2023 Documents

 

Important Policy Changes/Additions

CMS-1500 Provider Manual (Effective 1.2.24)

Dental Manual (Effective 1.2.24)

Institutional Provider Manual (Effective 1.2.24)

Title 25 Provider Manual (Effective 1.2.24)

Tribal Provider Manual (Effective 1.2.24)

School Based Services Manual (Effective 1.2.24)

CMS-1500 Provider Manual (Effective 10.2.23)

Dental Manual (Effective 10.2.23)

Institutional Provider Manual (Effective 10.2.23)

Title 25 Provider Manual (Effective 10.2.23)

Tribal Provider Manual (Effective 10.2.23)

School Based Services Manual (Effective 10.2.23)

CMS-1500 Provider Manual (Effective 7.3.23)

Dental Manual (Effective 7.3.23)

Institutional Provider Manual (Effective 7.3.23)

Title 25 Provider Manual (Effective 7.3.23)

Tribal Provider Manual (Effective 7.3.23)

School Based Services Manual (Effective 7.3.23)

Behavioral Health

Implementation of 277CA Functionality in BMS (Effective 7.27.2023)

Behavioral Health Providers Required to Enroll with Medicare (Effective 1.9.2023)

CMS 1500 Bulletins

Update: Medicaid & United Healthcare (UHC) Advantage Plan Part B Denials & Provider Action (Effective 12.22.2023)

1099 Forms – Verification of Mailing Addresses (Effective 12.8.2023)

Two (2) Emergency Room Visits on the Same Date of Service – Appeal Process (Effective 9.25.2023)

DME Discontinued Procedure Code (Effective 9.1.2023)

Medicaid & United Healthcare (UHC) Advantage Plan Part B Claim Denials (Effective 8.24.2023)

Updated Coverage of Cologuard (Effective 8.21.2023)

Upcoming Changes to DME Methodology & Rates and CPAP & BiPAP Change (Effective 8.3.2023)

Implementation of 277CA Functionality in BMS (Effective 7.27.2023)

Wyoming Medicaid to Cover Podiatry Services (Effective 6.6.2023)

Provider Taxonomy Requirements when Billing Medicare for Dually Eligible Members (Effective 5.9.2023)

Discontinuance of Call Center Services for Billing Agents/Clearinghouses and their Third-Party Vendor Calls (Effective 3.14.2023)

Adverse Childhood Experiences (Effective 3.8.2023)

Behavioral Health Providers Required to Enroll with Medicare (Effective 1.9.2023)

Billing Provider Taxonomy Requirements (Effective 1.6.2023)

Dental Bulletins

Wyoming Medicaid 2023 Dental Fee Schedule

Update: Medicaid & United Healthcare (UHC) Advantage Plan Part B Denials & Provider Action (Effective 12.22.2023)

1099 Forms – Verification of Mailing Addresses (Effective 12.8.2023)

Medicaid & United Healthcare (UHC) Advantage Plan Part B Claim Denials (Effective 8.24.2023)

Implementation of 277CA Functionality in BMS (Effective 7.27.2023)

Increase for All Dental Codes (Effective 5.31.2023)

Discontinuance of Call Center Services for Billing Agents/Clearinghouses and their Third-Party Vendor Calls (Effective 3.14.2023)

Billing Provider Taxonomy Requirements (Effective 1.6.2023)

Institutional Bulletins

Update: Medicaid & United Healthcare (UHC) Advantage Plan Part B Denials & Provider Action (Effective 12.22.2023)

Inpatient Medicare Primary Observation Claims Update (Error Code 7000) (Effective 12.15.2023)

Revised Policy! Two (2) Emergency Room (ER) Visits Within 24 Hours (Effective 12.15.2023)

Attention Home Health Providers – Immediate Action Required! (12.12.2023)

Home Health EVV Announcement (Effective 10.16.2023)

Two (2) Emergency Room Visits on the Same Date of Service – Appeal Process (Effective 9.25.2023)

Update: ESRD Reimbursement Effective Date (Effective 9.25.2023)

Updated Coverage of Cologuard (Effective 8.21.2023)

Implementation of 277CA Functionality in BMS (Effective 7.27.2023)

New ESRD Payment Methodology and Billing Requirements (Effective 7.24.2023)

New Requirements for Nursing Homes Providers (Effective 5.30.2023)

Reprocessing of Paid Outpatient Claims (OPPS) (Effective 5.25.2023)

Provider Taxonomy Requirements when Billing Medicare for Dually Eligible Members (Effective 5.9.2023)

Condition Code Update (2.13.2023)

All Provider Bulletins

Update: Medicaid & United Healthcare (UHC) Advantage Plan Part B Denials & Provider Action (Effective 12.22.2023)

1099 Forms – Verification of Mailing Addresses (Effective 12.8.2023)

Medicaid & United Healthcare (UHC) Advantage Plan Part B Claim Denials (Effective 8.24.2023)

Implementation of 277CA Functionality in BMS (Effective 7.27.2023)

New ESRD Payment Methodology and Billing Requirements (Effective 7.24.2023)

Provider Taxonomy Requirements when Billing Medicare for Dually Eligible Members (Effective 5.9.2023)

Discontinuance of Call Center Services for Billing Agents/Clearinghouses and their Third-Party Vendor Calls (Effective 3.14.2023)

Adverse Childhood Experiences (Effective 3.8.2023)

Billing Provider Taxonomy Requirements (Effective 1.6.2023)