

DSS Important Message: Rates for 2017 Medicaid Ambulatory Surgical Center Fee Schedule

2017 Ambulatory Surgical Centers, Dialysis Clinics, Freestanding Behavioral Health Clinics Fee Schedules HIPAA Compliance Update PB 16-94

2017 Family Planning Clinic Fee Schedule Update – Addition of Td, Tdap, Smoking Cessation and PrEP ServicesPB 16-93

2017 Independent Radiology Fee Schedule HIPAA Compliant UpdatePB 16-92

DSS Important Message: Resident Reenrollment Letters

(1) HIPAA Compliant Update, (2) Changes to the Reimbursement of Select Services, (3) Addition and Removal of ServicesPB 16-97 Effective 1/1/2017

Elimination of Paper Claims FAQ – PB 16-31Updated 12/30/16

2017 Consolidated Laboratory Fee Schedule UpdatePB 16-85

Coverage for Kyleena –Intrauterine Device (IUD)PB 16-88

Interpreter Services for Individuals with Limited English Proficiency and Hearing ImpairmentsPB 16-90

Elimination of Paper Claims UpdatePB 16-96

CTDSSMAP Provider Quarterly NewsletterDecember 2016

EHR Incentive Program: Register before December 31, 2016

Changes to the CT Medicaid Preferred Drug List (PDL)PB 16-84

Connecticut Drug Utilization Review (DUR) NewsletterDecember 2016

Provider Enrollment Agreement for Project Notify and Health IT InitiativesPB 16-83

Revised: Documentation and Billing Guidelines for Services Performed by ResidentsPB 16-82

Important Information Regarding Provider Enrollment for Medicare Crossover Claims PB 16-80

Updated Guidance Regarding Electronic Orders for MEDS ProductsPB 16-77

Important Changes to the Radiology Benefit Management Program/CHNCT eviCore Webinars11/16/18

New Prior Authorization Request Form for Long-Acting Sustained Release Opioid MedicationPB 16-79

Flu Vaccine Availability and the CT Vaccine Program Flucelvax CPT Code 90674 PB 16-76

Revised Provider Manual Chapter Updates11/8/16

90-Day Meaningful Use Reporting Period 2016-2017

CT DSS MAP Update11/9/16

EHR Incentive Program: 2016 is the last year for first-time attestation

Important Changes to the Radiology Benefit Management ProgramPB 16-70

Guidance for E-Consultation Services Performed by FQHCsPB 16-67

Procedure for Removal of Hospital Lock-in Status and Use of Medicaid Prescription Vouchers for Individuals Released from Correctional Institutions or Through the CourtsPB 16-65

Santrax Payer Management System – Important Message

Split/Shared Medical VisitsPB 16-68

Update on Flu Vaccine AvailabilityPB 16-61

ICD-10 Diagnosis Codes Not Covered for Dates of Service (DOS)

Treatment for Gender Identity Disorder-Gender Reassignment Surgery and ProceduresPB 16-66

ImpaCT – New Elgibility System

Patient Encounter List (PEL) Template for Program Year 2016

Electronic Claims Submission, Web Remittance Advice, Check, EFT, and 835 Schedule (HUSKY Health and CADAP Programs)PB 16-64

CTDSSMAP Quarterly Provider Newsletter October 2016

Revised Provider Manual Chapters – Updated 10/4/16

Subsequent Observation Procedure Codes (99224-99226)PB 16-62

Electronic Visit Verification Implementation Updated 09-28-2016

September 2016 DUR Newsletter

Fingerprint-based Background Checks for Newly and Re-enrolling High-risk Medicaid ProvidersPB 16-59

Elimination of Paper Claims – updated FAQ 9/16/16

Long Acting Reversible Contraception (LARC) – Frequently-Asked Questions

Change to the Early Refill CriteriaPB 16-58

Revised Provider Manual Chapters 9/14/16

Additional Professional Web Claim Submission Workshop Dates

Reimbursement Update of Code 81528 on Independent Laboratory Fee SchedulePB 16-55

Note: Effective date has been changed to October 1, 2016.

ACA Enhanced Provider Enrollment Requirements – Fingerprint Based Criminal Background Checks (FCBC)

Eligible Clients under the Affordable Care Act Part V (Temporary ID Notice Update)PB 16-50

Updates to 835 Electronic Remittance Advice Sept 2016

Implementation of the Milligram Morphine Equivalency (MME) AuditPB 16-49

EHR Incentive Program: Naming Conventions for Supporting Documentation8/9/16

FAQ – Elimination of Paper Claims (PB 16-31)

Provider Manual Updates 8/4/16

New Autism Spectrum Disorder ServicesPB 16-47

CMAP Access Monitoring Review Plan7/27/16

MAPIR Is Now Available – MU 2016 Reporting

Attestation periods for the 2015 and 2016 Medicaid EHR Incentive Program years are now open. The 2015 program year attestation deadline is 8/31/16 at 11:59 pm. The 2016 program year attestation deadline is 3/31/17 at 11:59 pm.

Modified Stage 2 Meaningful Use Program Year 2016

Prior Authorization (PA) – Behavioral Health Servicesupdated 7/22/16

CT DSS MAP Quarterly Newsletter July 2016

Web Claim Submission Workshops7/12/16

interChange Hospital Update 7/12/16 (includes information services performed by residents)

Patient Encounter List (PEL) – Template and Requirements7/6/16

interChange Provider Manual Updates7/6/16

New Autism Spectrum Disorder Services is Being RescindedPB 16-42

Documentation and Billing Guidelines for Services Performed by Residents PB 16-40

Mosquito Repellent PB 16-39 Effective immediately

Provider Qualification Process for Autism Spectrum Disorder ServicesPB 16-38 Effective July 1, 2016

New Autsim Spectrum Disorder ServicesPB 16-37

Opioid LegislationPB 16-36 Effective July 1, 2016

CT Medical Assistance Program NewsletterJune 2016

Preferred Drug List UpdatePB16-32

Elimination of Paper Claims NotificationPB 16-31

Elimination of Paper Claims (PB 16-31) FAQ

Effective 10/1/16,  CT DSS will no longer accept paper claims for processing.

Provider Manual Updates6/7/16

Modified Stage 2 Meaningful Use 2015

New National Drug Code Requirements for Manually Priced Vaccines and ToxoidsPB 16-22 Effective 5/9/16

Ambulatory Payment Classification (APC) Scheduled for July 1, 2016

Upcoming Changes to the CT Medicaid EHR Incentive Program Attestation Review Process 051016Effective 6/1/16

Discontinue Use of Expired Form W-1HUS (HUSKY Application and Renewal Form)PB 16-20

CT DSS Provider Manual Updatesupdated 5/3/16

Changes to Prior Authorization Requirements for Advanced Imaging and Nuclear CardiologyPB 16-16 Effective for dates of service beginning 7/1/16

Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs)PB 16-17

Hospital Billing and Reimbursement for Immediate Postpartum Long-Acting Reversible Contraceptive Products– PB 16-12 Effective 4/15/16

Expedited Medicaid Eligibility Processing for Individuals with Medical EmergenciesPB 16-14

CT DSS Provider Manual Chapter Updatesupdated 4/5/16

Targeted Case Management for Adults with Serious and Chronic Mental Illness or Substance Use DisordersPB 16-08

Hospice Providers Fee Scheduleupdated 3/30/16

Inpatient Delivery Stays updated 3/30/16

2015 AIU Attestation Deadline is 3/30/16

Updated FAQs Regarding the Public Health Reporting Requirement3/16/16

Clarification of Changes to Narcan PrescribingPB 16-11

Connecticut Medical Assistance Program Quarterly Newsletter March 2016

Prescribing of Opioid Antagonists by Certified PharmacistsPB 16-10Effective 3/30/16

Inpatient Delivery Stays – Updated Prior Authorization Codes3/9/16

Updated MEDS Fee Schedule ChangesPB 16-07 Revised 3/4/16

Updated Ambulatory Payment Classification (APC) Scheduled for 7/1/16Updated 3/3/16

Alternate Attestation URGENT Message3/3/16

CT Launches New Medicaid EHR Incentive Program Website

Hospital-Based Practioners_Outpatient Services PB 16-06

Update and Clarification of the CMS Alternate Attestation

How to Obtain CEHRT ID Number and Tips to Attesting in MAPIR

Alternative Attestation Methods for EHR Incentive Program

2016: Last Chance to Enroll in the Connecticut Medicaid EHR Incentive Program

Guidance on the Specialized Case Registry Option for the Medicaid EHR Incentive Program 2015 and 2016

interChange Provider Message – Updated Consent to Sterilization Forms (English and Spanish)

Status Update: MU Public Health Measure Registry Options – EHR Incentive Program 2015 and 2016

Attention All Providers: 2015 1099 Tax Forms

New Coverage Guidelines for CPT Code V2025 Deluxe FramesPB 15-102 Effective 2/1/16

interChange Provider Message – Revised 2016 Medicaid Consolidated Laboratory Fee Schedule

interChange Provider Message – Policy Updates as of January 13, 2016

interChange Provider Message – Revised 2016 Medicare Physician Fee Schedule1/12/16

Important PCA Waiver Provider Enrollment and Claim Submission Changes PB 16-01 Effective 2/25/16

Documentation and Billing Guidelines for Services Performed by Residents in the Hospital SettingJanuary 2016

interChange Provider Message – Updated Hospital Provider Workshops Rescheduled updated 1/5/15

New Prior Authorization Request Form for PCSK9 InhibitorsPB 15-103 Effective 2/1/16

2016 HIPAA Update, Select Services, Place of Service CodesPB 15-97

Provider Newsletter Q4 2015

Consolidated Laboratory Fee Schedule UpdatePB 15-96

Attestation Deadline for the CT Medicaid EHR Incentive Payment Program Year 2015

Drug Utilization Review Newsletter – Dec 2015

MAPIR Downtime Notice – Dec 18 2015

interChange Provider Message: Hospital Billing/APC – updated 12/10/15

CTDSSMAP Workshop for Hospital Billing Providers 2 virtual sessions: 1/6/16 & 1/12/16

Important Message: Alternative Measures and Exclusions Available to EPs Attesting to MU Stage 1

interChange Provider Message – Medically Unlikely Edits (MUE)

Changes to CT PDL, 5-Day Emergency Supply Reminder, Billing Clarification for Brand Name Medications on PDLPB 15-95

Changes to Prior Authorization Requirement for Selected Codes on Physician Fee SchedulePB 15-93 Effective January 1, 2016

Medications for Substance Abuse DisordersPB 15-92

December 14, 2015 is the Meaningful Use (MU) Attestation Deadline under the Current Regulations11/14/15

interChange Provider Message – ICD-10 Diagnosis Codes Not Allowed as Primary DiagnosisNovember 2015

CMS National Correct Coding Initiative (NCCI)PB 15-86 November 2015

Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs)PB 15-85 November 2015

Updated ICD-10 Information from CT DSS

Fee Schedule Update for Behavioral Health ClinicsPB 15-80 October 2015

Screening Brief Intervention and Referral to Treatment (SBIRT) in Primary CarePB 15-79 October 2015

Decrease in Current Rate for Code G0431PB 15-73 Effective October 15, 2015

Developmental and Behavioral Screens in Primary CarePB 15-70 November 2015

Autism Spectrum Disorder (ASD) Evaluation and Treatment Services Provided by Medical Clinics, Rehabilitation Clinics, and Board Certified Behavior Analysts PB 15-69

Letter to Department of Social Services Commissioner Roderick L. BrembyOctober 2, 2015

InterChange Provider Message – All Providers and Trading PartnersEffective October 31, 2015

InterChange Provider Message – Claims with Abortion Procedure CodesOctober 1, 2015

InterChange Provider Message – Attention Inpatient Hospital ProvidersOctober 1, 2015

InterChange Provider Message – Updates to 835 Electronic Remittance Advice (ERA) Posted October 14, 2015

InterChange Provider Message – Revised Provider Manual Chapters ICD-10 October 1, 2015

Changes to the Obstetric (OBS) and Facility Obstetric (FTO) Rate Types  PB 15-76 Retroactive to 7/1/15

interChange Provider Message – Change to the Code Set Indicator for Web Claims on October 1, 2015  9/29/15

interChange Provider Message – Medical and Radiology Authorizations and ICD-10 9/29/15

interChange Provider Message – Primary Care Reports Available on HUSKY Health Provider Portal 9/23/15

If you are an Eligible Professional attesting to your first year of Meaningful Use (MU), please note that 10/3/15  is the last day to begin data collection for the 90-day reporting period in calendar year 2015.

 

Decrease in Current Rate Code for G0431 PB 15-73 Effective 10/15/15

Addition of New Meningococcal Vaccines to the Medical Clinic and Physician Office and Outpatient Fee Schedules PB 15-66 Effective 9/1/15

Claims with Abortion Procedure CodesEffective 10/1/15

Revised Provider Manual Chapters – 9/9/15

CMAP Drug Utilization Review Quarterly Newsletter – September 2015

Changes to the Physician Office and Outpatient Fee Schedule PB 15-68 Effective 10/1/15

Ambulatory Payment Classification (APC) Scheduled for March 1, 2016InterChange Provider Important Message

Changes to the Reimbursement for Physician Pathology, Medicine and Surgical Services  PB 15-62 Effective 9/7/15

Claims Processing Guidance for Implementing ICD-10 Codes  PB 15-61

Eligible Clients Under the Affordable Care Act Part IV (Temporary ID Update)  PB 15-60

Important Changes to Electronic Orders to MEDS Products  PB 15-49 Effective 8/1/15

Pharmacy Legislative Changes and Prior Authorization Changes PB 15-58

Changes to Automated Voice Response System Menu Options PB 15-55 Effective 8/15/15

Continuation of the HUSKY Primary Care Increased Payments Policy PB 15-44 Effective 7/1/2015 through 6/30/2017

Elimination of Mailing Paper Remittance Advices PB 15-54

Billing Protocol for Services Provided in Emergency Rooms by Physicians Not Enrolled in Medicaid PB 15- 52

Payment Error Rate Measurement (PERM) Program Audit Requests PB 15-50

ICD-10 Related EOB Codes in CMAP and Fee Sch Updates PB 15-47

Connecticut State Budget and Changes Under the Connecticut Medical Assistance Program PB 15-46

Billing Procedures for Services Ordered by Residents and Interns PB 15-45 (Clarification)

DSS Provider Bulletin PB 15-41 (PDL Changes/Clarifications; New Hep C Prior Auth; 5-Day Emergency Supply Reminder)

Tobacco Cessation Group Counseling Services PB 15-27 Effective 6/1/15

Obstetrics Pay for Performance Program PB 15-39 Effective 6/1/15

Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) PB 15-36 May 2015

Hospital iC Issues  – updated 5/13/15

Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies PB 15-35 May 2015

Provider Audit Trainings PB 15-32 April 2015

CMAP Home Health Aide Services – Policies and Procedures Effective 6/30/15

Revised Physician Radiology Fee Schedule 2015 PB 15-19 Effective 4/1/15

Implementation of Electronic Messaging – Replacement to the Mailing of Bulletins/Policy Transmittals  PB 15-23  3/12/15

Please note: As of 4/8/15, providers can subscribe to receive electronic communications from DSS via email. Be sure to subscribe prior to 6/30/15, because effective that date DSS will no longer distribute any paper communications to providers.

Services Reimbursed Under the Obstetric (OBS) and Facility Obstetric (FTO) Rate Types  PB 15-18  3/2/15

DSS Pharmacy Changes Bulletin PB 14-86  December 2014

HUSKY Health Primary Care Increased Payments Policy PB 14-75  November 2014

Addition of Influenza Vaccine (CPT 90688) to the Physician Office and Outpatient Fee Schedule PB 14-66  October 2014

PB-14-60-Facility-Fees.pdf – PB 14-60  August 2014

Updated Provider Reenrollment Notification and Process – PB 14-52  July 2014

Clarification Interim Guidance Regarding Electronic Med Orders for DME PB 14-53  July 2014

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