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- 2019 RA Banner Announcements Archived
Banner Effective DateProvidersBanner Page Announcement
03/08/2019-03/15/2019Attention 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 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.
03/08/2019-03/15/2019Attention: Providers of Department of Developmental Services (DDS) Specialized Services to Clients Residing in a Nursing FacilityAttention: 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.
03/08/2019-03/15/2019Attention Electronic Visit Verification (EVV) ProvidersAttention 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.
03/08/2019-03/15/2019Attention All ProvidersAttention 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.
03/08/2019-03/15/2019Attention Ambulatory Surgical Centers, Rehabilitation Clinic, Pediatric Clinic and Free-Standing Renal Dialysis Clinic ProvidersAttention 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.
03/08/2019-03/15/2019Attention 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 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".
02/22/2019-03/01/2019Attention Autism Waiver Service ProvidersAttention 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.
02/22/2019-03/01/2019Attention Pharmacy ProvidersAttention 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."
02/22/2019-03/01/2019Attention 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 February 26, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
02/22/2019-03/01/2019Attention Ambulance ProvidersAttention 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.
02/22/2019-03/01/2019Attention Outpatient HospitalsAttention 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.
02/08/2019-02/15/2019Attention 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".
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.
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 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.
01/18/2019-01/25/2019Attention 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".
01/09/2019-01/16/2019Attention 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 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.
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.
  
+ 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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