SUBJECT | PROVIDER TYPE(S) | CYCLES | ALERT
DATED |
|---|
| Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients | All | 19 | 11/02/2018 |
| Date of Death Recovery | All (exception 07) | 16 | 10/12/2018 |
| Deadline Extension for $193,000 in Incentives for Implementing Opioid Guidelines | 01/010 | 16, 17, 18, 19, 20, 21, 22, 23 | 10/12/2018 - 12/04/2018 |
| Revisions to Participating Drug Company List for Medicaid Drug Rebate Program | 07, 08, 09, 24, 31 | 14, 15, 16, 17 | 09/28/2018 - 10/23/2018 |
| Reminder for Prescribers and Providers to Verify by Procedure Code Whether Prior Authorization is Required for a Service, Including a Laboratory Service | All | 12, 13, 14, 15, 16 | 09/14/2018 - 10/16/2018 |
| Community Support Service Providers - Federal Financial Participation Rate Change and Continued Billing Requirements | 11/115; 21/221 and 21/222 | 12, 13, 14, 15, 16 | 09/14/2018 - 10/16/2018 |
| Deadline Approaching for $193,000 in Incentives for Implementing Opioid Guidelines | 01/010 | September 14, 2018 through October 2, 2018 | 09/14/2018 |
| Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients | All | 01 | 06/29/18 - 07/03/18 |
| Reduction of Paper RA Mailings | All | 03, 04, 05, 06, 07, 08, 09, 10 | 07/06/18 - 09/04/18 |
| Revisions to Participating Drug Company list for Medicaid Drug Rebate Program | 07, 08, 09, 24, 31 | 52, 01, 02 | 06/22/18 - 07/06/18 |
| Reminder to Providers to Update Provider Information in PROMISe™/ePEAP in Preparation for the 2019 Payment Error Rate Measurement (PERM) Initiative | All | 49, 50, 51, 52, 01,02, 03, 04, 05 | 06/01/18 - 07/31/18 |
| 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 |
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