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FY 2017 Transmittals
PT #
Date
Provider Type #
Topic
PT 01-17
7/5/2016
Managed Care Organizations No. 112
Reporting Provider Cotnract Terminations
PT 02-17
8/3/2016
Hospital No. 242
Fiscal Year 2017 Medicaid Rates for Administrative Days
PT 03-17
8/11/2016
Hospital No. 243
Update in Procedure for Submitting Claims Reviews
PT 04-17
8/12/2016
Medical Supply and Equipment No. 69, Oxygen No. 30
Future Submissions of Certain DME Preauthorization Requests
PT 05-17
8/29/2016
Nursing Home No. 259
Certification of Need for NF Services
PT 06-17
10/3/2016
Medical Supply and Equipment Transmittal No. 70
Coverage of Continuous Glucose Monitoring Systems
PT 07-17
10/3/2016
Hospice Transmittal No. 12
Hospice Payment Rates for Federal Fiscal Year 2017
PT 08-17
10/5/2016
General Provider Transmittal No. 83
Medicaid Program Updates for Fall 2016
PT 10-17
10/11/2016
FQHC
Documenting Behavioral Health Services Billed in FQHC Settings
PT 09-17
10/12/2016
Nursing Home No. 260
2016 Nursing Home Pay-for-Performance Scores
PT 11-17
11/3/2016
Hospital No. 244
Distinguishing Between 1184 Newborn Hospital Report of Newborn Process and Hospital Presumptive Eligibility for Newborns
PT 13-17
12/1/2016
Home Health No. 7
Calendar Year 2017 Home Health Fee Schedule
PT 14-17
12/8/2016
Vision Services No. 1
Reimbursement for Additional Vision Care Services
PT 15-17
12/8/2016
Hospital No. 245; MCO No. 113; Nursing Home No. 261
Roles and Responsibilities of Nursing Facilities, Specialty Pediatric Hospitals and Chronic Hospitals when Admitting HealthChoice MCO Members
PT 16-17
12/19/2016
Beacon Health Options No. 8; Hospital No. 246; MCO No. 114
24 Hour Maximum for Outpatient Observation Stays
PT 17-17
12/20/2016
Beacon Health Options No. 9; MCO No. 115; Laboratory No. 67; Opioid Treatment Provider No. 5; Substance Use Disorder No. 19
Community-based Medical Laboratory Billing for Substance Use Disorder Screening/Testing for Calendar Year 2017
PT 18-17
1/5/2017
Beacon Health Options No. 10; Laboratory No.68; Opioid Treatment Providers No. 6
Medicaid Billing for Drug Testing and Screening
PT 19-17
1/19/2017
Federally Qualified health Center No. 10
Enrolling Individual/Rendering Maryland Medicaid Providers
PT 20-17
2/10/2017
Beacon Health Options No. 11; Laboratory No. 69; Substance Use Disorder No.20
PT 21-17
2/10/2017
Abortion Clinics No.2, Physicians No. 141
Coding and Reimbursement Changes for Abortion Procedures
PT 22-17
2/10/2017
Abortion Clinics No.3
Correction--Coding and Reimbursement Changes for Abortion Procedures
PT 23-17
3/6/2017
Nursing Home No. 262
Process for Continued Stay Reviews
PT 24-17
3/6/2017
Nursing Home No. 263
MDS Validation Reviews
PT 25-17
3/27/2017
Substance Use Disorder No 21
Combination of Services, OMT Restrictions
PT 27-17
3/30/2017
MCO No. 117
Directing Acting Antiviral (DAA) Coverage
PT 28-17
4/13/2017
Hospital No. 248
Process for Submitting Retroactive Eligibility Cases to Telligen
PT 29-17
5/9/2017
Home and Community-Based Options Waiver No. 8; Community First Choice No. 5; Community Personal Assistance Services No. 2
Criminal Background Checks and Monthly Claims Submission
PT 26-17
3/28/2017
Substance Use Disorder No. 22
Combination of Services Limitations Level 1, Level 2.1, Level 2.5
PT 30-17
5/11/2017
Hospital No. 249
Billing for Fee-for-Service Observation Stays
PT 31-17
5/23/2017
MCO No. 118
Directing Acting Antiviral (DAA) Coverage Correction
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