SUBJECT | PROVIDER TYPE(S) | CYCLES | ALERT
DATED |
|---|
| Fee-for-Service Relative Weight Adjustments | 01/010; Claim Types I, A | 41, 42, 43 | 04/06/2018 |
| Revisions to Participating Drug Company list for Medicaid Drug Rebate Program | 07, 08, 09, 24, 31 | 40, 41, 42 | 03/30/2018 |
| Date of Death Recovery | All (exception 07) | 40 | 03/30/2018 |
| Reprocessing of Claims | Specific Providers | 38, 39 | 03/17/2018 |
| Medical Assistance Payment Name Change | All – except 35, 65, and 70; Provider Specialties - All; Claim Types - All | 38, 39, 40, 41 | 03/16/2018 |
| Implementation of the All-Patient Refined Diagnosis Related Group version 35 | 01/010; Claim Type I | 35, 36, 37 | 02/23/2018 |
| Revisions to Participating Drug Company list for Medicaid Drug Rebate Program | 07, 08, 09, 24, & 31 | 26, 27, 28, 29 | 12/29/2017 |
| Crossover Claims – Qualified Medicare Beneficiary (QMB) and Cost Sharing | All except 24 and 27; Claim Types: A, C, B | 22, 23, 24, 25 | 11/24/2017 |
| Community HealthChoices (CHC) | All | 19 | 11/03/2017 |
| Cures Act Rate Adjustment from Medicare | 25/All | 18,19 | 10/27/2017 |
| Reprocessing of Claims | Specific Providers | 16 | 10/13/2017 |
| Date of Death Recovery | All (exception 07) | 15 | 10/06/2017 |
| Revisions to Participating Drug Company list for Medicaid Drug Rebate Program | 07, 08, 09, 24, & 31 | 14,15,16,17 | 09/29/2017 |
| Community Support Service Providers - Federal Financial Participation Rate Change and Continued Billing Requirements | 11/115; 21/221 and 21/222 | 12,13,14,15 | 09/15/2017 |
| Crossover Claims - Ordering and Referring Providers | 02, 04, 08, 09, 11, 14, 15, 17, 18, 20, 24, 25, 26, 28, 30, 31, and 32 | 06, 07, 08 | 08/04/2017 |
| Office of Medical Assistance Fee-for-Service Contacts | All | 3, 4, 5, 6 | 07/14/2017 |
| Revisions to Participating Drug Company list for Medicaid Drug Rebate Program | 07, 08, 09, 24, & 31 | 4, 5, 6, 7 | 06/30/2017 |
| Date of Death Recovery | All (exception 07) | 44 | 04/21/2017 |
| Revised Fees for Claim Codes G0155 and G0299 | 06/60 | 43, 44, 45, 46, 47 | 04/14/2017 |
| Reprocessing of Crossover Claims | Specific Providers | 42 | 04/07/2017 |
| Revisions to Participating Drug Company list for Medicaid Drug Rebate Program | 07, 08, 09, 24, & 31 | 40, 41, 42, 43 | 03/24/2017 |
| Duplicate File Processing Error | All | 38 | 03/17/2017 |
| Reprocessing of Claims Containing 2017 ICD-10 Diagnosis/Surgical Codes | 01/010; Claim Types: I and A | 35, 36 | 02/17/2017 |
| Fee-for-Service Relative Weight Adjustments | 01/010; Claim Types: I and A | 35, 36 | 02/17/2017 |
| Implementation of the All-Patient Refined Diagnosis Related Group version 34 | 01/010; Claim Types I and A | 29, 30, 31 | 01/13/2017 |
| MA Program Fee Schedule Updates for Certain Family Planning Services | 01/183; 08/082; 08/083; 28/280; 31/ All and 33/335 | 28 | 01/06/2017 |
| Medicaid Recovery Audit Contractor Provider Reviews | All | 26, 27, 28, 29, 30, 31 | 12/23/2016 |
| Revisions to Participating Drug Company list for Medicaid Drug Rebate Program | 07, 08, 09, 24, 31 | 26, 27, 28, 29 | 12/23/2016 |
| Reprocessing of Claims containing 2017 ICD-10 Diagnosis/Surgical codes | All (exception PT 24 and 27) | 23, 24 | 12/02/2016 |
| MA Program Fee Schedule Updates for Certain Family Planning Services | 01/183; 08/082; 08/083; 28/280; 31/ All and 33/335 | 23, 24, 25, 26, 27 | 12/02/2016 |
| Waiver Claims ESC 4021 | All | 21 | 11/18/2016 |
| Valid Zip Code on Electronic Claims and Encounters | All | 21, 22, 23 | 11/18/2016 |
| Provider Electronic Solutions (PES) Software Version 4.01 | All | 20, 21, 22, 23 | 11/11/2016 |
| Duplicate File Processing Error | All | 17, 18, 19 | 10/21/2016 |
| Reprocessing Claims for Private Duty/Pediatric Nursing Shift Nursing Fee Increase | Specific Providers | 15 | 10/07/2016 |
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