Alerts

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.
New Medicare Card Project Special CMS Open Door Forum
Oct 31, 2017  -  Starting April 2018, the federal government will issue new Medicare identification cards that do not use Social Security Number-based Health Insurance Claim numbers in order to provide greater security and privacy for beneficiaries.

Recent Alerts


Date 
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
Mar 15, 2017 2012 ADA Dental Claim Form
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