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- 2019 RA Banner Announcements Archived
Banner Effective DateProvidersBanner Page Announcement
02/08/2019-02/15/2019Attention All ProvidersAttention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The claims were reprocessed to reflect the client's true (permanent) 9 digit Connecticut Medical Assistance Program (CMAP) ID. The claims which processed under a temporary client ID will be recouped and appear on the February 13, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52 and Explanation of Benefits (EOB) code 8239 "ACA CLIENT TEMP ID REPLACED WITH CMAP ID. NEW CLAIM WILL BE SYSTEMATICALLY GENERATED". The new claims will also appear on the February 13, 2019 RA with an ICN beginning with region code 27.
02/08/2019-02/15/2019Attention Select Home Health ProvidersAttention Select Home Health Providers. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the February 8, 2019 claims cycle. The recoupments are related to a Home Health settlement with CMS and will appear on your February 13, 2019 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
02/08/2019-02/15/2019Attention Select Skilled Nursing FacilitiesAttention Select Skilled Nursing Facilities. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the February 8, 2019 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your February 13, 2019 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
01/18/2019-01/25/2019Attention Select Home Health ProvidersAttention Select Home Health Providers. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the January 18, 2019 claims cycle. The recoupments are related to a Home Health settlement with CMS and will appear on your January 23, 2019 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
01/18/2019-01/25/2019Attention Select ProvidersAttention Select Providers. PCMH REPROCESS: Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or were approved for changes in PCMH level or site address with retroactive effective dates. Claims which processed prior to the completion of the provider's PCMH enrollment or level/site address change were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For any providers with retroactive site terminations, claims which processed with the PCMH differential payment rate have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your January 23, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
01/18/2019-01/25/2019Attention Select Skilled Nursing FacilitiesAttention Select Skilled Nursing Facilities. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the January 18, 2019 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your January 23, 2019 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
01/18/2019-01/25/2019Attention Outpatient HospitalsAttention Outpatient Hospitals. CONNECTICUT MEDICAL ASSISTANCE PROGRAM (CMAP) ADDENDUM B REPROCESSING: DXC Technology identified and adjusted all outpatient and outpatient crossover claims impacted by Ambulatory Payment Classification (APC) weight changes effective October 1, 2018. Outpatient claims with dates of services between October 1, 2018 to November 13, 2018 that were processed at the wrong APC weight were adjusted and the claims will appear on the January 23, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with a region code 55.
01/09/2019-01/16/2019Attention Billing ProviderAttention Billing Provider. REPROCESSED THIS CYCLE: DXC Technology will run a special rate mass adjustment financial cycle beginning January 10, 2019 to reprocess Department of Development Services (DDS) Money Follows the Person (MFP) Comprehensive and Individual Family Services (IFS) claims. These claims will appear on the January 15, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with a region code 55.
01/04/2019-01/09/2019Attention Outpatient HospitalsAttention Outpatient Hospitals. REPROCESSED THIS CYCLE: DXC Technology previously identified an issue with outpatient therapy claims that were processed incorrectly that used the incorrect number of units from the therapy prior authorization. Outpatient therapy claims that took the incorrect number of units from the client's prior authorization were adjusted and the prior authorization was corrected. The adjusted outpatient claims appear on your January 8, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
01/04/2019-01/09/2019Attention Outpatient HospitalsAttention Outpatient Hospitals. REPROCESSED THIS CYCLE: DXC Technology previously identified an issue with outpatient therapy claims that paid over the therapy flat rate for clients covered under the HUSKY Plus Benefit plan. Outpatient therapy claims with Revenue Center Codes (RCCs) 421, 423, 424, 431, 433, 434, 441, 443 and 444 that paid more than the flat rate under the HUSKY Plus benefit plan were adjusted and appear on your January 8, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
01/04/2019-01/09/2019Attention All ProvidersAttention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The claims were reprocessed to reflect the client's true (permanent) 9 digit Connecticut Medical Assistance Program (CMAP) ID. The claims which processed under a temporary client ID will be recouped and appear on the January 8, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52 and Explanation of Benefits (EOB) code 8239 "ACA CLIENT TEMP ID REPLACED WITH CMAP ID. NEW CLAIM WILL BE SYSTEMATICALLY GENERATED". The new claims will also appear on the January 8, 2019 RA with an ICN beginning with region code 27.
  
+ 2018 RA Banner Announcements Archived
  
+ 2017 RA Banner Announcements Archived
  
+ 2016 RA Banner Announcements Archived
  
+ 2015 RA Banner Announcements Archived
  
+ 2014 RA Banner Announcements Archived
  
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