MCO Updates

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FY 2020 Transmittals

 

 Provider-Transmittals

 
  
  
  
  
PT 01-207/11/2019
  
Fiscal Year 2020 Rates for the Community First Choice and Community Personal Assistance Programs
PT 02-207/11/2019
  
Fiscal Year 2020 Rates for the Home and Community-Based Options Waiver and ICS Programs
PT 04-209/16/2019
  
Medicaid Program Updates for Fall 2019
PT 06-209/24/2019
  
Claims Submission
PT 07-209/25/2019
  
Disenrollment from Hospice; Submission of Enrollment E-requests
PT 09-209/30/2019
  
Coverage of National Diabetes Prevention Program for HealthChoice Enrollees, Effective September 1, 2019
PT 10-2010/8/2019
  
Screening and Enrollment Responsibilities for managed Care Network Providers
PT 11-2010/9/2019
  
Carve In of the HIV/AIDS Medicatiions Effective January 1, 2020
PT 12-2010/21/2019
  
Nursing Facility Pay-for-Performance Scores
PT 13-2011/14/2019
  
Inpatient Hospitalization Services for State Correctional and_or Local Jail Inmates
PT 14-2011/18/2019
  
Claims Submission (Update to Transmittal PT 06-20)
PT 15-2011/21/2019
  
Hospice Payment Rates for Federal Fiscal Year 2020
PT 16-2011/22/2019
  
Coverage of Lead Environmental Investigations for Medicaid and MCHP Enrollees, Effective September 1, 2019
PT 03-208/23/2019
  
Updated Billing Guidance on Hospital Observation Stays Revised
PT 08-2012/25/2019
  
Fiscal Year 2020 Medicaid Rates for Administrative Days
PT 05-2012/24/2019
  
Public Behavioral Health System Administrative Service Organization Vendor Change
PT 26-197/1/2019
  
Fiscal Year 2020 Nursing Services Program Rates
PT 27-197/1/2019
  
Region Realignment; Fiscal Year 2020 Rates for Nursing Facility Services
PT 17-201/9/2020
  
Carve Out and Preauthorization of Zolgensma
PT 18-202/3/2020
  
Updated Billing Guidelines for Routine Labor and Delivery Claims
PT 19-202/4/2020
  
Breast Pump Coverage in the HealthChoice Program
PT 20-202/21/2020
  
REVISED 2.19.2020 Updated Billing Guidelines for Routine Labor and Delivery Claims
PT 21-202/21/2020
  
Calendar Year 2020 Home Health Fee Schedule
PT 22-203/16/2020
  
Processing Appeals Filed by Providers Representing HealthChoice Enrollees
PT 23-203/16/2020
  
Coverage of Buprenorphine Injection
PT 24-205/1/2020
  
COVID-19 Reimbursible Laboratory Codes
PT 25-205/8/2020
  
Updated Billing Guidelines for Routine Labor and Delivery Claims
PT 26-205/22/2020
  
UPDATE- COVID-19 Reimbursible Laboratory Codes
PT 27-205/26/2020
  
Coverage of Buprenorphine Injection –REVISED May 13, 2020
PT 28-206/1/2020
  
Medicare Coverage of Opioid Treatment Centers
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