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Important Messages

Autism Waiver Enrollment and Billing Workshop Reminder and Presentation (Posted 11/21/17)

New Face-to-Face Requirements for Initial Orders of Home Health Services and Certain Durable Medical Equipment (DME) (Updated 11/9/17)

Hospital Monthly Important Message (Updated 11/8/17)

Attention Pharmacy Providers: Third Party Liability Claim Edits to be Re-activated (Posted 10/30/17)

Attention Birth to Three Providers: Binding Operational Policy Effective November 1, 2017 (Posted 10/27/17)

Electronic Visit Verification Implementation Important Message Update (Posted 10/25/17)

Electronic Visit Verification (EVV) - At Your Fingertips Tip Sheet #4 - Updated Compliance Information (Posted 10/24/17)

Revised Provider Manual Chapters (Updated 10/20/17)

Attention Hospitals: Inpatient Behavioral Health Claims (Updated 10/17/17)

Electronic Visit Verification - Mobile Visit Verification (MVV) Application Issue Resolved (Posted 10/13/17)

Birth to Three Implementation Delay Announcement (Posted 9/25/17)

Electronic Visit Verification Implementation (Updated 9/21/17)

Electronic Visit Verification (EVV) - Understanding Eligibility, Client Benefit Plans and Prior Authorization (Posted 9/19/17)

Attention Home Health Providers- Updated Billing Instructions for the Review of Home Health Therapy Care Plans (Posted 9/15/17)

Attention Providers: Important Information Regarding CMS' Issuance of New Medicare Cards (Posted 7/11/17)

HUSKY Health Primary Care Increased Payments Policy (Updated 6/30/17)

Attention Providers: ACA Enhanced Provider Enrollment Requirements - Fingerprint Based Criminal Background Checks (FCBC)

Click here for Archived Messages

RA Banner Announcements
Banner Effective DateProvidersBanner Page Announcement
11/17/2017-11/24/2017Attention 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 November 21, 2017 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.

Click here for Archived RA Banner Announcements
Need Help?
  • Provider Assistance Center
    toll free at 1-800-842-8440
    (alternate TTY/TDD line)

  • Client Assistance Center
    toll free at 1-866-409-8430
    (alternate TTY/TDD line)

  • Pharmacy Prior Authorization
    Assistance Center
    toll free at 1-866-409-8386
    (alternate TTY/TDD line)
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