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 Announcement – new 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 Equipment – updated 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 Reimbursement – PB 17-55

Quarterly DUR Newsletter – September 2017

Meaningful Use PY 2017 Requirements 091917 – 9/19/17

interChange Provider Important Message – updated 9/13/17

CMAP Provider Quarterly Newsletter – September 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 Emergencies – PB 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 Billing – PB 17-16

Changes to Prior Authorization of Reconstructive Surgical Procedures – PB 17-14

Patient Volume Dates Issue – This 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 Newsletter – March 2017

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

DSS Important Message – Electronic Visit Verification Santrax System Important Updates – effective 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 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

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