The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
ER Auto-Pay List
This list is effective as of June 1, 2021. The codes listed do not indicate whether a benefit is covered.
ER Reimbursement Update
Effective June 1, 2021 there will be changes to emergency facility claims billed under specified codes.
In Pursuit of Racial Equity: Deconstructing Bias
Please join us on June 9th to hear from a diverse panel of experienced professionals about racial equity and implicit bias.
Race and ethnicity data to be published in provider directories
Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care):
The State Fiscal Year 2021 quarter 3 rate updates have been implemented for free-standing nursing facilities for standard bed day services. Impacted provider types (PTs) are 19 (Nursing Facility) and 65 (Hospice, Long Term Care). The updated rates are effective on claims with dates of service on or after January 1, 2021. The rates were updated in the Medicaid Management Information System (MMIS) on January 19, 2021. No claims will be reprocessed as no claims were found in MMIS that were paid the previous rates on or after January 1, 2021, through January 19, 2021.