Provider Alerts 2025
Emails relevant to rules, Medicaid provider guides, and policies.
| Date | Provider Alert |
|---|---|
| 01/09/2025 | MES and CRT – removal of prior authorization for certain HCPCS codes |
| 01/21/2025 | Applied Behavior Analysis (ABA) billing guide updates – Effective February 1, 2025 |
| 01/28/2025 | Enhanced payments for trauma care |
| 01/29/2025 | Home Health providers – Electronic Visit Verification (EVV) update |
| 02/19/2025 | Kidney Center Services Billing Guide, Effective 02/19/2025 |
| 02/28/2025 | Birth doula billing guide updates eff. February 28, 2025 |
| 02/28/2025 | Physicians billing guide updates |
| 03/10/2025 | New taxonomies for licensed mental health associates |
| 03/20/2025 | Quarterly Billing Guide Updates, Effective 4/1/2025 |
| 03/20/2025 | Medical Equipment and Supplies – Compression garments and bathroom equipment |
| 03/28/2025 | Apple Health (Medicaid) Physical Health Audio-Only Procedure Code List update for April 1, 2025 |
| 04/04/2025 | Home Health Providers – Electronic Visit Verification (EVV) Update |
| 04/10/2025 | PM&R and LTAC prior authorization (PA) requests |
| 04/10/2025 | New Community Health Worker (CHW) Services Billing Guide |
| 04/23/2025 | Reminder EPSDT Well-Child Program billing requirements take effect July 1, 2025 |
| 04/24/2025 | New Reentry Targeted Case Management (rTCM) Billing Guide, eff. July 1, 2025 |
| 04/25/2025 | Home Health Providers – Electronic Visit Verification (EVV) Webinar Update |
| 05/15/2025 |
Apple Health (Medicaid) Physical Health Audio-Only Procedure Code List update for May 1, 2025 |
| 05/20/2025 |
Medical Equipment and Supplies – Discontinued DME email inbox, effective June 1, 2025 |
| 05/22/2025 |
Discontinued EPA Number 870 for Evidence-Based Practice; effective July 1, 2025 |
| 06/03/2025 |
Reminder - PM&R and LTAC prior authorization (PA) requests |
| 06/16/2025 |
Community Health Worker (CHW) Services Billing Guide updates, Eff 7/1/2025 |
| 06/16/2025 |
Quarterly Billing Guide Updates, Effective 7/1/2025 |
| 06/17/2025 | EPSDT billing guide reminder |
| 06/25/2025 | Final reminder EPSDT Well-child program billing requirements take effect 7/1/25 |
| 06/26/2025 | Changes to Apple Health (Medicaid) Audio-Only Procedure Code Lists, eff. 7/1/25 |
| 07/01/2025 | Apple Health recognizes certified anesthesiologist assistants as servicing providers, effective July 1, 2025 |
| 07/23/2025 | Hospital ancillary services |
| 08/19/2025 | Interpreter Services Billing Guide update eff August 15, 2025 |
| 08/27/2025 | Hospice Services Billing Guide Update, Effective September 1, 2025 |
| 09/03/2025 | Private Duty Nursing - Overtime clarification |
| 09/22/2025 | Quarterly Billing Guide Updates, Effective 10/1/2025 |
| 09/26/2025 | New Health-Related Social Needs (HRSN) Services Billing Guide effective 10/1/2025 |
| 10/1/2025 | New Reentry Services Billing Guide, eff. October 1, 2025 |
| 10/2/2025 |
EPSDT Well-Child Program Name Change, Effective 10-1-25 |
| 10/13/2025 | Physician standby services discontinued 10/1/2025 |
| 10/31/2025 | Substance-Using Pregnant People (SUPP), adding CPT code 99239, eff. 10/1/25 |
| 12/9/2025 |
Prescription Drug Expedited Authorization (EA) List eff. January 1, 2026 |
| 12/12/2025 |
New billing requirements for associate-level providers, effective 1-1-2026 |
| 12/17/2025 |
Updates to Family Planning Billing Guide, Eff January 1, 2026 |
| 12/17/2025 |
Quarterly Billing Guide Updates, Effective 01/01/2026 |
| 12/29/2025 |
Collaborative Care Management HCPCS code G0512 ending on 12/31/2025 |
| 12/30/2025 |
Dental anesthesia codes and prior authorization updates, effective January 1, 2026 |