Provider Alerts 2023

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