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 |