The audit will sample fee-for-service claims collected for a full year – July 1, 2024, through June 30, 2025.
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
Recent State Plan Amendment outlines duties of a responsible third party
New separately reimbursable CPT codes in the ambulatory surgery setting
The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.
Updates on the Sandata mobile app, telephony and fixed visit verification.
Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.
Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.
Highlights from Year 2
The next review panel meeting is April 11, 2024