2008 Medicaid Bulletin Index
Medicaid bulletin articles and special bulletins organized by provider type for 2008.
NPI Articles:
- Addition of Taxonomy Code to List Management Function, 12/08
- Automated Voice Response System Update, 10/08
- Correction to Recommended Taxonomy Code
for National Provider Identifier Mapping, 4/08
- EOB Codes for NPI, 1/08
- Frequently Asked Questions Regarding National Provider Identifiers, 11/08
- How National Provider Identifier Implementation
Will Affect Remittance and Status Reports, 6/08
- Importance of One to One Enumeration, 2/08
- Include ZIP+4 on Claims, 1/08
- Individuals with Multiple Provider Numbers, 6/08
- Keeping Medicare Crossover Information
Current, 3/08
- Medicare Crossover Claims, 6/08
- Medicare Crossovers and Medicare
Adjusted Claims, 5/08
- Medicare Health Maintenance Organization, 4/08
- National Provider Identifier, Special
Bulletin III, 5/08
- National Provider Identifier and Address
Information Database, 1/08
- National Provider Identifier Customer
Support, 6/08
- National Provider Identifier Implementation, 6/08
- National Provider Identifier Implementation
and Ready Letters:
- National Provider Identifier/Medicaid
Provider Number Mismatch, 6/08
- National Provider Identifier (NPI)
on Paper Remittance and Status Reports, 1/08
- National Provider Identifier Ready Letter, 6/08
- National Provider Identifier Reminders, 8/08
- National Identifier Requirements for Claims, 7/08
- National Provider Identifier (NPI)
Seminars, 1/08
- National Provider Identifier Update
for Pharmacy Providers, 5/08
- National Provider Identifiers for End-dated
Providers, 3/08
- New EOB Codes for Claim Denials
Related to National Provider Identifiers and Taxonomy Codes:
- New Requirements for NPI, Medicaid
Provider Number, and Taxonomy on Claims, 1/08
- Notification of National Provider Identifier/Medicaid
Provider Number Mismatch, 4/08
- NPI Update for Pharmacy Providers, 2/08
- Prior Approval Requests Using the Medicaid
Provider Number, 6/08
- Recommended Taxonomy Code for HIV Case
Management Providers, 10/08
- Recommended Taxonomy Codes for NPI
Mapping, 1/08
- Recommended Taxonomy Codes for Nursing
Facility Head Level and Vent Level Services, 10/08
- Referring Provider Numbers for Atypical
Providers, 3/08
- Referring Provider Numbers for
Carolina ACCESS Referral Authorizations, 4/08
- Taxonomy Billing Tips, 2/08
- Unknown National Provider Identifier Report, 4/08
- Update
on the NPI, Medicaid Provider Number and Taxonomy Denial Edit, 2/08
- Updated Fields for National Drug Code
(NDC) and NPI, 1/08
All Providers:
- 2008 ICD-9-CM Procedure and Diagnosis
Codes, 1/08
- 2009 Checkwrite Schedule, 11/08
- A Reminder about the Piedmont Cardinal Health Plan, 11/08
- Accepting a Medicaid Recipient, 1/08
- Addition of OTC Cetirizine to the Over-the-Counter
Medications Coverage List, 3/08
- Additional CMS Guidance on Tamper-resistant
Prescription Pads, 3/08
- Baby Love Program Provider Application
Available on the Internet, 5/08
- Basic Medicaid Seminars:
- Change in Banks for EDS:
- Changes to N.C. Health Choice Benefit
Cards, 5/08
- Chest X-ray Unit Limitation Denials, 8/08
- Clarification from CMS on the Use of Plain
Paper for Computer-generated Prescriptions, 9/08
- Clinical Coverage Policies:
- Community Care of North Carolina/Carolina
ACCESS (CCNC/CA) Override Policy:
- Community Care of North Carolina/Carolina
ACCESS Referral Policy, 4/08
- Contact Information for EDS Finance and
Remittance Payments, 7/08
- Correction to March 2008 Article Titled
Update: PedvaxHIB Recall - Reimbursement
for PedvaxHIB and ActHIB Allowed for UCVDP/VFC Program Eligibles, 4/08
- CPT Code 77002 Denials, 2/08
- CPT Code 77003, 2/08
- CPT Procedure Code 32551 and Modifiers
50 and 51, 8/08
- CPT Procedure Codes 92978 and 92979 (Intravascular
Ultrasounds) and Diagnosis List, 9/08
- CPT Procedure Codes 93000, 93005, and
93010 (Electrocardiograms) and Denials, 9/08
- Current Procedural Terminology Code
Update 2008, 1/08
- Cytogenetic Studies, 10/08
- Deferment of Inflationary Rate Increases, 11/08
- Denials for CPT Procedure Code 20551, 12/08
- Denials for CPT Procedure Codes 96401 and 96402, 12/08
- Diagnosis Code V82.9 and Pediatric Recipients, 8/08
- DTap-Hib-IPV (Pentacel, CPT Procedure Code 90698 - Billing Guidelines, 12/08
- DTap-IPV (Kinrix, CPT Procedure Code 90696 - Billing Guidelines, 12/08
- Electrocardiography, Echocardiography,
and Intravascular Ultrasound, 6/08
- Essure and Hysterosalpingogram Implementation, 7/08
- False Claims Act Education Compliance
for Federal Fiscal Year 2007, 9/08
- Frequently Asked Questions Regarding National Provider Identifiers, 11/08
- Groups with Multiple Medicaid Provider
Numbers, 8/08
- HCPCS Procedure Code Changes for Diagnostic
Radiopharmaceutical, Diagnostic, and Low Osmolar Contrast Agents End
Dated with No Replacement Code, 2/08
- HCPCS Procedure Code Changes for the
Physicians Drug Program:
- ICD-9-CM Diagnosis Codes that Are Not
Subject to the Annual Visit Limitation, 9/08
- Implementation Delayed for the PASARR Segment of the Medicaid Uniform Screening Tool, 10/08
- Implementation of N.C. Medicaid's
Uniform Screening Program for PASARR Only, 9/08
- Implementation of PASARR Segment of the Medicaid Unifrom Screening
Tool, 11/08
- Independent Practitioner Program Seminars:
- Independent Practitioner Program Seminar
Update, 6/08
- Influenza Vaccine and Reimbursement Guidelines
for 2008/09, 10/08
- Instructions on Inquiry Requests, 2/08
- Legislative Visit Limitation, 3/08
- Mammography Updates, 5/08
- Medicaid Credit Balance Reporting:
- Medicaid Identification Card Changes, 11/08
- National Drug Code and the UD Modifier, 10/08
- National Drug Codes Required for Outpatient
Institutional Claims:
- National Drug Codes Required on Professional
Crossover Claims:
- National Provider Identifier, Special
Bulletin III, 5/08
- N.C. Medicaid's Uniform Screening Program Regional Training Sessions:
- N.C. Medicaid's Uniform Screening Program
Regional Training Sessions for PASAAR Only:
- New Annual Visit Limit Legislated
by the N.C. General Assembly, 8/08
- New Enhanced Specialty Discount on Single-source
Specialty Drugs, 10/08
- New Form for Medicaid Provider Refund
Requests, 3/08
- New Medicaid Eligibility Group: Health
Coverage for Workers with Disabilities, 10/08
- New Prior Authorization Program
for Qualaquin, 10/08
- Ordering Copies of Remittance and Status
Reports, 9/08
- Out-of-State Enrollment, 12/08
- Outdated Enrollment Packets Will
No Longer Be Accepted, 3/08
- Payment Error Rate Measurement in North
Carolina:
- Payment of Annual Physical Exam Visits for Recipients with Family Planning Waiver Coverage, 12/08
- Prior Authorization Criteria for Botulinum
Toxin Types A and B, 10/08
- Program of All-inclusive Care for
the Elderly Recipient Eligibility, 3/08
- Registration for Basic Medicaid Seminars:
- Registration for Health Check/EPSDT Seminars, 4/08
- Registration for Independent Practitioner
Program Seminars:
- Reminder about Sterilization Procedures, 7/08
- Reporting Provider Changes, 7/08
- Revised List of Diagnosis Codes That are
Not Subject to the Annual Visit Limitation, 10/08
- Revised Procedures for Prescribing
Synagis to Include EPSDT Information, 1/08
- Revision to Essure and Hysterosalpingogram
Implementation, 8/08
- Services that Cannot be Billed to the N.C. Medicaid Program, 11/08
- Sleep Study and Polysomnography Denials, 9/08
- Sterilizations for Recipients with Medicid
for Pregnant Women Coverge, 8/08
- Suspension of Enrollment for Community
Support Services, 7/08
- Suspension of Medicaid Benefits for Incarcerated
Recipients and Recipients in Instituitons for Mental Diseases:
- Tamper Resistant Prescription
Pads, Special Bulletin I, 1/08
- Tamper-Resistant Prescription Pads
for Medicaid Outpatient Prescriptions, 1/08
- Tax Identification Information, 3/08
- Town Hall Meetings: Community Alternatives
Program for Disabled Adults, 5/08
- Update to the Implementation of the
Web-based Medicaid Uniform Screening Tool, 3/08
- Update: FluMist Availability
in the UCVDP/VFC Program, 1/08
- Update: Meningococcal Conjugate Vaccine
(Menactra, MCV4, CPT 90734), 2/08
- Update: PedvaxHIB Recall - Reimbursement
for PedvaxHIB and ActHIB Allowed
for UCVDP/VFC Program Eligibles, 3/08
- Updated EOB Code Crosswalk to HIPAA
Standard Codes:
Adult Care Home Providers:
Ambulatory Surgical Centers:
Anesthesiologists:
Behavioral Health Providers:
Case Management Agencies:
Community Alternatives Program Case Managers:
CAP/DA Lead Agencies:
- Automated Quality and Utilization Improvement Program Quarterly Training Seminar:
CAP/DA Service Providers:
CAP/MR-DD Service Providers:
Certified Nurse Midwives:
Certified Registered Nurse Anesthetists:
Children's Developmental Service Agencies:
Community Care of North Carolina/Carolina ACCESS Primary Care Providers:
Dental Providers:
Dialysis Providers:
Direct-enrolled Behavioral Health Practioners:
Durable Medical Equipment Providers:
- 2008 HCPCS Code Changes for Discontinued,
Description Changes and Code Additions for Durable Medical Equipment, 1/08
- Annual Fee Schedule Changes, 8/08
- Change in Requests for Prior Approval
for Pediatric Mobility Devices, 4/08
- Change in Requests for Prior Approval
of Augmentative and Alternative Communication Devices, 5/08
- Change in Requests for Prior Approval
of Oral Nutrition Products, 5/08
- Community Care of North Carolina/Carolina ACCESS, 12/08
- Correction to Quantity Limitations for
HCPCS Code B4088, 10/08
- Coverage Ending for Ramps, Tie Downs,
Care Seats, and Vests, 10/08
- Recommended Taxonomy Codes for NPI
Mapping, 1/08
- Revised Oxygen, Oxygen Supplies and
Equipment Clinical Coverage Policy, 1/08
Enhanced Mental Health Services Providers:
Federally Qualified Health Centers:
Health Check Providers:
Health Departments:
- Changes in Drug Rebate Manufacturers:
- Changes to Outpatient Specialized Therapies, 12/08
- Childbirth Education Policy Revision, 8/08
- Dietary Evaluation and Counseling, 1/08
- Drugs Added to the Physicians Drug
Program Billing Guidelines, 1/08
- Oral Contraceptives Provided in Local
Health Departments (HCPCS Procedure Code S4993), 5/08
- Prior Authorization of Outpatient
Specialized Therapies: Survey Results, 6/08
- Recommended Taxonomy Codes for NPI
Mapping, 1/08
- Reimbursement of Immunization Administration
Codes for the Health Check Population, 6/08
- Reminders Regarding the Referral Process
for Outpatient Behavioral Health Services, 2/08
- Web-based Survey for Outpatient Specialized
Therapies Prior Authorization Website, 3/08
Health Department Dental Centers:
HIV Case Management Providers:
Home Health Agencies:
- 2008 HCPCS Code Changes to the Home
Health Fee Schedule, 2/08
- Annual Fee Schedule Changes for Home Health, 9/08
- Changes to Outpatient Specialized Therapies, 12/08
- Community Care of North Carolina/Carolina ACCESS, 12/08
- Prior Authorization of Outpatient
Specialized Therapies: Survey Results, 6/08
- Provision of Drug Infusion Therapy
by a Home Infusion Therapy Provider Concurrently with Home Health Services, 2/08
- Recommended Taxonomy Codes for NPI
Mapping, 1/08
- Revenue Code Changes for Skilled Nursing
Visits, 10/08
- Use of the Miscellaneous Medical Supply
Code T1999, 3/08
- Web-based Survey for Outpatient Specialized
Therapies Prior Authorization Website, 3/08
Home Infusion Therapists:
Hospice Providers:
Hospital Outpatient Clinics:
Hospitals:
ICF-MR Providers:
Independent Laboratories:
Independent Practitioners:
Institutional (UB92/UB04/837I) Billers:
Laboratories:
Local Education Agencies:
Local Management Entities:
Medical Diagnostic Clinics:
NCECSWeb Tool Users:
Nurse Midwives:
Nurse Practitioners:
- Abatacept, 250mg (Orencia, HCPCS Procedure Code J0129) - Biling Guidelines, 8/08
- Additions to Over-the-Counter Medications Coverage List, 1/08
- Bendamustine Hydrochloride (Treanda, J9999) - Billing Guidelines, 6/08
- Bevacizumab (Avastin, HCPCS Procedure Code J9035) - Update to Billing Guidelines, 4/08
- Certolizumab Pegol (Cimzia, HCPCS Procedure Code J3590) - Billing Guidelines, 8/08
- Changes in Drug Rebate Manufacturers:
- Childbirth Education Policy Revision, 8/08
- Claims Denials Related to Fetal Nuchal Translucency Measurement, 10/08
- Correction to "Drugs Added to
the Physician's Drug Program Billing Guidelines" Nelarabine (Arranon)
- HCPCS Procedure Code J9261, 2/08
- Denials for New Patient Eye Exams, 11/08
- Dexrazoxane (Totect, HCPCS Procedure Code J3490) - Billing Guidelines, 4/08
- Doripenem (Doribax, HCPCS Procedure Code J3490) - Billing Guidelines, 4/08
- Drugs Added to the Physicians Drug Program Billing Guidelines, 1/08
- Fosaprepitant Dimeglumine (Emend, HCPCS Procedure Code J3490) - Billing Guidelines, 4/08
- Hemin, 1mg (Panhematin, HCPCS Procedure Code 1640) - Billing Guidelines, 10/08
- Human Thrombin Topical Protein (Evithrom, HCPCS Procedure Code J3590) - Billing Guidelines, 4/08
- Human Thrombin Topical Protein, Preservative-Free (Recothrom, HCPCS Procedure Code J3590) - Billing Guidelines, 4/08
- Immune Globulin, Non-lyophilized Intravenous (Privigen, J3590) - Billing Guidelines, 4/08
- Ixabepilone Kit for Injection (Ixempra) - Billing Guidelines, 8/08
- Ixabepilone Kit for Injection (Ixempra, HCPCS Procedure Code J3490) - Billing Guidelines, 4/08
- Lanreotide Injection (Somatuline Depot, HCPCS Procedure Code J3490) - Billing Guidelines, 4/08
- Natalizumab (Tysabri, HCPCS Procedure Code 2323) - Update to Billing Guidelines, 5/08
- Oxaliplatin (Eloxatin, HCPCS Procedure Code J9263) - Additional Diagnosis Codes, 10/08
- Rate Increase for Physician Fluoride Varnish
Services, 9/08
- Romiplostim (Nplate, HCPCS Procedure Code J3490) - Billing Guidelines, 12/08
Nursing Facility Providers:
Optical Service Providers:
Orthotic and Prosthetic Providers:
Outpatient Behavioral Health Services:
Outpatient
Hospital Clinics:
Personal Care Service Providers:
Pharmacists:
- Additions to Over-the-Counter Medications
Coverage List, 1/08
- Billing Outpatient Pharmacy Claims
for Recipients with Retroactive Medicaid, 2/08
- Calling the Prescriber on a Non-Compliant
Prescription, 5/08
- Change in the Determination of the
Prescription Count for Global Limits, the FORM
and Recipient Opt-In Programs, 1/08
- Changes in Drug Rebate Manufacturers:
- Days Supply for Prescriptions with "Use
as Directed" Instructions, 3/08
- Enhanced Specialty Drug Discount Reimbursement Inquiries, 11/08
- Focused Risk Management Program Quarterly
Letter Update, 4/08
- Focused Risk Management Program Reviews and Submission of Fees, 11/08
- Maintaining Hard Copies of Prescriptions, 6/08
- New Appeals Process Affecting Prior Authorized Medications, 11/08
- New Pharmacy Prior Authorization Program
for Second Generation Antihistamines, 4/08
- New Pharmacy Prior Authorization Program
for Second Generation Antihistamines - Update to Implementation, 5/08
- New Prior Authorization Program
for Brand-name Narcotics:
- New SmartPA Pharmacy Prior Authorization
Program, 4/08
- Overrides for Monthly Supplies of Insulin, 11/08
- Pharmacy Audits, 6/08
- Prior Authorization Program for Brand-name
Narcotics - Update, 8/08
- Procedures for Prescribing Synagis for
RSV Season 2008-2009, 9/08
- Requesting Changes to the Pharmacy
Opt-in Provider, 2/08
- Synagis Pharmacy Claims for 2007/2008
RSV Season, 5/08
- Updated Prescription Advantage List, 6/08
Physicians:
- Abatacept, 250mg (Orencia, HCPCS
Procedure Code J0129) - Biling Guidelines, 8/08
- Additions to Over-the-Counter Medications
Coverage List, 1/08
- Bendamustine Hydrochloride (Treanda,
J9999) - Billing Guidelines, 6/08
- Bevacizumab (Avastin, HCPCS Procedure
Code J9035) - Update to Billing Guidelines, 4/08
- Certolizumab Pegol (Cimzia, HCPCS
Procedure Code J3590) - Billing Guidelines, 8/08
- Changes in Drug Rebate Manufacturers:
- Changes to Outpatient Specialized Therapies, 12/08
- Childbirth Education Policy Revision, 8/08
- Claims Denials Related to Fetal Nuchal
Translucency Measurement, 10/08
- Clinical Laboratory Improvement Amendments
Certification-related Claim Denials, 3/08
- Correction to "Drugs Added to
the Physician's Drug Program Billing Guidelines" Nelarabine (Arranon)
- HCPCS Procedure Code J9261, 2/08
- Denials for New Patient Eye Exams, 11/08
- Dexrazoxane (Totect, HCPCS Procedure
Code J3490) - Billing Guidelines, 4/08
- Doripenem (Doribax, HCPCS Procedure
Code J3490) - Billing Guidelines, 4/08
- Dietary Evaluation and Counseling, 1/08
- Drugs Added to the Physicians Drug
Program Billing Guidelines, 1/08
- Endoscopic Retrograde Cholangiopancreatography, 6/08
- Fosaprepitant Dimeglumine (Emend,
HCPCS Procedure Code J3490) - Billing Guidelines, 4/08
- Hemin, 1mg (Panhematin, HCPCS Procedure
Code 1640) - Billing Guidelines, 10/08
- Human Thrombin Topical Protein (Evithrom,
HCPCS Procedure Code J3590) - Billing Guidelines, 4/08
- Human Thrombin Topical Protein, Preservative-Free
(Recothrom, HCPCS Procedure Code J3590) - Billing Guidelines, 4/08
- Immune Globulin, Non-lyophilized
Intravenous (Privigen, J3590) - Billing Guidelines, 4/08
- Ixabepilone Kit for Injection (Ixempra)
- Billing Guidelines, 8/08
- Ixabepilone Kit for Injection (Ixempra,
HCPCS Procedure Code J3490) - Billing Guidelines, 4/08
- Lanreotide Injection (Somatuline
Depot, HCPCS Procedure Code J3490) - Billing Guidelines, 4/08
- Natalizumab (Tysabri, HCPCS Procedure
Code 2323) - Update to Billing Guidelines, 5/08
- Oxaliplatin (Eloxatin, HCPCS Procedure
Code J9263) - Additional Diagnosis Codes, 10/08
- Phase II Outpatient Cardiac Rehabilitation, 9/08
- Prior Authorization of Outpatient
Specialized Therapies: Survey Results, 6/08
- Rate Increase for Physician Fluoride Varnish
Services, 9/08
- Requesting Changes to the Pharmacy
Opt-in Provider, 2/08
- Romiplostim (Nplate, HCPCS Procedure Code J3490) - Billing Guidelines, 12/08
- Use of Locem Tenens When Called
to Active Duty in the Armed Forces, 5/08
- Web-based Survey for Outpatient Specialized
Therapies Prior Authorization Website, 3/08
Prescribers:
Private Duty Nursing Providers:
Professional (CMS-1500/837P) Billers:
Psychiatrists:
Residential Treatment Facility Providers:
Rural Health Clinics:
School Based Health Centers:
Targeted Case Managers for Individuals with Mental Retardation/Developmental
Disabilities: