Provider Alerts 2021

Emails relevant to rules, Medicaid provider guides, and policies

Date

Provider Alert

01/05/21

Dental - Removing prior authorization requirements for certain CDT® codes for children.

02/09/21

Orthodontic services – prior authorization requests for CDT® code D8670

02/15/21 Updates to COVID-19 vaccine clinical policy - 2/15/2021
03/04/21 Prescription drug signature requirements
03/04/21 Physician-Related Services/Health Care Professional Services Billing Guide updates
04/13/21 Updates to the COVID-19 vaccine clinical policy
04/21/21 Dental - change in how to check for available units for CDT codes
04/23/21 Revised policy for monoclonal antibodies
04/23/21 Updates to the COVID-19 vaccine clinical policy
04/29/21 Clarification to COVID-19 vaccine clinical policy updates
05/04/21

Revised policies related to telemedicine effective 7/1/2021

05/06/21 Physician-Related Services/Health Care Professional Services billing guide update
05/11/21

Corrected notice: Physician-Related Services/Health Care Professional Services billing guide update

05/13/21

Template billing for COVID-19 mass vaccinations now allowed

05/13/21

Dental surgeries – payment of inpatient hospital facility fees requiring prior authorization

07/16/21

Fluoride treatments provided by medical providers – new billing requirement eff 7/1/2021

07/27/21 Prior authorization requirement for replacement dentures
07/30/21 30-day grace period on requiring prior authorization for replacement dentures
08/31/21 Mental Health Services Billing Guide updates, eff. 9/1/2021
09/28/21 COVID-19 testing clinical policy update, Eff 10/1/2021
10/01/21

Sexual and Reproductive Health Program (SRHP) enhanced rate, eff October 1, 2021

10/07/21 COVID-19 vaccine clinical policy update, eff. 9/22/2021
10/18/21 Tribal Health Billing Guide updates
10/28/21

Outpatient Hospital Services Billing Guide updates

10/29/21 Edit code 11120 posting on claims in error
11/01/21 COVID-19 vaccine clinical policy updates