Local Management Entities Bulletin Index
Following is a list of Medicaid General and Special Bulletin articles (2000-present) that pertain specifically to Local Management Entities (LMEs) (Enhanced Behavioral Health Services, Inpatient Behavioral Health Services, Outpatient Behavioral Health Services, CAP/MR-DD Services, Psychatric Residential Treatment Facility Services, Residental Treatment Facility Services).
For a complete list of articles for all providers (including articles about National Provider Identifier) refer to the Index of All Medicaid Bulletins.
- Behavioral Health Mobile Crisis Management, 1/11
- Behavioral Health Services Provided by Provisionally Licensed Professionals in Physician Offices:
- Billing
Codes, 3/06
- Behavioral Health CPT Code Update 2013, 11/12
- Billing Reminder For Community Support
Services, 9/08
- Billing Update
and Clarification for CAP/MR-DD Services 2/06
- CAP/MR-DD Utilization Review by Local Management Entities, 1/11
- Correction: The phone number listed for Eastpointe LME was the emergency number. The correct phone number to use for CAP/MR-DD utilization review issues is 1-800-513-4002.
- Carolina ACCESS Override Requests, 4/06
- CCNC/CA Override for Mental Health Services Provided by a Direct-Enrolled Mental Health Practitioner:
- Certificate of Need: Procedural Change for Inpatient Psychiatric and Psychiatric Residential Treatment Services to Recipients under Age 21, 4/07
- Changes in Clinical Coverage Policy
8C, 12/11
- Changes in Utilization Review Vendor for CAP/MR-DD Utilization, 11/10
- Claims for Community Support Team, Intensive In-Home, and Child and Adolescent Day Treatment Services after December 31, 2010, 1/11
- Clarification of the Division of Health Service Regulation Good Standing Status, 7/12
- Clarification for Seminar Attendees, 12/04
- Clinical Coverage Policy Updates, 2/11
- Community Support Authorizations, 11/10
- Community Support Case Management Component, 6/10
- Compensatory Education and Adult Basic Skills Education, 3/13
- Correct Procedure for Ordering Services and How to Determine Billable Days of Care, 3/05
- Correction to Billing Information for
Dually Eligible Medicare/Medicaid Recipients Printed in the August
2005 General Bulletin, 9/05
- CPT Code
Update, 1/06
- Critical Access Behavioral Health Agency Benchmarks and Transition Planning, 11/10
- Critical Access Behavioral Health Agency Certification and Endorsement for Community Support Team, Intensive In-Home, and Child and Adolescent Day Treatment Services after January 1, 2011, 1/11
- DHHS/DMA Program Integrity Contract with Public Consulting Group, 4/10
- Diagnosis Code Update, 6/09
- Direct Enrollment for Outpatient Behavioral Services, 5/05
- Enhanced Services Policy Updates, 3/10
- Expansion of Provider Types for Outpatient Behavioral Health Services, Special Bulletin I, January 2005
- Expansion of Provider Types for Outpatient Behavioral Health Services, Phase II, Special Bulletin IV, May 2005
- Extension of Coverage for Provisionally Licensed Providers Billing Outpatient Behavioral Health Services through the Local Management Entity:
- Extension of Current CAP-MR/DD Waiver
and Process For Submitting Authorization
Requests
- Family Planning Waiver Provider
Conference Call, 4/06
- Family Planning Waiver Provider Seminar, 4/06
- H Code Limits for Provisionally Licensed Professional Billing through the LME, 11/11
- Home and Community Billing Reminder, 9/06
- Injectable Drugs: Update to Billing Guidelines, 10/10
- Level of Care Prior Approval for Intermediate
Care Facilities for the Mentally Retarded (ICF/MR), 9/05
- MH/DD/SA Integrated Care Toolkit, 8/11
- Medicaid Determination of Eligibility
for New CAP/MR-DD Recipients, 9/04
- Mental Health Cost Report Training
Sessions:
- Modification in Supervision When Practicing
"Incident To" a Physician, 10/08
- Money Follows the Person: An Introduction, 9/12
- New Contract for Utilization Review, 4/05
- New Prior Authorization Guidelines, 6/10
- Next Medicaid Managed Care Vendor Selected, 11/10
- Olanzapine Injectable (Zyprexa Relprevv, HCPCS Code J3490, and Zyprexa, HCPCS Code S0166): Billing Guidelines, 5/10
- Outpatient Behavioral Health Providers Billing to "Incident to" a Physician, 7/11
- Outpatient Behavioral Health Services, 8/05
- Outpatient Specialized Therapies
- Addition of V Code Diagnosis for Outpatient Specialized Therapies, 5/03
- Changes to Outpatient Specialized Therapies:
12/08; 10/09; 11/09
- Clarification of Billing Instructions for Outpatient Specialized Therapies, 6/03
- Clarification of First Treatment for Outpatient
Specialized Therapies, 9/05
- Correction to V Code Diagnosis for Outpatient Occupational Therapy Services, 7/03
- Documentation Standards, 12/10
- Electronic Submission Process for Prior Authorization Requests, 7/06
- Outpatient Specialized Therapies, 9/09
- Outpatient Specialized Therapies CCNC Pilot Project, 6/05
- Outpatient Specialized Therapies and Independent Practitioners Medical Coverage Policy Revisions, 4/03
- Outpatient Specialized Therapies, Special Bulletin V, September 2002
- Post-Payment Validation, 4/10
- Post-Payment Validation Review “Helpful Hints”, 9/10
- Prior Approval Process: 4/02; 5/02; 4/03; 11/03; 5/04
- Prior Authorization and Post-Payment Validation, 3/10
- Prior Authorization Process - Update to New Web
Site and Submission Process, 10/06
- Prior Authorization Process – Post Payment Validation, 6/07
- Prior Authorization Process - Post-Payment Validation Begins August 2007, 7/07
- Prior Authorization Process: Survey Results, 6/08
- Prior Authorization Process - New Fax Forms, 2/07
- Prior Authorization Process - Web Site Registration, 1/07
- Prior Authorization
Process - Implementation Date for Electronic
Submission and New Forms, 12/06
- Updates to Outpatient Specialized Therapies
Prior Approval Process, 7/05
- Web-based Survey for Prior Authorization Website, 3/08
- Outpatient Treatment Reports, 5/04
- Paliperidone Palmitate Exended Release, 1 mg (Invega Sustenna,HCPCS Code J2426): Billing Guidelines, 4/11
- Peer Support Services Implementation, 7/11
- Peer Support Services Status, 12/10
- Post-Payment Reviews by Public Consulting Group, 2/11
- Prior Approval and Medicare, 10/04
- Prior Authorization and Billing Guidelines for Outpatient Behavioral Health Services:
- Prior Authorization of Medicaid-Funded Mental Health,Developmental Disability, and Substance Abuse Services by The Durham Center and Eastpointe LME, 9/10
- Prior Authorization of Medicaid-Funded Mental Health, Developmental Disabilities, and Substance Abuse Services for Recipients with Eligibility in Durham, Duplin, Lenoir, Sampson, and Wayne Counties, 8/10
- Proposed Enhanced Benefits and Existing Health Rates, 11/04
- Rate Change for Day Supports, 4/07
- Rate Changes for Enhanced Services, 9/08
- Rate Update on 2008 CPT Codes for
Behavioral Health Specialties, 8/08
- Resolution for IPRS and Medicaid Claim Denials, 11/11
- Revised Effective Date for ACTT Service Rate Change, 5/09
- Revised Effective Date for Enhanced Services
Rate Changes, 10/08
- Role of the Licensed Profesional in a Community Support Provider Agency, 8/09
- Seminar Schedule for the Expansion of Provider Types for Outpatient Behavioral Health Services, 5/05
- SPECIAL BULLETIN - 1915 (c) Innovations Waiver Expansion, 10/12
- SPECIAL BULLETIN- Behavioral Health and I/DD Updates, 6/12
- SPECIAL BULLETIN - Behavioral Health CPT© Code Changes for Psychotherapy and Psychodiagnostic Interviewing; Addition of Outpatient Crisis Services, 1/13
SPECIAL BULLETIN - 1915 (b)/(c) Waiver Expansion in CoastalCare, 1/13
- SPECIAL BULLETIN - 1915 (b)/(c) Waiver Expansion, 1/13 SUPERSEDED BY SPECIAL BULLETIN - 1915 (b)/(c) Waiver Expansion In Mecklenburg County, 1/13
- SPECIAL BULLETIN - CAP I/DD Waiver Approval, Process for Submitting Authorization Requests, and Appeal Rights, 10/12
- SPECIAL BULLETIN - Extension of CAP-I/DD Waiver, 1/13 (Note: This is an update to the October 2012 Medicaid Bulletin regarding CAP I/DD services)
- SPECIAL BULLETIN - Termination of Western Highlands Network Management of the 1915 b/c Waivers, 4/13
- Submission of MR-2 for Level of Care
Determination, 9/04
- Supported Employment under NC Innovations, 3/13
- Transportation Included in the Provider Rate, 11/06
- Update on New Prior Authorization Guidelines for Behavioral Health Services, 8/10
- Updates to Recommended Referral Forms for Use between Primary Care and Behavioral Health Providers, 2/13
- Updated Records Management and Documentation Manual, 12/07
- Utilization Review, 4/06
- Utilization Review for CAP/MR-DD, 12/10
- ValueOptions, 11/04
