Upcoming Changes to the 835 Electronic Remittance Advice
Nov 20, 2020 - The Medicaid Agency is modifying the way claims are reported on the 835 Electronic Remittance Advice. These changes are to ensure compliance with the HIPAA X12 Standard for Claim Level balancing on the 835 transaction.
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Dental Fee Increase
Nov 19, 2020 - The Alabama Medicaid Agency will increase dental fees reimbursed to providers for the most utilized dental treatment codes on January 1, 2021. The fee increase is effective for dates of service on or after January 1, 2021.
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Implementation of the PA Reconsideration Supporting Documentation Process
Nov 17, 2020 - A new Prior Authorization (PA) Reconsideration Form was released on July 7, 2020 for providers to request reconsideration of rejected PAs. The new form can be accessed via the Forms menu of the Alabama Medicaid Interactive Web Portal.
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Durable Medical Equipment (DME) Program Updates Related to Oxygen Certification Form 360
Nov 9, 2020 - Effective November 1, 2020, the Oxygen Certification Form (Form 360) can be signed and dated by the DME provider representative if the DME provider is submitting both the prescription signed by the prescriber AND Form 360 to Medicaid’s fiscal agent for prior authorization review.
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