| Issue Date |
Title |
To: |
| 30-Dec-05 |
Proper Procedure for Sending Checks for Claims Processing Errors |
All Pharmacies and MCOs |
| 30-Dec-05 |
Discontinuation of Default Medicaid Prescriber ID Numbers - Effective February 1, 2006 |
All Pharmacies and MCOs |
| 30-Dec-05 |
Upcoming Changes to the Processing of Medicare Crossover Claims |
All Providers and all MCOs
|
| 27-Dec-05 |
New Federal Requirements Regarding the Compliance with Seclusion and Restraint Regulations - Effective Immediately |
NO LONGER AVAILABLE
Level C Residential Treatment Providers and MCOs
|
| 20-Dec-05 |
Termination of Erectile Dysfunction Drug Coverage for Medicaid Enrollees - Effective January 1, 2006 |
All Providers and all MCOs |
| 20-Dec-05 |
Virginia Medicaid Healthy Returns (SM) Disease Management Program Expands - Effective January 13, 2006 |
All Providers and all MCOs |
| 20-Dec-05 |
Monitoring Kidney Functions & the Classification Stages of Chronic Kidney Disease (CKD) |
See Medicaid Memo |
| 20-Dec-05 |
Managed Care Organization (MCO) Merger Between Anthem HealthKeepers Plus & UniCare Health Plan of Virginia - Effective January 1, 2006 |
All Providers (except dentists) in Northern Virginia and the Greater Charlottesville area and the surrounding counties |
| 5-Dec-05 |
Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program and PDL Quicklist & Medicare Part D Implementation - Effective January 1, 2006 |
All Providers and all MCOs |
| 5-Dec-05 |
Pending Cancellation of DMAS Disaster Relief Health Care Coverage for Victims of Hurricane Katrina |
All Providers and all MCOs |
| 2-Dec-05 |
Implementation of ClaimCheck for all Physician and Laboratory Services - Effective January 9, 2006 |
All Providers and all MCOs |
| 29-Nov-05 |
Managed Care Organization (MCO) Program Expands Into the Winchester Region - Effective December 1, 2005 |
All providers in Winchester, Virginia and surrounding counties |
| 7-Nov-05 |
Medicaid Reimbursement Rate Changes for Culpeper and King George Counties - Effective January 1, 2006 |
Community-Based Care Waiver Service Providers and Community Service Boards (CSBs) in Culpeper and King George Counties |
| 16-Sep-05 |
Clarification of BabyCare Claims Process & FAMIS MOMS Eligibility for BabyCare Services |
All BabyCare and MCOs |
| 6-Sep-05 |
Changes to Orthotic Services Pre-authorization (PA) Process - Effective October 1, 2005 |
Durable Medical Equipment/Supplies. Prosthetic Services Providers and Orthopedic Surgeons |
| |
|
|
| 19-Aug-05 |
FAMIS MOMS Enrollees - How to Apply for Newborn Coverage |
Hospitals, Pediatricians and MCOs |
| 9-Aug-05 |
Expansion of Managed Care Organization (MCO) Program in Northern Virginia |
All Providers and all MCOs |
| 1-Aug-05 |
Correction to the Billing Instructions for the UB-92 Claim Form |
Inpatient Private Mental Hospitals, Inpatient Psychiatric Residential Treatment Facilities, State Mental Health Facilities, and (MCOs) |
| 1-Aug-05 |
Rate Increases & New Patient Pay Payroll Procedure for Consumer-Directed (CD) Services - Effective July 1, 2005 |
NO LONGER AVAILABLE
Mental Health and Mental Retardation Agencies, Service Facilitators and Providers of Case under Medicaid Waivers, and Medicaid Recipients Receiving Consumer-Directed (CD) Services
|
| 14-Jul-05 |
Reimbursement for Dental Services under Smiles For Children - Effective July 1, 2005 |
Federally Qualified Health Centers (FQHCs), Rural Health Centers (RHCs), and MCOs |
| 8-Jul-05 |
Coverage Changes to the FAMIS Program (FAMIS MOMS & FAMIS Select) - Effective August 1, 2005 |
All Providers and MCOs |
| 28-Jun-05 |
Billing Changes to Date of Discharge for Hospice Services - Effective July 1, 2005 |
Hospice and MCOs |
| 28-Jun-05 |
Preferred Drug List (PDL) Changes Affecting Nursing Home Providers - Effective August 1, 2005 |
Nursing Homes |
| 14-Jun-05 |
Coverage of Orthodontics Billing Procedures for Medicaid FAMIS, and FAMIS Plus Children - Effective July 1, 2005 |
Orthodontists and MCOs |
| 14-Jun-05 |
Dental Program Coverage of Medical/Surgical Procedures for Medicaid, FAMIS and FAMIS Plus Children - Effective July 1, 2005 |
Oral Surgeons and MCOs |
| 10-Jun-05 |
Smiles For Children, Virginia's Dental Program for Medicaid, FAMIS, and FAMIS Plus Children - Effective July 1, 2005 |
Dental Services and MCOs |
| 10-Jun-05 |
Annual Review of Phases II and III of the Virginia Medicaid Preferred Drug List (PDL) Program, Review of New Drugs, Dispensing Fee for Generic Drugs, and PDL Quicklist - Effective July 1, 2005 |
All Providers and all MCOs |
| 3-Jun-05 |
Termination of Erectile Dysfunction (ED) Drug Coverage for Individuals Convicted of a Sex Offense |
Pharmacies, Out-of-State Pharmacies, Physicians and (MCOs) |
| 19-May-05 |
Change in Reimbursement Policy for School-Based Health Screenings of Children Enrolled in Medicaid Managed Care Organizations |
School Divisions |
| 28-Mar-05 |
New Billing Requirements for Non-emergency, Outpatient MRI/CAT/PET Scans |
NO LONGER AVAILABLE
Providers of Non-emergency, Outpatient MRI/CAT/PET Scans
|
| 28-Mar-05 |
Patient Pay Recorded on Paper Claim Submissions for Waiver Services |
Long Term Care and Community-Based Care Waiver Service Providers |
| 10-Jan-05 |
Services Requiring Claims Submission Through the VaMMIS |
NO LONGER AVAILABLE
Community Service Boards/Behavioral Health Executive Directors, Consumer-Directed Service Facilitators, MR Waiver Pre-vocational Service Providers and Agency-Directed Companion Services Providers
|
| 5-Jan-05 |
Clarification of Day Treatment Services for Children and Adolescents -January 5, 2005 |
NO LONGER AVAILABLE
Day Treatment Services for Children and Adolescents
|
