Medicaid Memos to Provider
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|
Date |
Subject |
Providers |
|---|---|---|
| April 23, 2009 | Suspension of the SLH Program - Effective May 1, 2009 |
All State and Local Hospitalization (SLH) Providers |
| April 7, 2009 | Excluded Individuals/Entities from State/Federal Healthcare Programs |
Virginia Medicaid Participating Providers and Managed Care Organizations |
| March 4, 2009 | Patient Pay Information for Medicaid Enrollees – Effective March 1, 2009 |
All Long-term Care (LTC) Providers Participating in the Virginia Medical Assistance Program |
| February 17, 2009 | Direct Enrollment Of Licensed School Psychologists |
All Providers of Psychiatric, Psychological, and Substance Abuse Services, Medicaid Enrolled School Divisions, and Medicaid Contracted Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| February 13, 2009 | Changes to Certified Registered Nurse Anesthetist (CRNA) Supervision Requirements. |
All Medical Doctors, Nurse Practitioners, Hospitals, Outpatient Health Facilities, Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program. |
| February 10, 2009 | Notice of Changes to the Process for Obtaining Patient Pay Information for Medicaid Enrollees – Effective March 1, 2009. |
All Long-term Care (LTC) Providers Participating in the Virginia Medical Assistance Program. |
| February 10, 2009 | Recommended Developmental Screening Tools for Well-child and Early Periodic Screening Diagnosis and Treatment (EPSDT) Visits . |
Early and Periodic Screening, Diagnosis, and Treatment Providers, Infant and Toddler Connection Providers and DMAS-Enrolled Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program. |
| December 4, 2008 | Implementation of Correct Coding Initiative (CCI) and Revision of ClaimCheck Edits – Effective January 1, 2009. |
All Professional and Laboratory Providers Participating in the Virginia Medical Assistance Program. |
| December 1, 2008 | Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program Effective January 1, 2009; the US Food and Drug Administration’s (FDA) Requirement to Phase-Out Chlorofluorocarbon-Containing (CFC) Propelled Albuterol Inhalers from the Market; and, Changes to the Enhanced Prospective Drug Utilization Review Program (Dose Optimization). |
All Pharmacy and Medical Providers Participating in the Virginia Medical Assistance Programs. |
| November 25, 2008 | Removal of Requirement for Secondary Screenings for Waiver Recipients – Effective January 1, 2009 |
All Community Services Boards, Pre-Admission Screening providers Participating in the Virginia Medical Assistance Program, Managed Care Organizations, and holders of the Pre-Admission Screening Medicaid Provider Manual. |
| November 12, 2008 | Update to the Changes to the Prior Authorization Process for Psychiatric Residential Treatment- Level C, Children’s Group Home-Level A, Therapeutic Group Home-Level B and Treatment Foster Care Case Management Services |
All Psychiatric Residential Treatment Providers (Level C), all Children’s Group Home (Level A) Providers, all Therapeutic Group Home (Level B) Providers, all Treatment Foster Care Case Management Providers, all Managed Care Organizations Participating in the Virginia Medical Assistance Programs, and all Community Policy and Management Team (CPMT) Chairpersons . |
| October 20, 2008 | Changes to the Billing Process for Multiple Outpatient CAT, MRI, PET Scans Performed on the Same Day and the Associated Prior Authorization - Effective October 27, 2008. |
All In-State and Out-of-State Acute General Hospitals and all Independent Labs Participating in the Virginia Medical Assistance Program. |
| October 15, 2008 | Changes to the Prior Authorization Process for Psychiatric Residential Treatment- Level C, Children’s Group Home-Level A, Therapeutic Group Home-Level B, and Treatment Foster Care Case Management Services. |
All Psychiatric Residential Treatment Providers (Level C), all Children’s Group Home (Level A) Providers, all Therapeutic Group Home (Level B) Providers, all Treatment Foster Care Case Management Providers, all Managed Care Organizations Participating in the Virginia Medical Assistance Programs, and all Community Policy and Management Team (CPMT) Chairpersons ). |
| October 6, 2008 | Requirement for Present on Admission (POA) Indicator for Inpatient Hospital Claims Submitted by Paper – November 1, 2008 |
All Fee-for-Service In-State and Out-of-State Hospitals and Managed Care Organizations Participating in the Virginia Medical Assistance Program. |
| October 6, 2008 | Maternal and Infant Care Coordination (MICC) Prior Authorization Changes – Effective November 1, 2008 |
All Providers of Maternal Infant Care Coordination (MICC) services participating in the Virginia Medical Assistance Programs, including Health Department Clinics, Federally Qualified Health Centers, Rural Health Clinics, Department of Social Service, Case Management Providers, Private Home Health Agencies and Community Service Boards. High risk maternity and infant program managers of the Medicaid Managed Care Organizations (MCOs). |
| September 17, 2008 | Moratorium on Federal Case Management Regulations |
All Providers of Case Management Services and MCOs Participating in the Virginia Medical Assistance Programs. |
| September 3, 2008 | Phase II of Tamper-Resistant Prescription Pad (TRPP) Requirements – Effective October 1, 2008 |
All Pharmacies, Medical Providers, Dental Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs. |
| August 15, 2008 | Screening for Technology Assisted Waiver for Community Based Assessments |
All Technology Assisted Waiver Providers and Local Community Based Pre-Admission Screening Teams which include local Hospitals, local Health Departments, and local Departments of Social Services. |
| August 13, 2008 | Physician Rate Changes Update – Effective July 1, 2008 |
All Physicians and other providers billing CPT codes participating in the Virginia Medical Assistance Program, FAMIS, and Managed Care Organizations providing services to Virginia Medicaid and FAMIS recipients. |
| July 3, 2008 | Reimbursement for New Ambulatory Surgery Center Procedure Codes |
Ambulatory Surgery Centers participating in the Virginia Medical Assistance Program, FAMIS, and Managed Care Organizations providing services to Virginia Medicaid and FAMIS recipients |
| July 1, 2008 | Expansion of Medallion II & FAMIS Programs in the Charlottesville Area: Albemarle, Augusta, Buckingham, Charlottesville, Fluvanna, Greene, Louisa, Nelson, Orange, Staunton, and Waynesboro – November 1, 2008 |
All Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| June 20, 2008 | Rate Corrections for Outpatient Substance Abuse Services – Effective July 1, 2008 |
All Managed Care Organizations (MCOs), Mental Health/Mental Retardation Agencies, Substance Abuse Clinics (FAMIS), Licensed Clinical Social Workers, Psychiatric Residential Inpatient Facilities, Psychiatric Clinical Nurse Specialists, Licensed Marriage and Family Therapists, and Licensed Substance Abuse Treatment Practitioners. |
| June 18, 2008 | Rate Increases for Congregate Residential and Agency-Directed Individual Supported Employment Services – Effective July 1, 2008 |
Intellectual Disabilities/Mental Retardation (ID/MR); Individual and Family Developmental Disabilities Support (DD); and Day Support (DS) Waiver Providers. |
| June 11, 2008 |
Introduction of Money Follows the Person (MFP) – Effective Date July 1, 2008 New Services Added to Existing Waivers – Effective Date July 1, 2008 |
All Home and Community Based Waiver Providers, and Managed Care Organizations (MCOs) participating in the Virginia Medical Assistance Program, Area Agencies on Aging (AAA), Community Service Boards (CSBs), Local Departments of Social Services, and Community Independent Living Centers |
| May 30, 2008 | Changes to the Prior Authorization Process for Intensive In-Home Services – Effective July 1, 2008 |
All Intensive In Home Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| May 30, 2008 | New Prior Authorization Process for Level A (Children’s Group Home) and Level B ( Therapeutic Group Home) Psychiatric Residential Treatment Facility Providers – Effective July 1, 2008 |
All Psychiatric Residential Treatment Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs, and all CPMT Chairpersons |
| May 29, 2008 |
Modifications to the Virginia Medicaid Preferred
Drug List (PDL) Program, Effective July 1, 2008; Changes to the Enhanced Prospective Drug Utilization Review Program (Dose Optimization); and, Implementation of the Specialty Maximum Allowable Cost Program |
All Pharmacy and Medical Providers Participating in the Virginia Medical Assistance Programs. |
| May 28, 2008 | New Remittance Advice (RA) Format – June 21, 2008 & NPI Reminder – May 23, 2008 |
Department of Medical Assistance Services (DMAS) Participating Providers |
| May 28, 2008 | Physician Rate Changes – Effective July 1, 2008 |
All Physicians participating in the Virginia Medical Assistance Program, FAMIS, and Managed Care Organizations providing services to Virginia Medicaid and FAMIS recipients. |
| May 23, 2008 | Medicaid Coverage of Substance Abuse Services Screening Codes |
All Managed Care Organizations (MCOs), Physicians, Licensed Professional Counselors, Licensed Clinical Psychologists, Mental Health/Mental Retardation Agencies, Licensed Clinical Social Workers, Psychiatric Clinical Nurse Specialists, Nurse Practitioners, Licensed Marriage and Family Therapists, and Licensed Substance Abuse Treatment Practitioners. |
| May 1, 2008 | Changes to the Prior Authorization Process performed by KePRO for Outpatient Substance Abuse Services |
All Managed Care Organizations (MCOs), Physicians, Licensed Professional Counselors, Licensed Clinical Psychologists, Psychiatric Nurse Practitioners, Mental Health/Mental Retardation Agencies, Substance Abuse Clinics (FAMIS), Licensed Clinical Social Workers, Psychiatric Clinical Nurse Specialists, Licensed Marriage and Family Therapists, and Licensed Substance Abuse Treatment Practitioners. |
| April 9, 2008 | Summary of New Federal Targeted Case Management Final Regulations – Effective March 3, 2008 |
All Providers of Case Management Services and MCOs Participating in the Virginia Medical Assistance Programs |
| April 2, 2008 | Prior Authorization – Children’s Mental Health Program will Transition to KePRO for Fee-for-Service Enrollees – Effective May 1, 2008 |
All Waiver Providers, Psychiatric Residential Treatment Facilities, and Managed Care Organizations (MCOs) participating in the Virginia Medical Assistance Program |
| April 2, 2008 | New National Drug Code (NDC) Billing Requirement for Pharmacy Claims Submissions (UB04/837I) – Effective July 1, 2008 |
All Acute/General and Rehabilitation Hospital Providers and MCOs Participating in the Virginia Medical Assistance Programs |
| April 1, 2008 | Using Your National Provider Identification/Atypical Provider Identification (NPI/API) through iEXCHANGE for Requests Submitted to KePRO – Effective 5/23/2008 |
All Outpatient Psychiatric, Outpatient Rehabilitation [including Comprehensive Outpatient Rehabilitation (CORF)], Durable Medical Equipment (DME), Orthotic, Home Health, Physicians, and Non-Emergency MRI, PET, and CAT Scan, Service Providers; All Inpatient Acute, Inpatient Psychiatric, and Inpatient Rehabilitation Service Providers; All Treatment Foster Care Case Management, Residential Treatment Service Providers, Intensive In-Home Services; All Home and Community Based Care Waiver Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| March 5, 2008 | National Provider Identifier (NPI) Compliance Begins May 23, 2008 | All Providers |
| March 1, 2008 | Billing for Emergency and Non-Emergency Transportation Services – Effective 04/01/2008 | All Ground, Air and Neonatal Ambulance, All Managed Care Organizations (MCOs) and Providers participating in the Virginia Medical Assistance Program |
| February 29, 2008 | Update on Tamper-Resistant Prescription Pad Requirements Effective April 1, 2008 and National Provider Identifier (NPI) Compliance for Pharmacy Claims Processing Effective May 23, 2008 |
All Pharmacy, Medical Providers, Dental Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| February 20, 2008 | Physician Assistant Supervision Requirements |
All Medical Doctors, Nurse Practitioners, Nurse Midwives, Hospitals, Outpatient Health Facilities, Nursing Homes, Mental Health Providers, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program |
| February 4, 2008 | Introduction of New Fax Form to Request Prior Authorization for Acute Inpatient Psychiatric Care Services and Freestanding Inpatient Psychiatric Care Services -- Concurrent Review Only |
All Inpatient Acute and Inpatient Freestanding Psychiatric Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Program |
| December 26, 2007 | Plan First - The Medicaid Fee-For-Service Family Planning Waiver Program – Eligible Population, Enrollment, Covered Services, Service Limits and Billing Requirements as well as Upcoming Training Dates - Effective January 1, 2008 |
All Medical Doctors, Nurse Practitioners, Professional Midwives, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, Laboratories, Pharmacies, Outpatient Clinics and Managed Care Organizations Participating in the Virginia Medical Assistance Program |
| December 20, 2007 | Prior Authorization – Outpatient Substance Abuse Services that will Transition to KePRO for Fee-for-Service Enrollees – Effective January 1, 2008 |
All Managed Care Organizations (MCOs), Physicians, Licensed Professional Counselors, Licensed Clinical Psychologists, Psychiatric Nurse Practitioners, Mental Health/Mental Retardation Agencies, Substance Abuse Clinics (FAMIS), Licensed Clinical Social Workers, Psychiatric Clinical Nurse Specialists, Licensed Marriage and Family Therapists, and Licensed Substance Abuse Treatment Practitioners. |
| December 11, 2007 | Children’s Mental Health Program – Effective December 1, 2007 |
All Potential Providers of the Children’s Mental Health Program, Psychiatric Residential Treatment Facilities, and Managed Care Organizations (MCOs) participating in the Virginia Medical Assistance Program |
| December 4, 2007 | Changes to Enhanced Prospective Drug Utilization Review Programs and Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program Effective January 1, 2008 |
All Pharmacy and Medical Providers Participating in the Virginia Medical Assistance Programs |
| October 19, 2007 | Outpatient Substance Abuse Services that require Prior Authorization for Fee-for-Service Enrollees |
All Managed Care Organizations (MCOs), Physicians, Licensed Professional Counselors, Licensed Psychologists, Clinical Psychologists, Mental Health/Mental Retardation Agencies, Substance Abuse Clinics (FAMIS), Licensed Clinical Social Workers, Psychiatric Residential Inpatient Facilities, Psychiatric Clinical Nurse Specialists, Licensed Marriage and Family Therapists, and Licensed Substance Abuse Treatment Practitioners. |
| October 19, 2007 | Updates and Clarification of the Prior Authorization Process for Outpatient Services |
All Outpatient Psychiatric, Outpatient Rehabilitation [including Comprehensive Outpatient Rehabilitation (CORF)], Durable Medical Equipment (DME), Orthotic, Home Health, Physicians, and Non-Emergency MRI, PET, and CAT Scan, Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| October 11, 2007 | Medicaid Enrollment and Coverage of Certified Professional Midwives |
All Virginia Licensed Certified Professional Midwives, Medical Doctors, Nurse Practitioners, Nurse Midwives, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, Laboratories, Outpatient Clinics, and Managed Care Organizations (MCOs) participating in the Virginia Medical Assistance Program |
| October 9, 2007 | Changes to the Prior Authorization and Billing Process for Psychiatric Residential Treatment and Treatment Foster Care - Effective October 1, 2007 |
All Psychiatric Residential Treatment Providers, Treatment Foster Care Case Management Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs, and all CPMT Chairpersons |
| October 9, 2007 | Prior Authorization Updates - Waivers – Effective Immediately |
All Home and Community Based Care Waiver Service Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs. |
| October 3, 2007 |
Delayed Implementation of Tamper Resistant Prescription Pad
Requirements Now Effective April 1, 2008 |
All Pharmacy, Medical Providers, Dental Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs. |
| October 2, 2007 | Discontinuation of Legacy Automated Response System (ARS) Access |
All Providers Participating in the Virginia Medical Assistance Program |
| September 12, 2007 |
Virginia Medicaid Healthy ReturnsSM Disease Management Program Expanded to Include Chronic
Obstructive Pulmonary Disease (COPD) Effective May 1, 2007 |
All Providers (with the exception of Dentists) and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Programs |
| September 5, 2007 | Implementation of Tamper-Resistant Prescription Pad Requirements – Effective October 1, 2007 |
All Pharmacy, Medical Providers, Dental Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs. |
| August 30, 2007 | Update to Second Edition of the Durable Medical Equipment and Supplies Provider Manual |
All Durable Medical Equipment and Supplies providers participating in the Virginia Medical Assistance Program, Managed Care Organizations, and holders of the Durable Medical Equipment and Supplies Provider Manual. |
| August 27, 2007 | Provider Education for the Hospital Utilization Review Audit Process |
All Inpatient Acute and Inpatient Psychiatric Service Providers. |
| August 23, 2007 | Early Periodic Screening Diagnosis and Treatment (EPSDT) Screening and Developmental Assessments |
Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Providers and DMAS-Enrolled Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program |
| August 8, 2007 | Integration of Acute and Long Term Care Services - Phase I |
All Virginia Medicaid Participating Healthcare Providers and Managed Care Organizations (Excluding Dental Providers). |
| August 1, 2007 | Enrollment of Additional Specialties of Licensed Nurse Practitioners – Effective August 1, 2007 |
Physicians, Nurse Practitioners, Clinical Nurse Specialists, Nurse Midwives, Hospitals, State Mental Hospitals, Private Mental Hospitals, Residential Treatment/Treatment Foster Care Facilities, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, School Health Clinics,Outpatient Clinics, and Managed Care Organizations (MCOs) participating in the Virginia Medical Assistance Programs |
| July 31, 2007 | Provider Satisfaction Survey for Prior Authorization Services |
All Outpatient Psychiatric, Outpatient Rehabilitation [including Comprehensive Outpatient Rehabilitation (CORF)], Durable Medical Equipment (DME), Orthotic, Home Health, Physicians, and Non-Emergency MRI, PET, and CAT Scan, Service Providers; All Inpatient Acute, Inpatient Psychiatric, and Inpatient Rehabilitation Service Providers; All Treatment Foster Care Case Management, Residential Treatment Service Providers, Intensive In-Home Services; All Home and Community Based Care Waiver Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| July 13, 2007 | New Rates and Processing of Emergency Room Physician Claims – Effective July 1, 2007 | Emergency Room Physicians Participating in the Virginia Medical Assistance Program and Managed Care Organizations providing services to Virginia Medicaid Recipients |
| July 5, 2007 | Expansion of Managed Care Services in Lynchburg – Effective October 1, 2007 | All Providers (with the exception of Dentists) and Managed Care Organizations (MCOs) participating in the Virginia Medical Assistance Programs |
| June 26, 2007 | Increase in the Personal Needs Allowance for Institutionalized Individuals Residing in Nursing Facilities and in Intermediate Care Facilities for the Mentally Retarded (ICF-MR) – Effective July 1, 2007 |
All State Mental Hospitals, Long Stay Hospitals,
Skilled Nursing Home Mental Health Facilities,
Medical Surgery Facilities serving the Mentally
Retarded, Skilled Nursing Homes, Skilled Nursing
Facilities, Long Stay Inpatient Hospitals, Mental
Health Medical Surgery Facilities, and Intermediate
Care Facilities participating in the Virginia Medicaid
Program.
|
| June 12, 2007 | Medicaid Coverage of Substance Abuse Services – Effective July 1, 2007 |
All Managed Care Organizations (MCOs), Physicians, Licensed Professional Counselors,
Licensed Psychologists, Clinical Psychologists, Mental Health/Mental Retardation Agencies,
Substance Abuse Clinics (FAMIS), Licensed Clinical Social Workers, Psychiatric
Residential Inpatient Facilities, Psychiatric Clinical Nurse Specialists, Licensed Marriage
and Family Therapists, and Licensed Substance Abuse Treatment Practitioners.
|
| June 7, 2007 | BabyCare Rate Changes – Effective July 1, 2007 | All Providers of Maternal Infant Care Coordination (MICC) services participating in the Virginia Medical Assistance Programs, including Physicians, Nurse Practitioners, Nurse Midwives, Health Department Clinics, Federally Qualified Health Centers, Rural Health Clinics, Department of Social Service, Case Management Providers, Prenatal Nutritionists, Private Home Health Agencies and Community Service Boards, and High Risk Maternity and Infant Program Managers of the Medicaid Managed Care Organizations (MCOs). |
| June 5, 2007 | Physician Rate Increases – Effective July 1, 2007 | All Physicians participating in the Virginia Medical Assistance Program, FAMIS, and Managed Care Organizations providing services to Virginia Medicaid and FAMIS recipients. |
| June 5, 2007 | Rate Increase for Personal Care and Related Services – Effective July 1, 2007 | All Personal Care and Related Services Providers. |
| June 5, 2007 | Northern Virginia Rate Differential for MR, DD, and Day Support Waiver Services – Effective July 1, 2007 | Mental Retardation (MR), Individual & Family Developmental Disabilities Support (DD) and Day Support Waiver ProvidersPrograms. |
| May 31, 2007 | New National Drug Code (NDC) Billing Requirement for Drug-Related HCPCS J-Codes – Effective July 1, 2007 | All Prescribing Physician Providers Participating in the Virginia Medical Assistance Programs. |
| May 31, 2007 | Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program, Enhanced Prospective Drug Utilization Review Programs, National Provider Identifier (NPI) Dual Use Extension, and Pharmacy Web-Based Prior Authorization Process | All Pharmacy and Prescribing Medical Providers Participating in the Virginia Medical Assistance Programs. |
| May 8, 2007 | National Provider Identifier (NPI) Update: DMAS Dual Use Period Extended Beyond May 23, 2007 & Paper Claim Form Deadline (June 1, 2007) | All Virginia Medicaid Participating Healthcare Providers and Managed Care Organizations. |
| April 23, 2007 | Changes to the Prior Authorization Request Form for Intensive In-Home Services | All Intensive In-Home Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs. |
| April 23, 2007 | Changes to the Prior Authorization Process for Psychiatric Residential Treatment | All Psychiatric Residential Treatment Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs, and all CPMT Chairpersons. |
| April 19, 2007 | New Questionnaires Available to Facilitate Waiver Services Requests for Prior Authorization | All Home and Community Based Care Waiver Service Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs. |
| April 19, 2007 | Northern Virginia Rate Differential for MR, DD, and DS Waivers – Effective July 1, 2007 | Mental Retardation (MR) Waiver, Individual & Family Developmental Disabilities Support (DD)Waiver, and Day Support (DS) Waiver providers. |
| March 19, 2007 | NPI Update: DMAS Requirements for National Taxonomy Codes for Home Health, Private Duty, and Atypical Service Providers | Virginia Medicaid Participating Home Health, Private Duty Nursing, Personal Care, Respite, Adult Day Health, Assisted Living, MH-MR Services, Case Management Waiver, Family Caregiver Training, and Treatment Foster Care Providers. |
| March 12, 2007 | Changes to the Prior Authorization Process for Treatment Foster Care Case Management – Effective March 1, 2007 | All Treatment Foster Care Case Management Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs, and all CPMT Chairpersons. |
| February 21, 2007 | General Billing Instructions for the New CMS-1450 (UB-04) - Effective April 1, 2007 | All Providers Billing on the CMS-1450 (UB-04) Form. |
| February 14, 2007 | Updates and Clarification of the Prior Authorization Process for Inpatient Services | All Inpatient Acute, Inpatient Psychiatric, and Inpatient Rehabilitation Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs Assistance Programs. |
| February 14, 2007 | Updates and Clarification of the Prior Authorization Process for Outpatient Services | All Outpatient Psychiatric, Outpatient Rehabilitation [including Comprehensive Outpatient Rehabilitation (CORF)], Durable Medical Equipment (DME), Orthotic, Home Health, Physicians, and Non-Emergency MRI, PET, and CAT Scan, Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs. |
| February 12, 2007 |
National Provider Identifier (NPI) Update: DMAS Requirements for National Taxonomy Codes |
Virginia Medicaid Participating Acute Care, Rehabilitation, and Psychiatric Hospitals (Acute and Free-Standing), Residential Treatment Facilities,and Emergency Land and Air Ambulance Provider. |
| February 9, 2007 |
Atypical Provider Identifier (API) Update: DMAS Dual Use Period – March 26 - May 22, 2007 – March 26 - May 22, 2007 |
Virginia Medicaid Participating Healthcare Providers and Managed Care Organizations. |
| February 9, 2007 |
National Provider Identifier (NPI) Update: DMAS Dual Use Period – March 26 - May 22, 2007 |
Virginia Medicaid Participating Healthcare Providers and Managed Care Organizations. |
| January 31, 2007 | Baby Care Mileage Rate Increase – Effective February 1, 2007 | All Providers of Maternal Infant Care Coordination (MICC) services participating in the Virginia Medical Assistance Programs, including Health Department Clinics, Federally Qualified Health Centers, Rural Health Clinics, Department of Social Service, Case Management Providers, Private Home Health Agencies and Community Service Boards. |
| January 31, 2007 | Changes to Treatment Foster Care Case Management Reimbursement – Effective March 1, 2007 | Providers of Treatment Foster Care Case Management |
| January 19, 2007 | New Web Site for the Automated Response System (ARS) and National Provider Identifier (NPI) Compliance for the ARS – Effective February 19, 2007 | All Providers Participating in the Virginia Medical Assistance Program |
| January 10, 2007 | Updates and Clarification of the Prior Authorization Process for Community Based Care Services | All Home and Community Based Care Waiver Service Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| January 10, 2007 | Updates and Clarification of the Inpatient Prior Authorization Process for Inpatient Acute Care Services | All Inpatient Acute, Inpatient Psychiatric, and Inpatient Rehabilitation Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| January 10, 2007 | Updates and Clarification of the Prior Authorization Process for Outpatient Services | All Outpatient Psychiatric, Outpatient Rehabilitation [including Comprehensive Outpatient Rehabilitation (CORF)], Durable Medical Equipment (DME), Orthotic, Home Health, Physicians, and Non-Emergency MRI, PET, and CAT Scan, Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |
| January 10, 2007 | Updates and Clarification of the Prior Authorization Process for Treatment Foster Care Case Management, Residential Treatment Services, and Intensive In-Home Services | All Treatment Foster Care Case Management, Residential Treatment Service Providers, Intensive In-Home Services and Managed Care Organizations Participating in the Virginia Medical Assistance Programs |