Individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage - and those accessing behavioral health services - will not experience a disruption in care due to the federal government shutdown. In addition, health care providers will continue to be paid for the services they provide. We will continue to monitor the situation closely and share updates if anything changes.
Emails relevant to rules, Medicaid provider guides, and policies.
| Date | Provider Alert |
|---|---|
| 2/16/2023 | Updates to HCA’s audio-only behavioral health codes list, retroactive to January 1, 2023 |
| 2/17/2023 | Update to Medical Nutrition therapy billing guide |
| 2/17/2023 | Updates to HCA’s audio-only behavioral health codes list, retroactive to January 1, 2023 |
| 2/21/2023 | Limitation extension (LE) clarification - Private duty nursing additional hours |
| 2/27/2023 |
Revised Telemedicine Policy and Billing Guide, Effective 02/26/2023 |
| 2/28/2023 | Updated billing requirement for oral food thickeners under HCPCS B4100 |
| 3/15/2023 | Apple Health (Medicaid) Billing Guide Updates, Eff 4/1/2023 |
| 4/4/2023 | EPSDT Billing Guide Reorganization |
| 4/11/2023 | Revised Inpatient Hospital Services Billing Guide, Effective 5-11-2023 |
| 4/12/2023 | Applied behavior analysis (ABA) - Provider enrollment requirements |
| 4/13/2023 | COVID-19 Vaccine clinical policy update |
| 4/14/2023 | Dental services end of EPA #870001607 and discontinued use of CDT® code D0170 – Effective May 11, 2023 |
| 4/18/2023 | Ambulance transportation – Changes effective May 11, 2023 - COVID-19 Enhanced Medicaid Fee Schedule Rates |
| 4/20/2023 | Private Duty Nursing - temporary add-on rate ending May 11, 2023 |
| 4/21/2023 | Applied behavior analysis (ABA) - Prior authorization required for CPT 0373T |
| 4/21/2023 | Coverage of emailing and texting for telehealth services ending May 11, 2023 |
| 4/27/2023 | Dental services end of EPA #870001607 and discontinued use of CPT® code D0170 - Correction |
| 4/27/2023 | Private Duty Nursing – temporary add-on rate ending May 11, 2023 - Correction |
| 4/27/2023 | Ambulance transportation – Changes effective May 11, 2023 – COVID-19 Enhanced Medicaid Fee Schedule Rates - Correction |
| 4/27/2023 | Telehealth - Coverage of emailing and texting for telehealth services ending May 11, 2023 - Correction |
| 4/27/2023 | Home Health – Start enrolling your service providers now for electronic visit verification (EVV) |
| 5/1/2023 | Physicians billing guide updates effective May 1, 2023 |
| 5/2/2023 | COVID-19 testing clinical policy updates, Eff. 05/12/2023 |
| 5/2/2023 | Revised policy for therapies for COVID-19 |
| 5/8/2023 | Inpatient Hospital Services – Correction to date for ending of COVID-19 enhanced rates |
| 5/9/2023 | COVID-19 testing clinical policy updates, Eff. 05/12/2023 |
| 5/24/2023 | COVID-19 testing clinical policy updates, Eff. 05/12/2023 |
| 6/1/2023 | Physicians billing guide updates effective June 1, 2023 |
| 6/21/2023 | COVID-19 Vaccine clinical policy update |
| 6/26/2023 | Applied behavior analysis (ABA) – Provider enrollment requirements |
| 6/29/2023 | Telemedicine/Telehealth FAQ documents to sunset effective 10/1/2023 |
| 7/6/2023 | Home Health – EVV HHCS - Updated billing guide and 837i Companion Guide |
| 8/16/2023 | Medical respite care to include referrals from medical clinic, effective July 1, 2023 |
| 8/18/2023 | Physicians billing guide updates |
| 8/25/2023 | Updates to the Telemedicine Policy Billing Guide, Eff. 9/1/2023 |
| 8/30/2023 | Planned home births and births in birth centers billing guide updates |
| 8/30/2023 | 30-day notice: Telemedicine/Telehealth FAQ documents to sunset effective 10/1/2023 |
| 9/8/2023 | Updates to FAQ for behavioral health providers billing for services provided via telemedicine, effective 9/7/2023 |
| 9/19/2023 | Apple Health (Medicaid) Billing Guide Updates, Eff 10/1/2023 |
| 9/29/2023 | Final notice: Telemedicine/Telehealth FAQ documents to sunset effective 10/1/2023 |
| 9/29/2023 |
Home Health – Electronic Visit Verification (EVV) – Implementation challenges/technical assistance regarding required data elements and denied/rejected claims |
| 9/29/2023 | Applied Behavior Analysis (ABA) – Speech and language pathology services via telemedicine |
| 10/5/2023 | Telemedicine updates to Neurodevelopmental and OP Rehabilitation billing guides, Eff. 10/1/2023 |
| 10/6/2023 | Home Health Services Billing Guide update - Technical assistance for electronic visit verification (EVV) claims |
| 10/9/2023 | COVID-19 vaccine clinical policy updates |
| 10/11/2023 | COVID-19 vaccine clinical policy updates re-release |
| 10/12/2023 | Apple Health (Medicaid) COVID-19 Vaccine Policy |
| 10/13/2023 | Dental – Increased frequency of periodontal maintenance procedures effective January 1, 2024 |
| 10/16/2023 | Home Health – Electronic Visit Verification (EVV) – Updates and reminders |
| 11/7/2023 | Medical Nutrition Therapy Billing Guide Update, Effective 11-8-23 |
| 11/15/2023 | New Respiratory Syncytial Virus (RSV) monoclonal antibody codes |
| 11/17/2023 | Dental – Reminder of increased frequency of periodontal maintenance procedures effective January 1, 2024 |
| 11/30/2023 | Prescription Drug Program Billing Guide Updates Effective December 1, 2023 |
| 12/6/2023 | Behavioral health audio-only procedure code list updates |
| 12/8/2023 | Reminder: Home Health Electronic Visit Verification (EVV) |
| 12/18/2023 | Dental – Reminder of increased frequency of periodontal maintenance procedures effective January 1, 2024 |
| 12/19/2023 | Physical health audio-only procedure code list updates |
| 12/19/2023 | Quarterly Billing guide update notice |
| 12/26/2023 | Cochlear implants (new) - coverage for clients age 21 and older, effective 1/1/2024 |