DSS/HUSKY « CSMS

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 Schedule – updated 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

CT Medicaid EHR Incentive Program

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

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