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- 2019 PI (formerly EHR) Important Messages Archived

Message Effective Date	Title
02/15/2019-03/31/2019	Reminder: eCQM Options and Guidance (Posted 2/15/19)
01/16/2019-02/14/2019	Reminder: eCQM Options and Guidance (Posted 1/16/19)

+ 2018 PI (formerly EHR) Important Messages Archived

+ 2017 PI (formerly EHR) Important Messages Archived

+ 2016 PI (formerly EHR) Important Messages Archived

+ 2015 PI (formerly EHR) Important Messages Archived

+ 2014 PI (formerly EHR) Important Messages Archived

+ 2013 PI (formerly EHR) Important Messages Archived

- 2019 Important Messages Archived

Message Effective Date	Title
06/10/2019-06/11/2019	Electronic Visit Verification Implementation Important Message (Updated 6/12/19)
06/07/2019-06/08/2019	Attention All Providers: Call Center Outage Resolved (Updated 6/7/19)
06/06/2019-06/06/2019	Attention All Providers: Call Center Outage (Posted 6/7/19)
05/28/2019-06/12/2019	Attention Long Term Care Providers: Applied Income (AI) Issue (Updated 5/28/19)
05/14/2019-05/24/2019	Attention Long Term Care Providers: Applied Income (AI) Issue (Posted 5/14/19)
05/10/2019-05/14/2019	Attention: Electronic Visit Verification (EVV) Service Providers - Intermittent Telephony Outage (Updated 5/10/19)
05/09/2019-05/14/2019	Attention: Electronic Visit Verification (EVV) Service Providers Intermittent Telephony Outage (Posted 5/9/19)
05/03/2019-06/02/2019	Revised Provider Manual Chapters (Updated 5/3/19)
05/01/2019-06/01/2019	CMAP Addendum B April 2019 (Updated 5/2/19)
04/18/2019-05/29/2019	Attention Ambulatory Surgical Center Providers: Claim Denial Issue (Posted 4/18/19)
04/17/2019-06/01/2019	Attention Hospital Providers: DRG Calculator Updated (Posted 4/17/19)
04/17/2019-05/14/2019	Electronic Visit Verification (EVV) Providers - Mobile Visit Verification (MVV) Schedule Issue (Updated 4/17/19)
04/16/2019-04/19/2019	Attention All Providers: Automated Voice Response System Downtime Notification (Posted 4/16/19)
04/15/2019-06/11/2019	Electronic Visit Verification Implementation Important Message (Updated 4/15/19)
04/12/2019-06/15/2019	Attention: Primary Care Providers (Posted 4/12/19)
04/09/2019-05/13/2019	Hospital Monthly Important Message (Posted 4/09/19)
04/08/2019-05/09/2019	Attention Ophthalmology Providers: Billing Guidance Concerning Off-label Use of Avastin (Bevacizumab) (Posted 4/8/19)
04/03/2019-04/16/2019	Attention Electronic Visit Verification (EVV) Service Providers: Mobile Visit Verification (MVV) Intermittent Schedule Issue (Posted 4/3/19)
03/29/2019-05/14/2019	Attention DME Hearing Aid Providers: Changes to Claim Submission of Select Hearing Aid Codes for Clients with Medicare Part B (Posted 3/29/19)
03/29/2019-05/14/2019	Attention: Primary Care Providers (Posted 3/29/19)
03/29/2019-05/14/2019	Attention: Homemaker/Companion Agencies Referrals (Posted 3/29/19)
03/12/2019-04/08/2019	Hospital Monthly Important Message (Posted 3/12/19)
03/08/2019-04/08/2019	Electronic Visit Verification (EVV) Providers Mobile Visit Verification (MVV) App Mandatory Update (Posted 3/8/19)
03/06/2019-05/01/2019	Attention Ambulance Providers: Vehicle Registration Information Requirements (Posted 3/6/19)
03/05/2019-05/14/2019	Attention: Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility (Posted 3/5/19)
03/04/2019-03/05/2019	Attention Providers: Delayed Opening Notification (Posted 03/04/19)
03/01/2019-04/01/2019	Revised Provider Manual Chapters (Updated 3/1/19)
02/25/2019-05/14/2019	Attention ABI Waiver Providers: A Message Regarding the Renewal of the ABI 2 Waiver (Posted 2/25/19)
02/21/2019-02/25/2019	Attention Providers: Automated Voice Response System Downtime Notification (Posted 2/21/19)
02/14/2019-04/05/2019	Attention Autism Waiver Service Providers: Electronic Visit Verification (EVV) Mandated Service Codes (2/13/19)
02/12/2019-02/12/2019	ATTENTION ALL PROVIDERS: Call Center Closure (Posted 2/12/19)
02/12/2019-03/11/2019	Hospital Monthly Important Message (Posted 2/12/19)
01/30/2019-05/01/2019	CMAP Addendum B January 2019 (Updated 1/30/19)
01/24/2019-04/30/2019	Attention Primary Care Providers: Billing of Influenza Products (Posted 1/24/19)
01/10/2019-03/31/2019	Attention NEMT Ambulance Providers (Posted 1/11/19)
01/09/2019-04/22/2019	Electronic Visit Verification Implementation Important Message (Updated 1/8/19)
01/08/2019-02/11/2019	Hospital Monthly Important Message (Posted 1/8/19)
01/08/2019-02/08/2019	Waiver Providers Fee Schedule Updated (Posted 1/8/19)
01/03/2019-01/18/2019	Autism Disorder Procedure Code 97153 Revised (Posted 1/3/19)
01/02/2019-03/10/2019	Attention Providers: Fee Schedule Update Notification (Posted 1/2/19)

+ 2018 Important Messages Archived

+ 2017 Important Messages Archived

+ 2016 Important Messages Archived

+ 2015 Important Messages Archived

+ 2014 Important Messages Archived

- 2019 RA Banner Announcements Archived

Banner Effective Date	Providers	Banner Page Announcement
06/07/2019-06/13/2019	Attention All Providers	Attention 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 June 11, 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 June 11, 2019 RA with an ICN beginning with region code 27.
06/07/2019-06/13/2019	Attention Ambulance Providers	Attention Ambulance Providers. ATTENTION AMBULANCE PROVIDERS: Per provider bulletin 2019-05 titled Vehicle Registration Information Requirements, effective March 1, 2019, the Department of Social Services (DSS) requires all in-state ambulance providers to have vehicle registration information on file. In-state ambulance providers are required to have a valid Vehicle Identification Number (VIN) on all registered vehicles and will need to provide that information to DXC Technology. Failure to provide the ambulance's current VIN(s) will cause the ambulance provider to be dis-enrolled from the Connecticut Medical Assistance Program (CMAP) and claims will not be processed after the dis-enrollment date. The ambulance provider will then be required to re-enroll with CMAP. DSS will soon begin to validate registrations directly with the Connecticut Department of Motor Vehicles (DMV). All ambulance providers need to make sure their vehicles' registrations remain current with the DMV, as failure to remain current will cause the ambulance provider to be dis-enrolled from CMAP.
06/07/2019-06/13/2019	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially paid and posted one of the following informational Ordering, Prescribing, Referring (OPR) Explanation of Benefit (EOB) codes, but for which the provider in question has since successfully enrolled in the Connecticut Medical Assistance Program (CMAP): - EOB Code 0237-PRESCRIBING PROVIDER IS A STUDENT OR RESIDENT AND MUST BE ENROLLED TO PRESCRIBE - EOB Code 0027-CLAIM BYPASSED EDIT 0207 DUE TO PPE AUTO-PA - EOB Code 0207-PRESCRIBER NOT ENROLLED - EOB Code 0028-PRESCRIBING PROVIDER IN PROCESS OF ENROLLING - EOB Code 1040-ORDERING/REFERRING/ATTENDING PROVIDER IS NOT ENROLLED ON DATE OF SERVICE These claims will appear on the June 11, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
06/07/2019-06/13/2019	Attention Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs)	Attention Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs). PERFORMING PROVIDERS REQUIRED FOR SELECT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS): Effective for dates of service July 1, 2019 and forward, the Department of Social Services (DSS) is implementing system changes that will require all performing providers employed by or contracted with Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs) who render services to HUSKY Health members to be enrolled in the Connecticut Medical Assistance Program (CMAP) and to be associated to that FQHC for the claim date of service. For dates of service July 1, 2019 and forward, claims will no longer post and pay; instead, they will deny if a valid/enrolled performing provider's National Provider Identifier (NPI) is not present on the claim, or if the performing provider is not associated to the clinic. Please refer to provider bulletin 2019-21 for further instructions.
06/07/2019-06/13/2019		REPROCESSED THIS CYCLE: The Department of Social Services (DSS) has identified and corrected the issue that resulted in overpayments of Applied Income in the May 10, 2019 claim cycle. DSS has identified and reprocessed the affected claims in the June 7, 2019 claim cycle. The new claims will appear on the June 11, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 5319157.
05/24/2019-05/31/2019	Attention Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs)	Attention Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs). PERFORMING PROVIDERS REQUIRED FOR SELECT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS): Effective for dates of service July 1, 2019 and forward, the Department of Social Services (DSS) is implementing system changes that will require all performing providers employed by or contracted with Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs) who render services to HUSKY Health members to be enrolled in the Connecticut Medical Assistance Program (CMAP) and to be associated to that FQHC for the claim date of service. For dates of service July 1, 2019 and forward, claims will no longer post and pay; instead, they will deny if a valid/enrolled performing provider's National Provider Identifier (NPI) is not present on the claim, or if the performing provider is not associated to the clinic. Please refer to provider bulletin 2019-21 for further instructions.
05/24/2019-05/31/2019	Attention Select Providers	Attention Select Providers. PCMH+ Reprocess: DXC Technology has identified an issue that resulted in duplicate payments of the November benefit month as the December 2018 benefit month. DXC Technology has recouped the duplicate payments and reprocessed the December benefit information. Providers will see these transactions posted under the "Financial Transactions" section of the May 29, 2019 Remittance Advice (RA).
05/24/2019-05/31/2019	Attention Ambulance Providers	Attention Ambulance Providers. ATTENTION AMBULANCE PROVIDERS: Per provider bulletin 2019-05 titled Vehicle Registration Information Requirements, effective March 1, 2019, the Department of Social Services (DSS) requires all in-state ambulance providers to have vehicle registration information on file. In-state ambulance providers are required to have a valid Vehicle Identification Number (VIN) on all registered vehicles and will need to provide that information to DXC Technology. Failure to provide the ambulance's current VIN(s) will cause the ambulance provider to be dis-enrolled from the Connecticut Medical Assistance Program (CMAP) and claims will not be processed after the dis-enrollment date. The ambulance provider will then be required to re-enroll with CMAP. DSS will soon begin to validate registrations directly with the Connecticut Department of Motor Vehicles (DMV). All ambulance providers need to make sure their vehicles' registrations remain current with the DMV, as failure to remain current will cause the ambulance provider to be dis-enrolled from CMAP. Ambulance providers can provide their VIN(s) for their fleet of ambulances by logging on to their Secure Web portal account at www.ctdssmap.com and using the "Maintain Vehicle Information" panel. Please refer to provider bulletin 2019-05 for further instructions.
05/24/2019-05/31/2019	Attention Inpatient Hospital	Attention Inpatient Hospital. REPROCESSED THIS CYCLE: DSS updated the Diagnostic Related Group (DRG) weights, Average Length of Stay (ALOS) and Outlier Threshold for DRG codes 5891 - 5894 on February 14, 2019 effective for date of discharges October 1, 2015 to September 30, 2018. Any inpatient claims with a discharge date of October 1, 2015 and forward that processed between May 11, 2018 and February 14, 2019 were processed at the incorrect DRG weight, ALOS or outlier amount. The impacted claims have been identified and reprocessed and will appear on your May 29, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 50.
05/24/2019-05/31/2019	Attention Select Providers	Attention 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 May 29, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
05/10/2019-05/17/2019	Attention Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility	Attention Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility. REPROCESSED THIS CYCLE: As communicated to providers via prior banner messages, DXC Technology has been working with DDS to receive valid prior authorization (PA) files for the payment of claims for DDS Specialized Services to clients residing in a nursing facility effective for dates of service February 1, 2019 and forward. DXC Technology has received confirmation from DDS that valid service authorizations are now on file for some claims that previously denied for Explanation of Benefit (EOB) code 3003 - "Prior Authorization Required for Payment of this Service". As a result, denied claims have been identified and reprocessed. The reprocessed claims include those that previously denied with EOB code 877 - "Quantity disagrees with days lapsed." These claims will appear on your May 14, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with a region code 27 or 52.
05/10/2019-05/17/2019	Attention All Providers	Attention 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 May 14, 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 May 14, 2019 RA with an ICN beginning with region code 27.
05/10/2019-05/17/2019	Attention Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs)	Attention Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs). PERFORMING PROVIDERS REQUIRED FOR SELECT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS): Effective for dates of service July 1, 2019 and forward, the Department of Social Services (DSS) is implementing system changes that will require all performing providers employed by or contracted with Medical & Tribal Services Medical Federally Qualified Health Centers (FQHCs) who render services to HUSKY Health members to be enrolled in the Connecticut Medical Assistance Program (CMAP) and to be associated to that FQHC for the claim date of service. For dates of service July 1, 2019 and forward, claims will no longer post and pay; instead, they will deny if a valid/enrolled performing provider's NPI is not present on the claim, or if the performing provider is not associated to the clinic. Please refer to provider bulletin 2019-21 for further instructions.
05/10/2019-05/17/2019	Attention Ambulance Providers	Attention Ambulance Providers. ATTENTION AMBULANCE PROVIDERS: Per provider bulletin 2019-05 titled Vehicle Registration Information Requirements, effective March 1, 2019, the Department of Social Services (DSS) requires all in-state ambulance providers to have vehicle registration information on file. In-state ambulance providers are required to have a valid Vehicle Identification Number (VIN) on all registered vehicles and will need to provide that information to DXC Technology. Failure to provide the ambulance's current VIN(s) will cause the ambulance provider to be dis-enrolled from the Connecticut Medical Assistance Program (CMAP) and claims will not be processed after the dis-enrollment date. The ambulance provider will then be required to re-enroll with CMAP. DSS will soon begin to validate registrations directly with the Connecticut Department of Motor Vehicles (DMV). All ambulance providers need to make sure their vehicles' registrations remain current with the DMV, as failure to remain current will cause the ambulance provider to be dis-enrolled from CMAP. Ambulance providers can provide their VIN(s) for their fleet of ambulances by logging on to their Secure Web portal account at www.ctdssmap.com and using the "Maintain Vehicle Information" panel. Please refer to provider bulletin 2019-05 for further instructions.
04/18/2019-04/26/2019	Attention Select Skilled Nursing Facilities	Attention 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 April 18, 2019 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your April 23, 2019 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
04/18/2019-04/26/2019	Attention Select Providers	Attention 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 April 23, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
04/18/2019-04/26/2019	Attention Ambulance Providers	Attention Ambulance Providers. ATTENTION AMBULANCE PROVIDERS: Per provider bulletin 2019-05 titled Vehicle Registration Information Requirements, effective March 1, 2019, the Department of Social Services (DSS) requires all in-state ambulance providers to have vehicle registration information on file. In-state ambulance providers will be required to have a valid Vehicle Identification Number (VIN) on all registered vehicles and will need to provide that information to DXC Technology. Failure to provide the ambulance's current VIN(s) will cause the ambulance provider to be dis-enrolled from the Connecticut Medical Assistance Program (CMAP) on May 1, 2019 and claims will not be processed after the dis-enrollment date. The ambulance provider will then be required to re-enroll with CMAP. As of May 1, 2019, DSS will be validating registrations directly with the Connecticut Department of Motor Vehicles (DMV). All ambulance providers need to make sure their vehicles' registrations remain current with the DMV, failure to remain current will cause the ambulance provider to be dis-enrolled from CMAP. Ambulance providers can provide their VIN(s) for their fleet of ambulances by logging on to their Secure Web portal account at www.ctdssmap.com and using the "Maintain Vehicle Information" panel. Please refer to provider bulletin 2019-05 for further instructions.
04/05/2019-04/12/2019	Attention Select Skilled Nursing Facilities	Attention 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 April 5, 2019 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your April 9, 2019 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
04/05/2019-04/12/2019	Attention Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility	Attention Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility. DDS PRIOR AUTHORIZATION FILE RECEIVED: This message is to notify providers that DXC Technology has received a valid Prior Authorization (PA) file from DDS for the authorization of DDS Specialized Services to clients residing in a Nursing Facility. Providers, however, are encouraged to verify that a PA is on file for the provider, client, procedure code, date of service and units to be billed, for the services they will be providing, before submitting claims. As a reminder, claims submitted for services that do not have PA will deny for Explanation of Benefits Code (EOB) - 3003 "Prior Authorization is Required for Payment of this Service." Claims that previously denied for EOB 3003 will be reprocessed by DXC Technology in a future financial cycle. Providers will be notified via a Banner Page message when this will occur.
04/05/2019-04/12/2019	Attention Hearing Aid Providers	Attention Hearing Aid Providers. BILLING CHANGES: Effective immediately, the following procedure codes can be billed directly to Medicaid when the member is a dual eligible with Original Medicare Part B: V5010, V5011, V5014, V5030, V5040, V5050, V5060, V5090, V5120, V5130, V5140, V5160, V5171, V5172, V5181, V5200, V5211, V5212, V5213, V5214, V5215, V5221, V5240, V5241, V5254, V5255, V5256, V5257, V5258, V5259, V5260, V5261, V5264, V5266, V5267, V5274 and V5298. For dual eligible members who have Medicare Advantage Plans (Part C), providers must check with the Medicare Part C plan every year and obtain documentation that verifies the benefit exclusion for that calendar year. Once the exclusion is verified, the hearing aid provider can submit the claim for the codes specified above directly to Medicaid. Please refer to the Important Message titled "Attention DME Hearing Aid Providers - Changes to Claim Submission of Select Hearing Aid Codes for Clients with Medicare Part B" posted to the Home page of the www.ctdssmap.com Web site for additional information.
04/05/2019-04/12/2019	Attention All Providers	Attention 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 April 9, 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 April 9, 2019 RA with an ICN beginning with region code 27.
03/22/2019-03/29/2019	Attention PCMH Primary Care Providers	Attention PCMH Primary Care Providers. REPROCESSED THIS CYCLE: Primary Care Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or end dated from the PCMH program. Claims which processed prior to the completion of the provider's PCMH enrollment were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For those providers retroactively end dated, claims were paid with the PCMH differential payment rate that have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your March 26, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
03/22/2019-03/29/2019	Attention All Providers	Attention All Providers. NEW PROVIDER WORKSHOP: Newly enrolled providers or new business office staff are invited to register for and attend the New Provider Workshop to be held on Friday, March 29, 2019 at the Connecticut Hospital Association. Additional information and the registration link can be found on the CMAP Web site, www.ctdssmap.com. Please select Provider Training in the Provider Quick Links box, then New Provider Workshop Invitation.
03/22/2019-03/29/2019	Attention Select Skilled Nursing Facilities	Attention 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 March 22, 2019 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your March 26, 2019 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
03/22/2019-03/29/2019	Attention Primary Care Providers	Attention Primary Care Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims for providers who were retroactively approved for the HUSKY Health Primary Care Increased Payments policy. The impacted claims have been reprocessed and will appear on your March 26, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
03/22/2019-03/29/2019	Attention Outpatient Hospitals	Attention Outpatient Hospitals. CONNECTICUT MEDICAL ASSISTANCE PROGRAM (CMAP) ADDENDUM B REPROCESSING: 1. DXC Technology has adjusted all outpatient and outpatient crossover claims impacted by Ambulatory Payment Classification (APC) weight changes, status indicator changes, and other changes indicated by an "X" in the change field on the CMAP Addendum B. Outpatient and outpatient crossover claims with dates of services between January 1, 2019 to February 26, 2019 that were processed prior to the availability of the Addendum B updates were adjusted in the March 22, 2019 claim cycle and the claims will appear on the March 26, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with a region code 55. 2. DXC Technology also identified any outpatient and outpatient crossover claims that processed prior to the availability of the Addendum B updates for "NEW"procedure codes and re-processed the claims in the March 22, 2019 claim cycle. These claims will appear on the March 26, 2019 RA with an ICN beginning with a region code 61 or 27.
03/22/2019-03/29/2019	Attention Select Providers	Attention 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 March 26, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
03/22/2019-03/29/2019	Attention Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility	Attention Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility. DELAY IN PRIOR AUTHORIZATION: Effective for dates of service February 1, 2019 and forward, providers of DDS Specialized Services to clients residing in a Nursing Facility must submit claims directly to DXC Technology to be reimbursed by the Department of Social Services (DSS). Providers are reminded that reimbursement for services provided to a nursing facility resident are contingent upon a Prior Authorization (PA) from DDS being on file for the provider, client, procedure code, date of service and units billed. This message is to notify providers that DXC Technology is working with DDS to assist in the submission of a valid PA file for the authorization of DDS Specialized Services. As a result, until this issue is resolved, providers should verify PA via their Secure Web portal account at www.ctdssmap.com, by selecting Prior Authorization Inquiry from the Prior Authorization menu. Claims submitted for services that do not have PA will deny. Once DXC Technology receives a valid PA file from DDS, claims that denied for Explanation of Benefit (EOB) code 3003 - "Prior Authorization Required for Payment of this Service", as a result of the delay in receipt of PA, will be identified and reprocessed. Providers will be notified via a Banner Page message on a future Remittance Advice when this reprocessing will occur.
03/22/2019-03/29/2019	Attention Ambulance Providers	Attention Ambulance Providers. ATTENTION AMBULANCE PROVIDERS: Per provider bulletin 2019-05 titled Vehicle Registration Information Requirements, effective March 1, 2019, the Department of Social Services (DSS) requires all in-state ambulance providers to have vehicle registration information on file. In-state ambulance providers will be required to have a valid Vehicle Identification Number (VIN) on all registered vehicles and will need to provide that information to DXC Technology. Failure to provide the ambulance's current VIN(s) will cause the ambulance provider to be dis-enrolled from the Connecticut Medical Assistance Program (CMAP) and claims will not be processed after the dis-enrollment date. The ambulance provider will then be required to re-enroll with CMAP. In the future, DSS will be validating registrations directly with the Connecticut Department of Motor Vehicles (DMV). All ambulance providers need to make sure their vehicles' registrations remain current with the DMV. Ambulance providers can provide their VIN(s) for their fleet of ambulances by logging on to their Secure Web portal account at www.ctdssmap.com and using the "Maintain Vehicle Information" panel. Please refer to provider bulletin 2019-05 for further instructions.
03/08/2019-03/15/2019	Attention All Providers	Attention All Providers. NEW PROVIDER WORKSHOP: Newly enrolled providers or new business office staff are invited to register for and attend the New Provider Workshop to be held on Friday, March 29, 2019 at the Connecticut Hospital Association. Additional information and the registration link can be found on the CMAP Web site, www.ctdssmap.com. Please select Provider Training in the Provider Quick Links box then New Provider Workshop Invitation.
03/08/2019-03/15/2019	Attention Electronic Visit Verification (EVV) Providers	Attention Electronic Visit Verification (EVV) Providers. Important Mandatory Mobile Visit Verification (MVV) Update for Android Users: All employees who use the MVV time capture application on an Android phone must upgrade to the new 4.6.0 version before March 18, 2019. This upgrade will be available as of March 8, 2019. If an employee fails to upgrade their Android to the new MVV version 4.6.0 by March 18, 2019, the application will cease to function. A new version for iOS users will become available in the Apple App Store within two weeks, however, the MVV app will continue to function in older versions. We strongly encourage iOS users to upgrade as soon as the upgrade is available. If you have any questions or comments, please contact Sandata Customer Care at 1-800-855-3990.
03/08/2019-03/15/2019	Attention Ambulatory Surgical Centers, Rehabilitation Clinic, Pediatric Clinic and Free-Standing Renal Dialysis Clinic Providers	Attention Ambulatory Surgical Centers, Rehabilitation Clinic, Pediatric Clinic and Free-Standing Renal Dialysis Clinic Providers. PERFORMING PROVIDERS REQUIRED FOR SELECT CLINIC PROVIDERS: Effective for dates of service March 1, 2019 and forward, the Department of Social Services (DSS) implemented system changes that require all performing providers employed by or contracted with Ambulatory Surgical Centers, Rehabilitation Clinic, and Free Standing Renal Dialysis Clinic providers who render services to HUSKY Health members be enrolled in the Connecticut Medical Assistance Program (CMAP) and to be associated to that Clinic for the claim date of service. For dates of service March 1, 2019 and forward, claims are denying if the performing provider is not enrolled in CMAP, a valid/enrolled performing provider's NPI is not present on the claim, or if the performing provider is not associated to the clinic. Please refer to provider bulletin 2018-86 for further instructions.
03/08/2019-03/15/2019	Attention Select Skilled Nursing Facilities	Attention 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 March 8, 2019 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your March 12, 2019 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
03/08/2019-03/15/2019	Attention All Providers	Attention 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 March 12, 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 March 12, 2019 RA with an ICN beginning with region code 27.
03/08/2019-03/15/2019	Attention: Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility	Attention: Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing Facility. Effective for dates of service February 1, 2019 and forward, providers of DDS Specialized Services to clients residing in a Nursing Facility must submit claims directly to DXC Technology to be reimbursed by the Department of Social Services (DSS). Providers are reminded that reimbursement for services provided to a nursing facility resident are contingent upon a Prior Authorization (PA) from DDS being on file for the provider, client, procedure code, date of service and units billed. This message is to notify providers that DXC Technology is working with DDS to assist in the submission of a valid PA file for the authorization of DDS Specialized Services. As a result, until this issue is resolved, providers should verify PA via their Secure Web portal account at www.ctdssmap.com, by selecting Prior Authorization Inquiry from the Prior Authorization menu. Claims submitted for services that do not have PA will deny. Once DXC Technology receives a valid PA file from DDS, claims that denied for Explanation of Benefit (EOB) code 3003 - "Prior Authorization Required for Payment of this Service", as a result of the delay in receipt of PA will be identified and reprocessed. Providers will be notified via a Banner Page message on a future Remittance Advice when this reprocessing will occur.
02/22/2019-03/01/2019	Attention Ambulance Providers	Attention Ambulance Providers. ATTENTION AMBULANCE PROVIDERS: Per provider bulletin 2019-05 titled Vehicle Registration Information Requirements, effective March 1, 2019, the Department of Social Services (DSS) requires all in-state ambulance providers to have vehicle registration information on file. In-state ambulance providers will be required to have a valid Vehicle Identification Number (VIN) on all registered vehicles and will need to provide that information to DXC Technology. Failure to provide the ambulance's current VIN(s) will cause the ambulance provider to be dis-enrolled from the Connecticut Medical Assistance Program (CMAP) and claims will not be processed after the dis-enrollment date. The ambulance provider will then be required to re-enroll with CMAP. In the future, DSS will be validating registrations directly with the Connecticut Department of Motor Vehicles (DMV). All ambulance providers need to make sure their vehicles' registrations remain current with the DMV. Ambulance providers can provide their VIN(s) for their fleet of ambulances by logging on to their Secure Web portal account at www.ctdssmap.com and using the "Maintain Vehicle Information" panel. Please refer to provider bulletin 2019-05 for further instructions.
02/22/2019-03/01/2019	Attention Outpatient Hospitals	Attention Outpatient Hospitals. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed crossover claims that previously partially denied for Explanation of Benefit (EOB) code 1033 "Attending Physician not Enrolled on Date of Service". Outpatient crossover claims with EOB 1033 that processed incorrectly were adjusted and the claims will appear on the February 26, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with a region code 52.
02/22/2019-03/01/2019	Attention Pharmacy Providers	Attention Pharmacy Providers. INACTIVE ACCOUNTS RECEIVABLE: The February 13, 2019 Remittance Advice (RA) incorrectly identified claims suspended due to the temporary client ID reprocess under the Accounts Receivable (AR) section of the RA. The claims identified have been deleted and no monies have been recouped from providers. The inactivated ARs will appear on the February 26, 2019 RA with the following expenditure reason: 8310 -"Reversal of AR Created from Claim Adjustment."
02/22/2019-03/01/2019	Attention Select Providers	Attention 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 February 26, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
02/22/2019-03/01/2019	Attention Autism Waiver Service Providers	Attention Autism Waiver Service Providers. ELECTRONIC VISIT VERIFICATION (EVV) TO BE IMPLEMENTED ON MARCH 3, 2019: Providers should be aware that the Autism waiver will be implemented in the EVV program on March 3, 2019. If your agency has not completed the mandatory training, your agency will not receive the EVV Welcome Kit and will not be able to access the Santrax system to capture EVV visit data. To complete the mandatory training, please refer to the Electronic Visit Verification Implementation Important Message and navigate to the Training Publications and Videos subheading to enroll in the Learning Management Systems (LMS) and access the Web based training.
02/08/2019-02/15/2019	Attention Select Home Health Providers	Attention 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".
02/08/2019-02/15/2019	Attention Select Skilled Nursing Facilities	Attention 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".
02/08/2019-02/15/2019	Attention All Providers	Attention 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.
01/18/2019-01/25/2019	Attention Outpatient Hospitals	Attention 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.
01/18/2019-01/25/2019	Attention Select Providers	Attention 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.
01/18/2019-01/25/2019	Attention Select Home Health Providers	Attention 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".
01/18/2019-01/25/2019	Attention Select Skilled Nursing Facilities	Attention 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".
01/09/2019-01/16/2019	Attention Billing Provider	Attention 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.
01/04/2019-01/09/2019	Attention All Providers	Attention 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.
01/04/2019-01/09/2019	Attention Outpatient Hospitals	Attention 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.
01/04/2019-01/09/2019	Attention Outpatient Hospitals	Attention 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.

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