Issue Date |
Title |
To: |
13-Dec-04 |
Enrollment of Licensed Marriage and Family Therapists |
Managed Care Organizations (MCOs), Physicians, Professional Counselors, Psychologists, Clinical Psychologists, Mental Health/Mental Retardation Agencies, Substance Abuse Clinics (FAMIS), Clinical Social Workers, Psychiatric Residential Inpatient Facilities, and Psychiatric Clinical Nurse Specialists |
3-Dec-04 |
Long-Acting Narcotics Step Therapy & the Preferred Drug List |
Skilled Nursing Homes, Physicians, Nurse Practitioners, Podiatrists, Dentists, Hospices, Ambulatory Surgical Centers, Pharmacies and MCOs |
1-Dec-04 |
Medicaid Eligibility for Infants Born to Non-Medicaid-Eligible Alien Women Whose Deliveries Were Covered By Medicaid as an Emergency Medical Service |
All Providers and MCOs |
1-Dec-04 |
Annual Review of Phase I of the Virginia Medicaid Preferred Drug List Program and PDL Quicklist |
All Providers and MCOs |
5-Nov-04 |
Clarification of Family Planning Waiver - Covered Services and Billing Procedures |
Physicians, Nurse Practitioners, Nurse Midwives, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, Laboratories, Pharmacies, and Outpatient Clinics |
5-Nov-04 |
Waiver Billing and Maintenance Issues |
All Home Health and Home-and-Community-Based Waiver Providers and all MCOs |
5-Nov-04 |
Changes to the Review Process for Treatment Foster Care-Case Management Services - Effective December 15, 2004 |
All Treatment Foster Care-Case Management Service providers, MCOs and holders of the Psychiatric Services Provider Manual |
15-Oct-04 |
Maximum Allowable Cost (MAC) Program for Virginia Medicaid and Notification of COX-II Drug Class Changes to Preferred Drug List (PDL) |
All Pharmacy Providers |
1-Oct-04 |
Implementation of the New Provider Remittances for Professionals and Facilities - November 5, 2004 |
All Providers, FAMIS, SLH, and MCOs |
3-Sep-04 |
Changes to the Review Process for Residential Treatment Services |
All Residential Treatment, MCOs, providing services to Virginia Medicaid Recipients, and holders of the Psychiatric Services manual |
1-Sep-04 |
Threshold/Polypharmacy Program |
All Providers, FAMIS, MCOs |
31-Aug-04 |
Clarification of Day Treatment Services for Children and Adolescents |
All Providers of Day Treatment Services for Children and Adolescents |
20-Aug-04 |
Use of Electronic Signatures |
All Providers, FAMIS, SLH, and MCOs |
20-Aug-04 |
Notice of Sentara Family Care's Name Change to Optima Family Care |
All Providers, and FAMIS |
16-Aug-04 |
Rate Increase for Obstetrical and Gynecological Services |
All Providers, FAMIS, SLH and MCOs |
15-Aug-04 |
Billing Information Update for Submitting Paper UB-92 Medicare, Crossover Part A and B claims |
Nursing Home Providers |
6-Aug-04 |
Rate Increase for Specific Home and Community-Based Waiver Services |
Providers providing services under the following waivers: AIDS, Consumer-Directed Personal Attendant Services, Mental Retardation Waiver and Individual & Family Developmental Disabilities Support |
1-Aug-04 |
Mandatory Generic edits, ePocrates, Weight Loss Drugs-New Prior Approval Procedure and Over the Counter Drugs |
All Providers and MCOs |
26-Jul-04 |
Re-Implementation of the 180-Day Outstanding Check and Claim Void |
All Providers, FAMIS, SLH and MCOs |
19-Jul-04 |
Sending Attachments Related to 837 Electronic Claims Transactions (form DMAS-3, reformatted) |
All Providers, FAMIS, SLH and MCOs |
25-May-04 |
Billing Alert - Processing of Certain Community Mental Health Services covered under FAMIS |
Mental Health Providers and MCOs participating in the FAMIS Program |
17-May-04 |
Prospective Drug Review Program (ProDUR) Changes to Early Refill |
All Pharmacy Providers |
15-Apr-04 |
Durable Medical Equipment (DME) Appendix B Information |
DME, Supplies Providers and MCOs |
13-Apr-04 |
Claim Repayments Due To ClaimCheck |
Hospitals and Physicians |
1-Apr-04 |
Processing and Payment of Emergency Room Claims |
Hospitals, Physicians and MCOs |
22-Mar-04 |
Update of Medicaid, FAMIS, and FAMIS Plus ID Cards and Eligibility Verification Systems Information |
All Providers, MCOs and FAMIS, |
18-Mar-04 |
Billing Information Correction for Submitting Paper UB-92 Medicare Part A and B Claims -March 18, 2004 |
Nursing Home Providers |
1-Mar-04 |
Phase II of the Virginia Medicaid Preferred Drug List (PDL) Program for Pharmacy Services ? April 2004 (Revised) |
All Providers and MCOs |
6-Feb-04 |
Request Required by Providers Receiving ASC X12 835 Transactions |
All Providers, FAMIS, SLH and MCOs |
23-Jan-04 |
Prospective Drug Review Program Changes for Pharmacy Claims, and other pharmacy change programs |
All Pharmacy providers |