Electronic Visit Verification Tip Sheet 8/22/17
Update: Electronic Visit Verification 8/16/17
Reasons of Medical Necessity for Dental Periapical Imaging PB 17-54
Revised Provider Manual Chapters August 2017
Partial Hospitalization Program PB 17-53
Hospital Readmissions on the Same Date of Service
Electronic Visit Verification Creating Claims in the Santrax System 8/4/17
Face to Face Requirements for Initial Orders of Home Health Services and Certain DME 8/3/17
Revised Provider Manual Chapters August 2017
Provider Manual Updates 7/28/17
Meaningful Use 2017 Overview 7/28/17
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 Caproate PB 17-50
Electronic Claim Submission with Paper Attachment Process PB 17-49
JW Modifier PB 17-48
Coverage for Electronic Consultations (E-Consults) Performed by HUSKY Health Providers PB 17-47
Reimbursement Update to the HUSKY Health Primary Care Increased Payments Policy PB 17-44
New Explanation of Benefit (EOB) Codes for Manually Priced Claims PB 17-43
New Clinical Guidelines – Prior Authorization (PA) PB 17-42
Nusinersen Coverage Guidelines PB 17-38
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
Medicaid Electronic Health Records (EHR) Incentive Program_2017 Information Sessions
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 Emergencies – PB 17-26
Radiotherapy Treatment and Followup Care PB 17-24
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
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 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 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 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 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 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
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
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
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
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
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 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
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
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 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
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
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
