2006 Medicaid Bulletin Index
Medicaid bulletin articles and special bulletins organized by provider type for 2006.
All Providers:
- 2006 ICD-9-CM Diagnosis Codes, 4/06
- 2006 Revised Fee, 7/06
- Applying for the National
Provider Number, 6/06
- Basic Medicaid Billing Seminar
Schedule:
- Billing Forms, 9/06
- Carolina Access Override Requests:
- Clarification for Completing
the W-9, 6/06
- Clinical Coverage Policies
- Changes to the Prior Approval
Process and Requests for Non-Covered Services CPT Code Update 2006,
1/06
- Citizenship/Identity Changes,
7/06
- CPT Codes 83900 and 83901, 92630 and 92633 Billing Requirements, 11/06
- CPT Codes 90467, 90468, 90473 and 90474 Coverage of Immunzation
Administration Codes for Oral/Intranasal Vaccines, 12/06
- Contacting EDS-AVRS Instructions, 3/06
- Contact Information for EDS Finance, 7/06
- Corrected 1099 Requests, 3/06
- Correction to the 2006 CPT Code Update, 2/06
- Directions to the Basic Medicaid Seminar, 2/06
- Directions
to the Family Planning Waiver Program Seminars, 4/06
- Effective Dates For Revised Billing Forms, 11/06
- Electronic Data Systems (EDS) Provider Services, 11/06
- Electronic Funds Transfer Form - Revised Form, 7/06
- Epogen
HCPCS Code Changes for the Physician Drug Program, 4/06
- Extension of Medicare Part D Transitional Coverage Period,
3/06
- Family Planning Waiver Eligible Recipients, 9/06
- Family
Planning Waiver Provider Seminar, 4/06
- Family Planning Waiver Services, 2/06
- Family Planning Waiver Special Bulletin, May 2006
- Five-Year Plan for Developmental Disability Services, 3/06
- Gadolinium-Based Magnetic Resonance Contrast Agent, per
ml - Billing Guidelines, 10/06
- HIV Diagnosis Code 042 Used with 87534 and 87536, 7/06
- HMO SouthCare Termination, 7/06
- Hepatitis
A Vaccine, Pediatric/Adolescent Dosage – 2 Dose Schedule (CPT 90633),
5/06
- Informed Decisions Beneficiary
Centered Enrollment Service, 2/06
- Influenza Vaccine and Reimbursement
Guidelines for 2006-2007, 12/06
- Measles, Mumps, Rubella, and Varicella Vaccine MMRV, ProQuad,
CPT Code 90710-Billing Guidelines, 11/06
- Medicaid Crossover Claims, 11/06
- Medicaid Crossover Claims Billed with Incorrect Medicaid
Provider Numbers, 5/06
- Medicaid Part D Prescription Drug Charges Beginning Jan,
1, 2007, 12/06
- Medical Review of North Carolina
(MRNC) Unveils New Name, 1/06
- Medicare Part D, 9/06
- Medicare Part D Conference Calls for Providers, 2/06
- Medicare Part D Exceptions and Appeals Information from CMS, 3/06
- Mental Health Non-Licensed Fee Schedule Effective September
1, 2005, 1/06
- National Provider Identifier (NPI), 8/06
- National Provider Identifier
(NPI) Collection Form:
- National Provider Identifier (NPI) Informational
Seminar Schedule, 9/06
- National Provider Information
(NPI) 837 Filing Requirements, 11/06
- New Claim Forms Instructions Special Bulletin, 12/06
- Non-Covered Services, 10/06
- North Carolina Behavioral
Pharmacy Management Project, 2/06
- NDC's on Outpatient Physician-Administered Drug Claims,
12/06
- Outpatient Pharmacy Program, Special Bulletin, May 2006 (revised 5/16/2006)
- Outpatient Pharmacy Program
Special Bulletin, 6/06
- Part
B Reimbursement Percentages Update, 5/06
- Payment Error Rate Measurement in North Carolina, 12/06
- Physician Drug Program Pricing List Update, 10/06
- Policy and Procedures for Prescribing Synagis for 2006-2007
Respiratory Syncytial Virus Season, 10/06
- Prescription
Limitations, 4/06
- Prior Approval Process and Request for Non-Covered
Services, Special Bulletin, January 2006
- Quarterly Update to the 2006 Physican Fee Schedule Database, 10/06
- Rate Change for Mirena IUD, J7302, 1/06
- Rates for 2006 CPT Codes,
1/06
- Required Fields on New Provider Enrollment Applications
and Provider Change Form, 11/06
- Rotavirus Vaccine, Pentavalent, Three-Dose Schedule, Live
for Oral Use (RotaTeq), CPT 90680, 12/06
- Resubmitting Claims for Ophthalmology Procedure Codes with Modifier 26 and TC, 03/06
- Sleep Study and Polysomongraphy, 7/06
- Sincalide,5 micrograms (HCPCS code J2805) Billing Guidelines, 9/06
- Submitting Both NPI and Provider Number on Claims, 12/06
- Tax Identification Information:
- Termination of Community Alternatives Program for Persons
with AIDS, 12/06
- Tetanus, Diphtheria Toxoids
and Acellular Pertussis Vaccine (Tdap), for Intramuscular Use, (CPT 90715):
- Tetanus and Diphtheria Toxoids (Td, CPT Code 90718 - Ending Coverage, 8/06
- Updated Effective Dates for
Revised Billing Forms, 12/06
Updated EOB Code Crosswalk to HIPAA Standard Codes:
- Updated National Provider Identifier Collection Form, 12/06
- Updated Provider Type/Provider Specialty
for Family Planning Waiver Services, 9/06
- Updates to HIPAA 835 Transactions for Medicare, 8/06
Adult Care Home Providers:
- Medicaid
Payment for Recipients Residing in Adult Care Home Special Unit for Person
with Alzheimer's
and Related Disorders
:
- Medicaid Reimbursement and Date of Admission Discharge Dates, 7/06
- Prior Approval Process
for Medicaid Payment for Recipients Residing in Adult Care Home (ACH)
Special
Care Unit for Person with Alzheimer's and Related Disorders (SCU-A):
Ambulance Providers:
Ambulatory Surgical Center Providers:
Area Mental Health Providers:
AQUIP Users:
- Quarterly AQUIP System Training
Seminar:
CAP/DA
Lead Agencies:
- Quarterly AQUIP System Training Seminar:
CAP-MR/DD Service Providers:
Child Service Coordination
Providers:
- Infant-Toddler Program Referrals:
Children's Developmental Services Agencies:
CMS-1500 Billers:
Community Alternatives Program Case
Managers:
Dental
Providers:
Dialysis Centers:
Durable Medical Equipment Providers:
Enhanced Mental Health Services Providers:
Family Planning Waiver Providers:
Federally
Qualified Health Centers:
Health Check
Providers:
Health Choice Providers:
Health Departments:
Home Health Providers:
Home Infusion Therapists:
Hospice:
Hospital Outpatient Clinics:
Hospitals:
Independent Practitioners:
Intermediate Care Facilities for the
Mentally Retarded:
Local Education Agencies:
Local Management Entities:
- Billing
Codes, 3/06
- Billing Update
and Clarification for CAP-MR/DD Services 2/06
- Carolina ACCESS Override Requests, 4/06
- CPT Code Update, 1/06
- Electronic
Submission Process for Prior Authorization Requests for Outpatient Specialized
Therapy, 7/06
- Family Planning Waiver Provider
Conference Call, 4/06
- Home and Community Billing Reminder, 9/06
- Outpatient
Specialized Therapies Prior Authorization Process - Update to New Web
Site and Submission Process, 10/06
- Prior Authorization
for Outpatient Specialized Therapies-Implementation Date for Electronic
Submission and New Forms, 12/06
- Reminders Regarding the Referral Process for Outpatient Behavioral Health Services, 8/06
- Transportation Included in the Provider Rate, 11/06
- Utilization Review, 4/06
Nurse
Midwives:
Nurse Practitioners:
- Abatacept,
250 mg (Orencia, J3590) Billing Guidelines, 4/06
- Aminolevulinic
Acid HCI for Topical Administration, 20 %, Single Unit Dosage Form
(Levulan Kerastick, J7308) - Billing Guidelines, 5/06
- Bevacizumab (Avastin, J9035) Update to Billing Guidelines,
12/06
- Cetuximab (Erbitux, J9055) - Update to
Billing Guidelines, 8/06
- CPT Procedure Code 90761, 9/06
- Daptomycin Injection, 1 mg
(Cubicin, K0878) - Billing Guidelines, 5/06
- Etonogesterel, 68-mg Implant
(Implanon, HCPCS Procedure Code J3490) Billing Guidelines, 11/06
- Ibandronate Sodium 3-mg/3-ml injection (Boniva, HCPCS
Procedure Code J3490) Billing Guidlines, 12/06
- Injection, Ertapenem Sodium, 500 mg (Invanz, HCPCS Procedure
Code J1335) Billing Guidelines, 11/06
- Levetiracetam, 500-mg/5ml Injection (Keppra, HCPCS Procedure
Code J3490) Billing Guidelines, 11/06
- Lymphocyte Immune Globulin, Antithymocyte Globulin, Equine, Parenteral, 250 mg (Atgam, J7504) Billing Guidelines, 4/06
- Pegylated Interferon Alfa-2b, 10 mcg (PEG-Intron, HCPCS
Procedure Code J3590) Billing Guidelines, 11/06
- Peinterferon Alfa - 2a, 180 mcg/ml (Pegasys, J3490 and S0145)
- Billing Guidelines, 5/06
- Triptorelin Pamoate (Trelstar Depot and Trelstar LA, J3315)
Billing Guidelines, 8/06
Nursing Facility Providers:
Optical Service Providers:
Orthotic and Prosthetic Providers:
Outpatient Behavioral Health Service Providers:
Personal Care Service Providers:
- Personal Care Services Provider
Training Sessions
:
Pharmacists:
- Administrative
Update for Synagis Claims Processing, 2/06
- CMS Process to Ensure Effective Transition
to Medicare Part D Prescription Drug Coverage, 2/06
- Clarification on Coverage
of
Birth Control Pills for Diagnosis Other than Contraception, 4/06
- Denial on Medicaid Covered Excluded Drugs,
2/06
- Medicare Part B Override
Code Update, 3/06
- Medicare
Part D Long Term Care Fax System, 2/06
- Medicare
Part D Prescription Drug Plans and Temporary First Fill Policies, 2/06
- N.C. Medicaid Upper Limits
for Betaseron 0.3 mg, Migranal Nasal Spray and Torado/Ketolac 10mg Tablets,
3/06
- Nicotine
Products on the Over-the-Counter Coverage List, 4/06
- Outpatient Pharmacy Program
Special Bulletin, 6/06
- Pharmacy
Episodic Drug Policy – Quantity Limitations
on Sedative Hypnotics, 4/06
- Pharmacy
Seminars, 4/06
- Prescription Limitations,
4/06
- Recipients with Medicare
Deductibles, 3/06
Physicians:
- Abatacept, 250 mg (Orencia,
J3590) Billing Guidelines,
4/06
- Aminolevulinic
Acid HCI for Topical Administration, 20 %, Single Unit Dosage Form
(Levulan Kerastick, J7308) - Billing Guidelines, 5/06
- Anticipated
2006 CPT Code Rate Changes, 1/06
- Bevacizumab (Avastin, J9035) Update to Billing Guidelines,
12/06
- Cetuximab (Erbitux, J9055)
- Update to Billing Guidelines, 8/06
- CPT Procedure Code 90761, 9/06
- Daptomycin Injection, 1 mg
(Cubicin, K0878) - Billing Guidelines, 5/06
- Electronic
Submission Process for Prior Authorization for Outpatient Specialized Therapies, 7/06
- Etonogesterel, 68-mg Implant
(Implanon, HCPCS Procedure Code J3490) Billing Guidelines, 11/06
- Requests
for Outpatient Specialized Therapy, 7/06
- HCPCS Code
Changes for Radiopharmaceutical Agents, 1/06
- HCPCS Code
Changes for the Physician's Drug Program:
- Ibandronate Sodium 3-mg/3-ml injection (Boniva, HCPCS
Procedure Code J3490) Billing Guidlines, 12/06
- Injection, Ertapenem Sodium,
500 mg (Invanz, HCPCS Procedure Code J1335) Billing Guidelines, 11/06
- Levetiracetam, 500-mg/5ml
Injection (Keppra, HCPCS Procedure Code J3490) Billing Guidelines, 11/06
- Lymphocyte Immune Globulin, Antithymocyte Globulin, Equine, Parenteral, 250 mg (Atgam, J7504) Billing Guidelines, 4/06
- Outpatient Specialized Therapies Prior Authorization Process - Update to New Web Site and Submission Process, 10/06
- Pegylated Interferon Alfa-2b,
10 mcg (PEG-Intron, HCPCS Procedure Code J3590) Billing Guidelines, 11/06
- Peinterferon Alfa - 2a, 180
mcg/ml (Pegasys, J3490 and S0145) - Billing Guidelines, 5/06
- Prior Authorization
for Outpatient Specialized Therapies-Implementation Date for Electronic
Submission and New Forms, 12/06
- Ranibizumab, 0.5 mg Injectable (Lucentis, HCPCS Procedure
Code J3590) Billing Guidelines, 11/06
- Systematic
Reprocessing of Specialized Therapy Adjustments, 2/06
- Triptorelin Pamoate (Trelstar
Depot and Trelstar LA, J3315) Billing Guidelines, 8/06
- Update to Approve Procedures for Ambulatory
Services and Physicians, 5/06
Prescribers:
Private Duty Nursing Providers:
Psychiatric Hospitals:
Psychiatric Residential Treatment Facilities:
Residential Child Care Treament Facilities:
Rural Health Centers:
TCM/MR-DD Case Managers:
UB-92 Billers: