MCO Updates

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FY 2001 Transmittals

PT#

Provider Type #

Topic

PT01-01

Model Waiver #19

Timely Submission of Participant’s Nursing Notes to Coordinating Center for Home and Community Care Inc. (CCHCC)

PT02-01

Hospital #175

Administrative Day Rates

PT03-01

Home Health #35

Preauthorization

PT04-01

Pharmacy #163/MCO #21

Changes to Mental Health & AIDS Care Out

PT05-01

Home Health #36/Hospital #176/Physicians #123/ Nursing Home #167

Home Health Services – Elimination of “Homebound” Requirement

PT06-01

Dental #34

Increased Reimbursement

PT07-01

Medical Supply & Equipment #49

Fee for Service Recipients Preauthorization Requirements

PT08-01

Personal Care #39

Level 2 Payments

PT10-01

EPSDT:PDN #5/ Model Waiver #20

Conditions of Participation

PT11-01

Transportation Grants #1

Air Ambulance Protocol

PT12-01

Nursing Home #168

Enrollment of Nursing Home Providers as Therapy Providers

PT13-01

Medical Supply & Equipment #50/Oxygen #23

DHMH Preauthorization Form

PT14-01

MCO #22

Recipient Disenrollment for Continuity of Care Reasons

PT15-01

MCO #23

Elimination of “Homebound” Requirement

PT16-01

Home & Community Based Services Waiver for Adults w/Physical Disabilities #1

Proposed Amendments 10.09.55

PT17-01

MCO #24

HealthChoice Stop Loss Implementation

PT18-01

Pharmacy #164/MPAP #42

Interchangeable Drug Cost for Clozapine

PT19-01

General Provider #53/MCO #25

Disenrollment of MCO Enrollees at 65

PT20-01

Medical Supply & Equipment #51

Approved List of Items

PT21-01

Home & Community Based Services Waiver for Adults w/Physical Disabilities #2

Adoption of Amendments to 10.09.55

PT22-01

General Provider #54

Medical Abortion Procedure

PT23-01

Medical Day Care #42

FY02 Per Diem Rate

PT24-01

Nursing Home #169

Revised FY01 Interim Rates

PT25-01

Nursing Home #170

Amendments 10.09.10

PT26-01

Nursing Home #171

FY02 Interim Rates