CT DSS rect

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

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

Updated Policy Regarding Wheeled Mobility Device Policy, Forms and Related Documents PB 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 Services PB 17-34

Change in Day Supply of Pharmacy Auto PA Long Acting Sustained Release Opioid Medications PB 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 PDL PB 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 Centers PB 17-33

CT DSS MAP Provider Quarterly Newsletter June 2017

Provider Audit Trainings PB 17-29

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

Updated Guidelines for Smoking Cessation Agents, Counseling and Treatment Products PB 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 PB 17-25

Radiotherapy Treatment and Followup Care PB 17-24

Update: Consent to Sterilization Form Submission, Hysterectomy Information Form and Physician Hysterectomy Certification Form Retroactive Eligibility Submission Process 5/16/17

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

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

Hospital Provider Updates 5/10/17

Electronic Visit Verification Implementation Updated 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 PCA PB 17-20

New Personal Care Assistance Procedure Codes added PB 17-18

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

Behavioral Health Refresher Workshop Invitation 5/16 & 5/19

CMAP Addendum B Updated 04 17 2017 Updated 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 Span PB 17-13

Wheeled Mobility Device Policy, Forms and Related Documents PB 17-12

Hewlett Packard Changing to DXC Technology Effective 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 Reminder Report 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 Schedule 3/7/17

EHR Incentive Program Changes to Measure Thresholds 3/6/17

EHR Incentive Program Specialized_Registry 3/6/17

Alternate MU Attestation Deadline Extension 3/3/17

CT Medicaid Provider File Request 3/3/17

Post-Payment Audit Tip Sheet 022817 2/28/17

Changes to Prior Authorization Process for Genetic Testing Services PB 17-08

Prior Authorization for Palivumizab (Synagis) PB 17-07

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

Changes to Prior Authorization Process for Cranial Remodeling Orthoses PB 17-06

MU Reporting Period for 2016 and 2017 2/14/17

Monthly Provider Update 2/8/17

MAPIR_System_Downtime 2/10/17 2/8/17

Provider Manual Chapter Updates 2/6/17

Urgent Message: Alternate Attestation Option 1/20/17

CT Medicaid Provider File Request 1/20/17

Medicaid EHR Incentive Program: Audit Announcement 1/10/17

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

Electronic Visit Verification Refresher Training PB 16-98

2017 Fee Schedules HIPAA Compliant Update  PB 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 Services  PB 16-93

2017 Independent Radiology Fee Schedule HIPAA Compliant Update PB 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 Services PB 16-97 Effective 1/1/2017

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

2017 Consolidated Laboratory Fee Schedule Update PB 16-85

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

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

Elimination of Paper Claims Update PB 16-96

CTDSSMAP Provider Quarterly Newsletter December 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) Newsletter December 2016

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

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

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

Updated Guidance Regarding Electronic Orders for MEDS Products PB 16-77

Important Changes to the Radiology Benefit Management Program/CHNCT eviCore Webinars 11/16/18

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

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

Revised Provider Manual Chapter Updates 11/8/16

90-Day Meaningful Use Reporting Period 2016-2017

CT DSS MAP Update 11/9/16

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

Important Changes to the Radiology Benefit Management Program PB 16-70

Guidance for E-Consultation Services Performed by FQHCs PB 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 Courts PB 16-65

Santrax Payer Management System – Important Message

Split/Shared Medical Visits PB 16-68

Update on Flu Vaccine Availability PB 16-61

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

Treatment for Gender Identity Disorder-Gender Reassignment Surgery and Procedures PB 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 Providers PB 16-59

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

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

Change to the Early Refill Criteria PB 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 Schedule PB 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) Audit PB 16-49

EHR Incentive Program: Naming Conventions for Supporting Documentation 8/9/16

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

Provider Manual Updates 8/4/16

New Autism Spectrum Disorder Services PB 16-47

CMAP Access Monitoring Review Plan 7/27/16

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 Services updated 7/22/16

CT DSS MAP Quarterly Newsletter July 2016

Web Claim Submission Workshops 7/12/16

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

Patient Encounter List (PEL) – Template and Requirements 7/6/16

interChange Provider Manual Updates 7/6/16

New Autism Spectrum Disorder Services is Being Rescinded PB 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 Services PB 16-38 Effective July 1, 2016

New Autsim Spectrum Disorder Services PB 16-37

Opioid Legislation PB 16-36 Effective July 1, 2016

CT Medical Assistance Program Newsletter June 2016

Preferred Drug List Update PB16-32

Elimination of Paper Claims Notification PB 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 Updates 6/7/16

Modified Stage 2 Meaningful Use 2015

New National Drug Code Requirements for Manually Priced Vaccines and Toxoids PB 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 051016 Effective 6/1/16

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

CT DSS Provider Manual Updates updated 5/3/16

Changes to Prior Authorization Requirements for Advanced Imaging and Nuclear Cardiology PB 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 Emergencies PB 16-14

CT DSS Provider Manual Chapter Updates updated 4/5/16

Targeted Case Management for Adults with Serious and Chronic Mental Illness or Substance Use Disorders PB 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 Requirement 3/16/16

Clarification of Changes to Narcan Prescribing PB 16-11

Connecticut Medical Assistance Program Quarterly Newsletter March 2016

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

Inpatient Delivery Stays – Updated Prior Authorization Codes 3/9/16

Updated MEDS Fee Schedule Changes PB 16-07 Revised 3/4/16

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

Alternate Attestation URGENT Message 3/3/16

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 Frames PB 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 Schedule 1/12/16

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 Setting January 2016

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

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

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

Provider Newsletter Q4 2015

Consolidated Laboratory Fee Schedule Update  PB 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 PDL PB 15-95

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

Medications for Substance Abuse Disorders PB 15-92

December 14, 2015 is the Meaningful Use (MU) Attestation Deadline under the Current Regulations 11/14/15

interChange Provider Message – ICD-10 Diagnosis Codes Not Allowed as Primary Diagnosis November 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 Clinics PB 15-80 October 2015

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

Decrease in Current Rate for Code G0431 PB 15-73 Effective October 15, 2015

Developmental and Behavioral Screens in Primary Care  PB 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. Bremby  October 2, 2015

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

InterChange Provider Message – Claims with Abortion Procedure Codes  October 1, 2015

InterChange Provider Message – Attention Inpatient Hospital Providers October 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 Codes Effective 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, 2016 InterChange 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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