2007 Medicaid Bulletin Index
Medicaid bulletin articles and special bulletins organized by provider type for 2007.
National Provider Identifier (NPI)
All Providers:
- 2007
CPT Update:
- 2007 ICD-9-CM Procedure and Diagnosis Codes, 2/07
- 2007 Medicare Fee Schedule, 5/07
- 2007
Legislative Rate Allocation, 7/07
- 2008 CPT Update, 12/07
- Accepting a Medicaid Recipient, 10/07
- Basic
Medicaid Seminars:
- Billing (Supplier) and
Attending (Fitting) National Provider Identification Information (NPI),
1/07
- Breast Imaging Policy:
- Changes to Format for Submitting Coordination of Benefits Agreement Eligibility
Files, 2/07
- Citizenship
and Identity Documentation, 9/07
- Clinical Coverage Policies:
- Contacting
EDS – Automated Attendant Telephone Line Instructions, 9/07
- Corrected 1099 Requests -
Action Required by March 1, 2007:
- Corrected 2007 Checkwrite Schedule, 1/07
- Correction to RHO (D) Immune Globulins (HCPCS Procedure Codes J2788, J2790, and J2792) Billing Guidelines Article Published in the April 2007 Medicaid General Bulletin, 05/07
- Correction
to Sleep Studies and Polysomnography Services Policy, 9/07
- Coverage for CPT Codes 59015, 76945, 76820 and 76821, 09/07
- Coverage for CPT Codes 59015, 76945, 76820, and 76821, 10/07
- CPT Code 77003 Denials:
- CPT Codes 90467, 90468, 90473 and 90474 - Coverage of Immunization Administration Codes for Oral/Intranasal Vaccines - Corrections
- Delayed Implementation/Training
Cancellation for the New Medicaid Uniform Screening Tool, 6/07
- Delay
in Discontinuing
Automatic Newborn
Coverage to
Children Born to
Mothers
Receiving Emergency Medicaid, 3/07
- Discontinuing Automatic Newborn
Coverage to Children Born to Mothers Receiving Emergency Medicaid, 2/07
- Epogen HCPCS Code Change for Dialysis Facilities and Physician's Drug Program, 4/07
- EPSDT Policy Instructions Update, 10/07
- Expanded Foster Care Program, 10/07
- False Claims Act Education, 9/07
- HCPCS Procedure Code Changes for the Physician's Drug Program:
- HCPCS Procedure Code Changes
for the Physician's Drug Program: New HCPCS Codes for Intra-articular Injectins
of Hyaluronates in the Knee Joints, 2/07
- Human Papilloma Virus Vaccine/Gardasil (CPT Procedure
Code 90649) - Reimbursement Billing Guidelines, 4/07
- Influenza Vaccine and Reimbursement Guidelines for 2007-2008, 10/07
- Medicaid Credit Balance Reporting, 11/07
- National Drug Code (NDC) Seminars, 10/07
- NCECS WebTool Security Reminders, 10/07
- New EOB, 9991 (Old CMS 1500), 8/07
- New Claim Form Instructions
Special Bulletin, 1/07
- New Medicaid ID Numbers Will be Assigned Due to Identity Theft Mandates, 4/07
- North Carolina Behavioral Pharmacy Management Project, 12/07
- North
Carolina Definition of “New Patient," 9/07
- North Carollina Medicaid Aid Program Classes for All North Carolina Aid Programs Added to the AVRS and EDI Vendor Responses, 4/07
- Obesity Resource Information, 7/07
- Outpatient Pharmacy Program - Focused Risk Management (FORM), Special Bulletin July 2007
- Palatolasty or Modified Palatoplasty for Sleep Apnea, 7/07
- Payment Error Rate Measurement in North Carolina, 2/07
- Payment Error Rate Measurement in North Carolina, 11/07
- Place of Service for CPT code 58150, 10/07
- Policy
and Procedures for Prescribing Synagis for 2007–2008 Respiratory Syncytial Virus Season, 9/07
- Providers Filing Paper Adjustments, 4/07
- Provider Enrollment Changes, 2/07
- Provider Responsibilities for Claim
Submissions, 8/07
- Reaching Compliance with HIPAA Privacy Regulations, 11/07
- Required Fields on New Provider
Enrollement Applications and Provider Change Form, 1/07
- Revision to the NPI and New
Claim Forms Implementation Changes Published in the May 2007 Medicaid General
Bulletin , 6/07
- State Fiscal Year 2007-2008 Rate Updates, 11/07
- Tax Identification Informations, 10/07
- UB/9371 Billers: Medicaid Treatment of Private Insurance Plan Payments and Denials, 12/07
- Upcoming National Drug Code (NDC) Seminars on Professional and Outpatient Diaylsis-Administered Drug Claims, 7/07
- Updated
EOB Code Crosswalk to HIPAA Standard Codes, 9/07
- Updated
Effective Dates for
Revised CMS 1500, UB04 and ADA
2006 Forms, 3/07
Adult Care Homes:
Ambulatory Surgical Center Providers:
Anesthesiologists:
Area Mental Health Centers
Community Alternatives Programs:
CAP/DA Lead Agencies:
CAP/MR-DD Service Providers:
CAP-MR/DD Targeted Case Managers:
CMS-1500 Providers:
Carolina ACCESS Providers:
Certified Dialysis Providers:
Certified Registered Nurse Anesthetists:
Children Developmental
Agencies:
Dental
Providers:
- 2008 Dental Update, 12/07
- American Dental Association
Code Updates, 1/07
- Corrections to American Dental
Association Code Updates Published in the January 2007 General Medicaid
Bulletin, 2/07
- Dental Rate Change, 5/07
- Dental Seminars:
- Effective November 15, 2007 - 2002 ADA Claim Form No Longer Accepted, 10/07
- Effective November 15, 2007 - 2002 ADA Claim Form No Longer Accepted (Reprint from October 2007 Bulletin), 11/07
- Oral Screening and Preventive Package Update, 11/07
- Upcoming June Seminars, 4/07
Departments of Social Services:
Durable Medical Equipment Providers:
- 2007 HCPCS Code Changes: Discontinued Codes, Description
Changes and Code Additions, 1/07
- Change in
Prior Approval Process for Non-Listed DME, Orthotic and Prosthetic Devices, and Medical Supplies for
Recipients Under 21 Years of Age, 7/07
- Change in Prior Approval Process for Non-Listed Durable
Medical Equipment, Orthotic and Prosthetic Devices, and Medical Supplies for
Recipients under 21 Years of Age, 8/07
- Change in Requests for Prior Approval for Pediatric Mobility Devices, 6/07
- Coverage Policy for Farrell Valve Enteral Gastric Pressure Relief System, 4/07
- HCPCS Code Changes for Wheelchair
Accessories (Power Seating System Tilt and Recline), 6/07
- Medicare Part D Coverage of Supplies for Delivery of Insulin, 5/07
- Oxygen Supplies and Equipment Clinical Coverage Policy, 12/07
- Prior Approval for Pediatric
Mobility Devices, 8/07
- Reimbursement for Accessory
Equipment for Use with Continuous Positive Airway Pressure and Respiratory
Assist Devices, 6/07
Enhanced Mental Health Services Providers:
Federally
Qualified Health Centers (FQHCs):
Health Check Providers:
Health Departments:
Health Departments
Dental Centers:
Home Health Agencies:
Home Infusion Therapy Providers:
Hospice:
Hospital Outpatient Clinics:
Hospitals:
Independent Practitioners:
Institutional (UB04/847I) Billers:
Local Education Agencies:
Local Management Entities:
Maternity Care Coordination Providers:
Mental Health Providers:
NCECSWeb Tool Users:
Nursing Facility Providers:
Nurse Midwives:
Nurse Practitioners:
- 17 Alpha Hydroxyprogesterone
Caproate (17P), Injection from Bulk Powder Billing Guidelines, 4/07
- American Dental Association
Updated for the Physician Flouride Varnish (Into the Mouths of Babes)
Program, 1/07
- Bevacizumab (Avastin, J9035) - Update to
Billing Guidelines, 1/07
- Change in Reimbursement Rates for Injectable Immunization Administration Codes:
12/07
- Cytarabine Liposome (DepoCyt, HCPCS Procedure Code J9098)
- Billing Guidelines, 8/07
- Eculizumab, 300mg/30ml
single-use vial (Soliris, J3590) Billing Guidelines, 6/07
- Histrelin
Acetate (Supprelin LA, J3490) Billing Guidelines, 9/07
- Hydroxocobalamin, 5 gram kit
(Cyanokit, J3490) Billing Guidelines, 6/07
- Linezolid, 200mg
(Zyvox, J2020) Billing Guidelines, 7/07
- Idursulfase/Elaprase
(HCPCS Procedure Code
J3490) - Billing Guidelines, 3/07
- National Drug Code (NDC) Implementation,
Special Bulletin 10/07 - Revised 5/20/08
- National Drug Code Implementation December 28, 2007; 12/07
- Pantitumumab, 20 mg/ml Injectable (Vectibix,
J999) Billing Guidelines, 1/07
- Protein
C Concentrate (human) (Ceprotin, J3590) Billing Guidelines, 9/07
- Temsirolimus
(Torisel, J3490) Billing Guidelines, 9/07
- Zoledronic Acid, 1mg
(Reclast, Q4095) Billing Guidelines, 7/07
Optical Providers:
Optometrists:
Orthotic and
Prosthetic
Providers:
- Billing (Supplier) and Attending (Fitting) National
Provider Identification Information (NPI), 1/07
- Change in
Prior Approval Process for Non-Listed DME, Orthotic and Prosthetic Devices, and Medical Supplies for
Recipients Under 21 Years of Age, 7/07
- Coverage Policy for Cranial Orthosis for Plagiocephaly, 4/07
- Enrollment of Certified Fitters of Therapeutic Shoes, 10/07
- HCPCS Code Changes, Code Additions, Description Changes
and Discontinued Codes for Orthotics and Prosthetics, 1/07
- Revised Cast Boot,
Post-Operative Sandal or Shoe, Healing Shoe Clinical Coverage Policy, 4/07
Pediatric Primary Healthcare Providers:
Personal Care Service (PCS) and PCS-Plus Providers:
Pharmacists:
- Billing for MiraLax, 6/07
- Botox Online Billing Restriction Removed, 4/07
- Change in Policy on Proton Pump
Inhibitors, 6/07
- Devices
Are Not Covered in the Outpatient Pharmacy Program, 9/07
- Emergency
Supplies of Medications under Focused Risk Management, 9/07
- Joint Statement from the N.C.
Board of Pharmacy and the N.C. Division of Medical Assistance, 6/07
- Large Volume Synagis Pharmacy
Distributors, 5/07
- Medication
Therapy Management Is Now Focused Risk Management (FORM), 9/07
- New Pharmacy Prior
Authorization Program for Proton Pump Inhibitors, 6/07
- Oxycontin Reimbursement, 9/07
- Plan B Product Coverage, 2/07
- Prior Authorization Criteria Revised for Celebrex, Procrit/Epogen and Aranesp, 4/07
- Program
Integrity Monitoring of Focused Risk Management Program, 9/07
- Removal of Neupogen from the Prior Authorization Drug List, 4/07
- Synagis Pharmacy Claims for 2006 - 2007 Season, 3/07
Physicians:
- 17 Alpha Hydroxyprogesterone Caproate (17P), Injection from Bulk Poweder Billling Guidelines, 4/07
- American Dental Association
Updated for the Physician Flouride Varnish (Into the Mouths of Babes)
Program, 1/07
- Attending Provider
Addresses, 8/07
- Bevacizumab (Avastin, J9035) - Update to
Billing Guidelines, 1/07
- CLIA Certification - Related Claim Denials, 0/07
- Change in Reimbursement Rates for Injectable Immunization Administration Codes:
- Cytarabine Liposome (DepoCyt, HCPCS Procedure Code J9098)
- Billing Guidelines, 8/07
- Eculizumab, 300mg/30ml
single-use vial (Soliris, J3590) Billing Guidelines, 6/07
- Histrelin
Acetate (Supprelin LA, J3490) Billing Guidelines, 9/07
- Hydroxocobalamin, 5 gram kit
(Cyanokit, J3490) Billing Guidelines, 6/07
- Idursulfase/Elaprase
(HCPCS Procedure Code J3490) - Billing Guidelines, 3/07
- Introduction to Medicaid's
Uniform Screening Program - A Web-Based System Set for Implementation in October 2007, 5/07
- Linezolid, 200mg
(Zyvox, J2020) Billing Guidelines, 7/07
- National Drug Code (NDC) Implementation,
Special Bulletin 10/07 - Revised 5/20/08
- National Drug Code Implementation December 28, 2007, 12/07
- Obstetric Add-Ons, 9/07
- Oral Screening and Preventive Package Update, 11/07
- Outpatient Specialized Therapies
Prior Authorization Process – Post Payment Validation, 6/07
- Orthotic and Prosthetic Devices in the Office:
- Pantitumumab, 20 mg/ml Injectable (Vectibix,
J999) Billing Guidelines, 1/07
- Physician Drug Program Pricing List Update, 11/07
- Plan B Product Coverage,
02/07
- Prior Authorization for Outpatient
Specialized Therapies - New Fax Forms, 2/07
- Prior Authorization for Outpatient Specialized Therapies
- Web Site Registration, 1/07
- Prior Authorization of Outpatient Specialzed Therapies:
Post-Payment Validation Begins August 2007, 7/07
- Protein
C Concentrate (human) (Ceprotin, J3590) Billing Guidelines, 9/07
- Service Billing Guidelines
for End-Stage Renal Disease for Undocumented Aliens and Deceased Recipient, 5/07
- Temsirolimus
(Torisel, J3490) Billing Guidelines, 9/07
- Zoledronic Acid, 1mg
(Reclast, Q4095) Billing Guidelines, 7/07
Psychiatric Hospitals:
Psychiatric Residential Treatment Facilities:
Psychosocial Rehabilitation (PSR) Providers:
Prescribers:
Private Duty Nursing Providers:
Residential Childcare Facility Providers:
Rural Health Centers: