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Important Messages
 


 
RA Banner Announcements
 
Banner Effective DateProvidersBanner Page Announcement
06/18/2021-06/25/2021Attention All ProvidersAttention All Providers. HOLIDAY CLOSURE: Please be advised, the Department of Social Services (DSS) and Gainwell Technologies will be closed on Monday, July 5, 2021 in observance of the Independence Day holiday. Both the DSS and Gainwell Technologies offices will re-open on Tuesday, July 6, 2021.
06/18/2021-06/25/2021Attention PCMH Primary Care ProvidersAttention 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 22, 2021 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
06/18/2021-06/25/2021Attention 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 June 18, 2021 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your June 22, 2021 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
06/18/2021-06/25/2021Attention Primary Care ProvidersAttention Primary Care Providers. REPROCESSED THIS CYCLE: Gainwell Technologies 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 22, 2021 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 or 52.


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