Provider Alerts 2024

Emails relevant to rules, Medicaid provider guides, and policies.

Date Provider Alert
1/10/2024 Home health provider must implement electronic visit verification (EVV) and begin submitting claims with EVV data elements
1/16/2024 Dental – Reminder of increased frequency of periodontal maintenance procedures effective January 1, 2024
1/24/2024 Dental – Revised frequency schedule for limited visual oral assessments
1/31/2024 Inpatient Hospital – Administrative days
1/31/2024 Dental – Correction on revised frequency schedule for limited visual oral assessments
2/2/2024 Updates to Prescription Drug Program and COVID-19 Testing Policy Billing Guides Effective February 1, 2024
2/15/2024 Place of service (POS) updates in the Physicians billing guide
2/29/2024 Eliminating requirement for prior authorization on CDT® codes D7280 and D7283; effective March 1, 2024
3/7/2024 Home health care services – Electronic visit verification (EVV) system requirements
4/4/2024 Policy Update on Hyaluronic Acid/Platelet-Rich Plasma, Eff. July 1, 2024
4/9/2024 ABA providers – effective 7/1/2024 – provider enrollment requirements
5/3/2024 Home Health - Use of procedure codes and revenue codes for in home setting – Effective Immediately
5/5/2024 Home health – Electronic visit verification (EVV) technical assistance
5/16/2024 Behavioral health audio-only procedure code list updates
5/30/2024 Apple Health Fee for Service (FFS) Documentation Requirements for Prior Authorization Requests for Medical Equipment, Supplies, Complex Rehabilitation Technology (CRT) and Prosthetics & Orthotics (P&O)
5/31/2024 Vaccines For Children (VFC) – VFC Administration billing update, effective July 1, 2024
6/04/2024 Physicians billing guide restructure/reformat
6/17/2024

Apple Health (Medicaid) forms related to Medical Equipment and Supplies and Outpatient Rehabilitation
6/18/2024

Correction – Prior Authorization and Proof of Delivery requirements for medical equipment and Complex Rehab Technology
6/20/2024 Quarterly Billing Guide Updates, Effective July 1, 2024
6/28/2024 Update – ABA providers – enrollment requirements
8/30/2024 Sunsetting COVID-19 Vaccine Clinical Policy Billing Guide, Eff. 10/1/2024
9/19/2024 ABA providers – Important enrollment requirements
9/25/2024 Quarterly Billing Guide update effective 10/01/2024
9/27/2024

Vaccines for children (VFC) - further billing clarification
9/27/2024

Electronic Visit Verification (EVV) for Home Health Services – Claim denial and NPI number
9/30/2024

Apple Health fee-for-service coverage for social determinants of health risk screening (HCPCS G0136)
9/30/2024

New Pregnancy-Related Services Billing Guide
10/01/2024

Acupuncture Services and Chiropractic for Adult Services – Effective January 1, 2025
10/04/2024 HCA Rulemaking Notice for WSR 24-20
11/01/2024 New e-consults policy to take effect January 1, 2025
11/01/2024 Retroactive to July 1, 2024 – Prior authorization requests and photographic evidence
11/07/2024 Ambulance transportation – Eff November 1, 2024 – EPA no longer required for alternative destination ground ambulance
11/22/2024 Medical equipment providers - Apple Health Fee for Service (FFS) Documentation Requirements for Prior Authorization Requests for Medical Equipment, Supplies, Complex Rehabilitation Technology (CRT) and Prosthetics & Orthotics (P&O)
11/22/2024 Applied Behavioral Analysis (ABA) – Provider Enrollment by June 30, 2025
11/26/2024 Bathroom equipment – Apple Health fee-for-service (FFS) prior authorization requests
12/13/2024 January Quarterly Billing Guide update
12/16/2024 Outpatient Hospital Services Billing Guide – Effective 1/1/2025
12/17/2024 Correction - Outpatient Rehabilitation Billing Guide – Effective 1/1/2025
12/19/2024

Compression garments – Eff. January 1, 2025, MES Compression Garments form (HCA 13-871) is no longer required
12/20/2024 Updates to the EPSDT Well-Child Program Billing Guide effective January 1, 2025
12/20/2024 Hearing Services Billing Guide – Effective January 1, 2025
12/20/2024 Home Infusion Therapy and Parenteral Nutrition Program Billing Guide, Effective 01/01/2025
12/20/2024 COVID-19 Molecular and Antigen Testing Changes to Take Effect April 1, 2025
12/20/2024 Updates to Telemedicine Policy Billing Guide and Apple Health (Medicaid) Physical Health Audio-Only Procedure Code List effective 1/1/ 2025
12/20/2024 Behavioral Health- Telemedicine FAQ – Effective January 1, 2025
12/30/2024 Respiratory care, new form requirement for prior authorization requests for high frequency chest wall oscillation air-pulse generator systems