Alerts

Delaying Implementation of Itemized Billing for IRHC Clinics
Dec 18, 2017  -  Medicaid will not be implementing changes communicated to you in the July 7, 2017, ALERT which would require you to bill claims with specific procedure codes on January 1, 2018.
PDL Quarterly Update
Dec 14, 2017  -  Effective January 1, 2018, the Alabama Medicaid Agency will update the PDL to reflect the quarterly updates.
Medicare QMB Changes Impact Manually Filed Crossover Claims
Nov 30, 2017  -  Medicaid/Medicare-related claims will continue to crossover to Medicaid automatically. However, when it is necessary to manually enter crossover claims to be considered for payment, the patient responsibility must be greater than zero even if the Medicare Remittance Advice (RA) indicates zero cost-sharing liability for a QMB recipient.
Dental Program Policy Changes and Reimbursement Rates Effective December 1, 2017
Nov 13, 2017  -  Effective for dates of service on or after December 1, 2017, the Alabama Medicaid Agency (“Medicaid”) will implement various policy changes and reimbursement rates.

Recent Alerts


Date 
Dec 18, 2017 Delaying Implementation of Itemized Billing for IRHC Clinics
Dec 14, 2017 PDL Quarterly Update
Nov 30, 2017 Medicare QMB Changes Impact Manually Filed Crossover Claims
Nov 13, 2017 Dental Program Policy Changes and Reimbursement Rates Effective December 1, 2017
Oct 31, 2017 New Medicare Card Project Special CMS Open Door Forum
Oct 18, 2017 Radiology Program - Mammograms
Sep 15, 2017 Laboratory Assay Drug Testing- Definitive Drug Testing and Presumptive Drug Testing
Sep 14, 2017 PDL Quarterly Update
Sep 13, 2017 Eyeglass Central Source Contractor
Aug 14, 2017 Synagis® Criteria for 2017 – 2018 Season
Jul 11, 2017 DME Wheelchair Benefit Limitation Change Effective August 1, 2017 for Children, Ages 0-20 only
Jul 6, 2017 Changes to IRHC Billing Effective October 1, 2017
Jun 1, 2017 PDL Quarterly Updates
May 22, 2017 OB Ultrasound Reimbursed Fee for Service Which Require Prior Authorization (PA)
Apr 13, 2017 ICD-10 Diagnosis Codes that identify weeks gestation of pregnancy and birth weight requirement when billing a delivery CPT Procedure Code
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