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Important Messages
 

Attention Primary Care Providers - Upcoming Continuing Medical Education (CME) Conference (Posted 6/19/18)

Revised Provider Manual Chapters (Updated 6/14/18)

Reporting a Change in Client Condition Functionality Update (Posted 6/13/18)

Hospital Monthly Important Message (Posted 6/13/18)

Attention Home Health Agencies - Follow-up to the Face-to-Face Requirements for Initial Orders of Home Health Services

Attention Electronic Visit Verification (EVV) Service Providers - Mobile Visit Verification (MVV) App Update (Posted 6/8/18)

Provider Bulletin PB18-32 Supervision of Licensed Master Social Workers Being Rescinded

Attention Birth to Three Providers: Important Reminders - New Claim Submission Edit and New Remittance Advice Format (Posted 5/17/18)

Electronic Visit Verification Implementation Important Message (Posted 5/11/18)

Attention: Acquired Brain Injury (ABI), Connecticut Home Care (CHC) Service Providers, Access and Case Management Agencies and Personal Care Assistance (PCA) Service - Authorization Changes and Reminders (Posted 5/8/18)

Attention All Providers: Information Required When Contacting the Transportation Broker to Schedule Non-Emergency Medical Transportation

Additional Guidance on the Use of the Home Health SOC/ROC and Recertification Service Codes for CHC, ABI, PCA and Autism Waiver Clients (Posted 4/9/18)

Resident Step-by-Step Enrollment Instruction Guide

Autism Waiver Enrollment Reminder (Posted 12/19/17)

HUSKY Health Primary Care Payment Program Extension Notification (Posted 11/30/17)

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

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
06/22/2018-06/29/2018Attention 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 June 26, 2018 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
06/22/2018-06/29/2018Attention Select PCMH Primary Care ProvidersAttention Select 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 June 26, 2018 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
06/22/2018-06/29/2018Attention Select Primary Care ProvidersAttention Select 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 June 26, 2018 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
06/22/2018-06/29/2018Attention Inpatient HospitalsAttention Inpatient Hospitals. REPROCESSED THIS CYCLE: DXC Technology previously identified inpatient DRG claims that paid at the incorrect DRG code, DRG weight or organ transplant rate. DXC has reprocessed the inpatient claims that paid differently due to DRG code, DRG weight or organ transplant rate changes in the June 22, 2018 claim cycle and they will appear on your June 26, 2018 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
06/22/2018-06/29/2018Attention Outpatient HospitalsAttention Outpatient Hospitals. REPROCESSED THIS CYCLE: DXC Technology previously identified an issue with outpatient therapy claims not reimbursing up to the flat rate due to the first detail billing less than the contract rate and the second detail denying as a duplicate. Outpatient therapy claims for dates of service between July 1, 2016 and April 24, 2018 with Revenue Center Codes (RCCs) 421, 424, 431, 434, 441 and 444 that paid less than the flat rate due to the first detail billing less than the contract rate and the second detail denying as a duplicate were adjusted and will appear on your June 26, 2018 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
06/22/2018-06/29/2018Attention Outpatient HospitalsAttention Outpatient Hospitals. REPROCESSED THIS CYCLE: DXC Technology previously identified an issue with outpatient therapy claims that paid over the therapy flat rate due to duplicate payment for one date of service. Outpatient therapy claims for dates of service between July 1, 2016 and April 24, 2018 with Revenue Center Codes (RCCs) 421, 424, 431, 434, 441 and 444 that paid more than the flat rate were adjusted and appear on your June 26, 2018 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
06/22/2018-06/29/2018Attention Select ProvidersAttention Select Providers. FTC/POS 19 CLAIMS REPROCESSING FINANCIAL IMPACT: DXC Technology identified and reprocessed claims with dates of service January 1, 2016 and forward, where the systematic logic that prices details eligible under the HUSKY Health Primary Care Increased Payments Policy did not appropriately reimburse at the facility rate when Facility Type Code (FTC)/Place of Service (POS) 19 was reported at the detail. As a result, claims eligible under the HUSKY Health Primary Care Increased Payments Policy billed with FTC/POS 19 were, in error, reimbursed at the non-facility rate. Claims with dates of service prior to January 1, 2016, where FTC/POS 19 was reported on the detail prior to its effective date, were recouped. The impacted claims were adjusted and appeared on your December 12, 2017 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52. To lessen the financial impact of the reprocessing on providers, the Department of Social Services (DSS) decided to recoup the funds in increments of 20% over several claim cycles starting with the December 12, 2017 cycle. The last 20% of the outstanding Accounts Receivable (A/R) is being recouped in the current claim cycle. Providers will see the A/R posted under the "Financial Transactions" section of the June 26, 2018 RA.
06/22/2018-06/29/2018Attention Select ProvidersAttention Select Providers. FTC/POS 19 CLAIMS REPROCESSING FINANCIAL IMPACT: DXC Technology identified and reprocessed claims with dates of service January 1, 2016 and forward, where the systematic logic that prices details eligible under the HUSKY Health Primary Care Increased Payments Policy did not appropriately reimburse at the facility rate when Facility Type Code (FTC)/Place of Service (POS) 19 was reported at the detail. As a result, claims eligible under the HUSKY Health Primary Care Increased Payments Policy billed with FTC/POS 19 were, in error, reimbursed at the non-facility rate. Claims with dates of service prior to January 1, 2016, where FTC/POS 19 was reported on the detail prior to its effective date, were recouped. The impacted claims were adjusted and appeared on your December 12, 2017 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52. To lessen the financial impact of the reprocessing on providers, the Department of Social Services (DSS) decided to recoup the funds in increments of 10% over several claims processing cycles starting with the December 12, 2017 cycle. 10% of the outstanding Accounts Receivable (A/R) is being recouped in the current claim cycle and the remaining 40% will be recouped in increments of 10% of the A/R amount due over the course of the next claim cycle or until the amount is satisfied. Providers will see the A/R posted under the "Financial Transactions" section of the June 26, 2018 RA.
06/22/2018-06/29/2018Attention All ProvidersAttention All Providers. HOLIDAY CLOSURE: Please be advised, the Department of Social Services (DSS) and DXC Technology will be closed on Wednesday, July 4, 2018 in observance of the Independence Day holiday. Both the DSS and DXC Technology offices will re-open on Thursday, July 5, 2018.
06/22/2018-06/29/2018Attention Select ProvidersAttention Select Providers. CLAIMS PROCESSING ISSUE: The Department of Social Services (DSS) has identified an issue which inadvertently removed the facility paystart authorization segment. The result is that providers may have received claim denials with Explanation of Benefit (EOB) code 1024 "Provider is not authorized to bill for this client". The issue has been corrected and providers should resubmit their claims.


Click here for Archived RA Banner Announcements
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