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Provider Alerts 2020
Emails relevant to rules, Medicaid provider guides, and policies
| Date |
Provider Alert |
|---|---|
|
Orthodontic Services CDT Codes 1/1/2020 |
|
| MSS and ICM Billing Guide update eff. 1/1/2020 | |
| 1/21/20 | Ambulatory Surgery Centers Billing changes for dental services provided to MCO clients, eff. 1/1/2020 |
| 1/31/20 | Outpatient Hospital Billing Guide updates eff. 2/1/2020 |
| 1/31/20 | Physician-Related Services/Health Care-Related Services Billing Guide updates eff. 2/1/2020 |
| 1/31/20 | Ambulatory Surgery Center and Inpatient Hospital Billing Guide updates eff. 2/1/2020 |
| 2/10/20 | Orthodontic Services Billing Guide update, eff. 2/8/2020 |
| 2/24/20 |
Dental prior authorization documentation submission |
| 2/27/20 |
Ambulance transports - new requirements for PCS form |
| 3/18/20 | Dental emergencies - prior authorization requirement for general anesthesia or intravenous sedation suspended temporarily |
| 3/18/20 | Dental Providers COVID 19 DOH Health Alert |
| 3/19/20 | Changes to Orthodontic Services Payment Methodology |
| 3/25/20 |
Dental/orthodontic payment methodology changes - DELAYED |
| 3/25/20 | Dental and orthodontic authorizations – effective immediately |
| 3/25/20 | Apple Health Billing Guide Updates, Effective 4/1/2020 |
| 3/26/20 | Emergency coverage - dental phone triage |
| 3/26/20 | Withdrawal of Notices of Proposed Rule Making (CR-102) and Cancellation of April 7, 2020 Public Hearing |
| 3/27/20 |
Ambulance transports related to COVID-19 |
| 3/30/20 |
HCA rulemaking webpages upgraded |
| 4/17/20 | Ambulance providers – enhanced rates for COVID-19 related transports |
| 4/22/20 | Ambulance transports – enhanced rates for ground and air ambulance |
| 4/23/20 | Ambulance transports COVID-19 effective date for modifier |
| 5/15/20 | Reimbursement dental personal protective equipment |
| 6/22/20 | Apple Health Billing Guide Updates, Effective 7/1/20 |
| 6/30/20 | Updated Expedited Authorization List |
| 6/30/20 | Dental/orthodontic payment methodology changes – DELAYED UNTIL FURTHER NOTICE |
| 7/07/20 | Hospitals – Correction to facility fees for certain procedure code |
| 7/17/20 | New Benefit – Bed Encasements |
| 7/17/20 | Temporary add-on rate COVID-19 |
| 7/23/20 | Disproportionate Share Hospital Program - August 1 Application Due Date |
| 7/31/20 |
School-Based Health Care Services - Billing Guide Updates |
| 7/31/20 | Substance Use Disorder Billing Guide Updates |
| 8/7/20 | Prescription Drug Program - New phone number for the PRC referral line |
| 8/10/20 | Inpatient Hospital - Temporary enhanced rate increase for COVID-19-related DRG claims |
| 9/04/20 | Orthodontic payment methodology |
| 9/15/20 | Orthodontic payment methodology - effective October 1, 2020 |
| 9/17/20 |
Dental - Billing requirements for CDT code D1999 |
| 9/18/20 | Apple Health Billing Guide Updates, Effective 10/1/2020 |
| 9/29/20 | Orthodontic payment methodology effective October 1, 2020 |
| 10/08/20 | HCA Rulemaking Notice for WSR 20-20 |
| 10/09/20 |
Dental billing requirements for CDT code D1999, personal protective equipment (PPE) |
| 10/13/20 |
New filings page to be discontinued |
| 10/23/20 | HCA Rulemaking Notice for WSR 20-21 |
| HCA Rulemaking Notice for WSR 20-22 | |
| 11/16/20 | HCA rulemaking - 2nd Notice - New filings page to be discontinued |
| 11/19/20 | HCA Rulemaking Notice for WSR 20-23 |
| 11/18/20 | Mental Health Services Billing Guide updates Effective December 1 |
| 11/20/20 | COVID-19 Testing clinical policy updates |
| 11/30/20 | Applied Behavior Analysis Program Billing Guide Updates Effective December 1 |
| 12/1/20 | Pharmacy - Updated Expedited Authorization (EA) List, Effective 12/1/2020 |
| 12/2/20 | HCA Rulemaking Notice for WSR 20-24 |
| 12/10/20 | Fluoride billing correction for medical providers |
| 12/14/20 | HCA Rulemaking - Final Notice - New filings page to be discontinued |
| 12/15/20 | Dental - Removing prior authorization requirements for certain CDT codes for children |
| 12/24/20 |
Apple Health Billing Guide Updates, Effective 1/1/2021 |