Ihstribal provider billing manual chapter creation. Free standing or hospital based ordered ambulatory 150002 billing guidelines version 2009 1 012909 page 3 of 76 section i purpose statement the purpose of this document is to assist the provider community in understanding and complying with the new york state medicaid nys medicaid requirements and expectations for. Aug 17, 2009 august 17, 2009 anchorage, alaska one of the greatest known defrauders of alaska medicaid services agreed to plead guilty today in superior court, resolving the case. Alaska medicaid transportation guidelines effective july 25, 2008 june 30, 2012 dates of service revised 08232012 08082008 clarification regarding fields 32 and 33 of the cms1500. Each magi medicaid category has specific eligibility criteria. The responsibility for the content of this fileproduct is with the state of alaska, department of health and social services, and no endorsement by the ada is intended or implied. Adltc alaska aged, disabled and long term care medicaid manual. Independent laboratory alaska medicaid provider billing manuals. As a result of the american recovery and reinvestment act of 2009, incentive payments are available to eligible profession. Providers were previously notified that alaska medicaid s temporary expanded coverage for behavioral health observation bed services would end effective 01012020. Medicaid denali kidcare dkc chronic and acute medical assistance cama. My company is buying an existing medicaid provider.
Inpatient hospital services are included in the mandatory services available under medicaid. We recommend that you update your browser to a version that supports frames. Alaska medicaid ehr incentive program including detailed information and resources on eligibility and attestation criteria. Alaska medical assistance provider billing manuals tribal facility. The department of health and social services dhss is the state agency designated to administer the alaska medicaid program, which includes. Providers overview new mexico human services department. Click here to view and search all alaska medicaid provider billing manuals. To get the most benefit, you should follow program guidelines, understand benefits available to you, work in partnership with your health care provider to use. Providers whose services have previously been identified by use of the sa modifier must be enrolled with alaska medicaid in order to be reimbursed for services provided to alaska medical assistance clients. Medicaid provides health coverage and longterm care services for lowincome alaskans. Alaska medical assistance provider billing manual section i. Tribes will use this site to post and update tribal contact information.
Care management program overview purpose of the care management program the care management program is intended to ensure that alaska medicaid1 recipients are provided appropriate medical services in accordance with state and federal regulations, statutes, and policies. Provider manual alaska medicaid health care services page 2. Dec 22, 2009 therefore, the alaska mmis will continue to ensure that editing related to billing third party insurance will be bypassed for all claim lines for which a mental health rehabilitation service is billedwhether the service is billed using abc codes in calendar year 2009 or new national standard codes in calendar year 2010. Alaska behavioral health provider standards and administrative manual for sud provider services october 4, 2020 chart of 1115 medicaid waiver services october 4, 2020 chart of 1115 medicaid waiver services october 29, 2019. Call comagine healths alaska office at 888 2400437. Alaska behavioral health provider standards and administrative manual for bh. As a result of the american recovery and reinvestment act of 2009, incentive payments are available to eligible professionals. You must always do this, or you may have to pay for the full cost of your. Alaska medicaid health enterprise supports the following internet browsers. Billing manuals enrollment provider faq documentation. Medicaid, an entitlement program created by the federal government, is the primary program financing basic health and longterm care services for lowincome alaskans. Coverage has now been extended through the end of sfy2020, terminating effective 07012020.
These manuals require javascript and cookies enabled. Professional claims management alaska medicaid provider billing. The alaska department of health and social services maintains the medicaid core services for the state of alaska. Program and policy manuals alaska department of health and.
Aug, 2009 effective on and after august 7, 2009, claims for group billers will be processed under new rules. The utah medicaid provider manual contains the coverage policy for the feeforservice medicaid program. Updates to this manual will be necessary from time to time as federal and state medical assistance regulations are adopted. When using the 1d qualifier on paper or electronic claims, make sure that the mci number indicated is a valid alaska medicaid provider id number. When a pharmacy is enrolled with alaska medicaid as a medical. Your alaska medical assistance billing manual is your online guide to participation in alaska medicaid and the submission of alaska medicaid claims. Dhcs maintains the medicaid core services for the state of alaska. Effective on and after august 7, 2009, claims for group billers will be processed under new rules. Live video reimbursement see medicaid column alaska s medicaid program will reimburse for services. Section 1 general information applicable to all providers. The criteria for the categories below are listed in the order that should be used when determining which category of magi medicaid to authorize.
The alaska mmis may not be accessible during the weekly scheduled maintenance hours of 6. Check with your health care provider when you make your appointment to make sure the provider is enrolled with alaska medicaid and will accept you or your child as a medicaid patient. Idaho medicaid welfare will maintain a public sharepoint site and post information on programseligibilitystate plan amendmentswaivers that will have an impact on tribes. State of alaska medical assistance provider billing manuals for physician services 5. If the consumer is eligible for ohio medicaid, the caller. State of alaska medicaid mental health physician clinic manual 122019. If your billing manual states that a renderingservicing provider npi or mci is required, include this information in your claims submittal for faster processing with less chance of unnecessary pends. The alaska electronic health records incentive program provider manual is a resource for healthcare professionals and hospitals who wish to learn more about the alaska medicaid ehr incentive program including detailed information and resources on eligibility and attestation criteria. Why tribes in alaska have their own billing manual. Some billing manuals and provider updates are available in pdf format only. Pdf cbhs provider medicaid covered services and code list august 2015. Denalicare and denali kidcare are the same as medicaid in the state of alaska. Any enrolled provider that becomes a different legal entity or is replaced in the program by another provider must give the department at least 10 days prior written notice.
Alaska medicaid recipient services alaska department of health handbook of information regarding health care programs for financially eligible alaskans. By entering the consumers 12 digit billing number, or the consumers social security number and date of birth, along with the date of service, the caller can verify if the consumer is eligible for ohio medicaid on the specified date. Print book function for robohelps webhelp is licensed from. Several steps are required to meet requirements to bill medicaid for 1115 sud demonstration services. The ada disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained or not. Eligibility for medicaid services is determined by medical necessity and the eligibility category of the recipient. For complete definitions and guidelines for the above services, please refer to 2009 2010 american medical associations current procedural terminology, healthcare common procedure coding system hcpcs and the abc coding manual for integrative health care, as well as alaska medical assistance regulations and provider billing manual. Unless otherwise specified, references to the alaska medical assistance program or. Idaho medicaid tribal consultation policy and procedures. The manual consists of several distinct sections, attachments, and periodic published updates as described below. Aged, disabled, and long term care medicaid manual. Additional resources prepared for providers include the maryland medical assistance provider handbook and maryland medicaid billing instructions for the.
Please call conduent at 907 6446800 or our instate toll free number, 800 7705650, about your participation in alaska medical assistance. Afdc x medicaid ihcia 1976 arra, 2009 ssa title xix, 1965. Alaska medical assistance provider billing manuals section i. I agree, as applicable, to submit alaska specific data elements in accordance with state of alaska medical assistance provider billing manuals, companion guides, and other state program guides to the extent that alaska specific data elements do not change the meaning or intent of any of the health and human services. Alaska medicaid storeandforward eligible servicesspecialties a consulting provider may send data heshe has received during a storeandforward telemedicine consultation to another consulting provider with equal or greater scope of practice as determined by hisher occupational license or level of expertise within their field of specialty. Alaska medicaid live video eligible servicesspecialties. Your alaska medical assistance billing manual is your online guide to participation in alaska medicaid and the submission of alaska. Providers must be enrolled with the alaska medical assistance program in order to receive reimbursement for services rendered to eligible recipients. Medicaid related alaska department of health and social. Find a health care provider find a state office mailing addresses fee schedules.
Trotter, president of on call nursing of alaska, pled guilty to a consolidated felony theft charge and was sentenced to 36 months in prison, with 28 months suspended. Provider manual alaska medicaid health care services page 6 section 1. Conduent internal the health enterprise portal is a stateoftheart electronic health care administration system that gives patients, doctors, pharmacists and other users easy, secure and efficient access to. Community behavioral health services ak provider billing. Medicaid recipient handbook alaska department of health and. Physician assistant alaska medicaid provider billing manuals. The alaska medicaid program provides both mandatory and optional services. The division of public assistance determines eligibility for this program. The alaska medicaid program provides both mandatory.
Press release plea resolves one of largest medicaid fraud. Print book function for robohelps webhelp is licensed. Alaska medicaid remote patient monitoring policy cchp website. A print book option for your online billing manual is available. If you have questions regarding any aspect of the programs, call the alaska medicaid recipient helpline tollfree at 800. Procedure codes will be examined for reimbursement by alaska medical assistance based on the following criteria. Durable medical equipment alaska medicaid provider billing. Your alaska medical assistance billing manual is your online guide to. Enroll as a provider in alaska medicaid and obtain a medicaid contract id. Alaska medical assistance health enterprise provider updates. This manual provides details on how to apply for program incentive payments via the alaska medicaid state level registry slr which is the departments webbased ehr incentive program attestation system. The numeric portion of the manual contains the physicians fee schedule which is current through 2009 cpt.
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