2014 Informational Letters


Published Informational Letters

Letter # Description Issue Date Effective Date
       
1468 Intellectual Disability (ID) Waiver Waiting List 12/30/2014 01/01/2015
1467 Point of Sale Billing for Preferred Diabetic Blood Glucose Monitors and Test Strips 12/29/2014 01/01/2015
1466 Provider Enrollment Application Fee-Revision 12/22/2014 01/01/2015
1465 Reminder of Electronic Submission for Medicare Part B Crossover Claims 12/18/2014 Immediately
1464 HCBS Elderly, Health and Disability (HD), and Physical Disability (PD) Waiver Amendment Public Comment Period 12/15/2014 Immediately 
1463 ICD-10 Testing of Claim Submission for a Seamless Transition  12/22/2014 Upon Receipt
1462 Diagnosis Related Group (DRG) Impact Fiscal Analysis for ICD-10 Implementation 12/22/2014 01/01/2015
1461 Iowa Wellness Plan Value Index Score (VIS) Program Updates and Incentive Payment Rate Changes 12/22/2014 01/01/2015
1460 Complex Pharmaceutical Oversight Program
Replaced by Info Letter 1471
12/11/2014 01/01/2015
1459 Residential Care Facility (RCF) Maximum Per Diem Rate and Personal Needs Allowance Increases 12/11/2014 01/01/2015
1458 Provider Enrollment Application Fee
Replaced by Info Letter 1466
12/16/2014 01/01/2015
1457 Iowa Medicaid Pharmacy Program Changes 12/01/2014 01/01/2015
1456 Update on the Upcoming Iowa Medicaid Data System Maintenance 11/25/2014 11/26/2014
1455 Ambulance Services Defined 01/15/2015 Upon Receipt
1454 Physician Face to Face Encounter Changes for the Home Health Services (HHS) and Private Duty Nursing/Personal Cares (PDN/PC) Programs 11/24/2014 01/01/2015
1453 Preferred Diabetic Blood Glucose Monitors and Test Strips
Replaced by Info Letter 1467
12/05/2014 01/01/2015
1452 Coordination of Health Home and Integrated Health Home Enrollment 12/04/2014 Immediately
1451 Annual Update of Hospice Rates - Revised 12/19/2014 10/01/2014
1450 Iowa Medicaid Data Systems to Undergo Maintenance, Will be Temporarily Unavailable 11/10/2014 11/26/2014
1449 2014 Presumptive Eligibility (PE) Training 11/13/2014 Immediately
1448 Clarification of Claim Submission for the Health Risk Assessment (HRA) 11/13/2014 Upon Receipt
1447 Marketplace Choice Plan Update-CoOportunity Transition   11/18/2014 12/01/2014
1446 Coding Changes for Drug Screening 11/19/2014 12/01/2014
1445 HCBS Intellectual Disability (ID) and Brain Injury (BI) Waiver Renewal Public Comment Period 10/31/2014 Upon Receipt
1444 Anesthesia Reimbursement Updates
Replaced by Info Letter 1473
10/31/2014 12/01/2014
1443 Dental Policy Changes for Procedure Codes D2950 and D2954 10/27/2014 12/01/2014
1442 Annual Update of Hospice Rates
Replaced by Info Letter 1451
10/24/2014 10/01/2014
1441 Clarification of Swing Bed Requirements 10/27/2014 Immediately
1440 ICD-10 Testing of Claim Submission for Seamless Transition 10/24/2014 Upon Receipt
1439 Increased Payment for Primary Care through Calendar Year (CY) 2015
Replaced by Info Letter 1796-MC-FFS
10/22/2014 01/01/2015
1438 Specific Modifier for Distinct Procedural Services 10/22/2014 01/01/2015
1437 Respiratory Syncytial Virus (RSV) 2014-2015 Season 10/20/2014 Immediately
1436 HCBS Settings Transition Plan Public Comment Period 10/23/2014 Upon Receipt
1435 Presumptive Eligibility (PE) Changes under the Affordable Care Act (ACA) 10/20/2014 Immediately
1434 Resources for Individuals with Mental Illness, Intellectual or Developmental Disability in Nursing Facilities 10/10/2014 Immediately
1433 Home Health Services (HHS) Program and Cost Reports 10/20/2014 Immediately
1432 Coverage of Screening and Brief Intervention (SBI) for Alcohol and Drug Use 10/16/2014 Immediately
1431 Iowa Medicaid Pharmacy Program Changes 10/13/2014 Upon Receipt
1430 2014 provider Quality Management Self-Assessment 10/03/2014 Upon Receipt
1429 Provider Enrollment Application Fee 10/17/2014 01/01/2015
1428
Submission of Approved Exception to Policy (ETP) Requests for Prescribed Drugs
10/10/2014 11/03/2014
1427 HCBS Habilitation Nonfinancial Eligibility Determinations 10/09/2014 Immediately
1426 ICD-9 Codes not Reimbursable as Hospice Primary Diagnosis 10/09/2014 08/01/2014
1425 Healthy Behaviors Wellness Exam 09/26/2014 01/01/2014
1424 Low Utilization Payment Adjustment (LUPA) Methodology and Actual Charges 09/16/2014 07/01/2013
1423 Clarification on Billing for Medical and Mental Health Encounters 09/18/2014 Upon Receipt
1422 HCBS Settings Transition Plan Update 09/23/2014 Upon Receipt
1421 Annual Submission Requirements - Employee Policies Regarding Prevention and Detection of Medicaid Fraud and Abuse 09/11/2014 Immediately
1420 Intellectual Disability (ID) Waiver Off-Year Assessments 09/16/2014 Immediately
1419 Request for Proposal (RFP)-Money Follows the Person Community Reinvestment Initiative (MFPCRI) MED-15-016 08/29/2014 08/28/2014
1418 Iowa Medicaid Pharmacy Program Changes 08/28/2014 10/01/2014
1417 New Report for a Member's Annual Medicaid Eligibility Review Date 12/10/14 Immediately
1416 Reminder: Referring or Prescribing Providers Must Be Enrolled With Iowa Medicaid 08/29/2014 06/01/2015
1415 Claim Submission for the Health Risk Assessment (HRA) 09/11/2014 Upon Receipt
1414 2014 Update for Outpatient Prospective Payment System (OPPS) 08/11/2014 Immediately
1413 Iowa Medicaid Enterprise ICD-10 Provider Readiness Survey 08/13/2014 Immediately
1412 Multiple Procedure Payment Reductions (MPPR) for Therapy Claims 08/04/2014 Immediately
1411 Supports Intensity Scale® Assessments 08/04/2014 Immediately
1410 Cost Outliers Applied to Hospital Stays for Partial Member Eligibility 08/01/2014 Immediately
1409 Pharmacy Dispensing Fee Change 08/01/2014 08/01/2014
1408 NCPDP D.Ø Payer Sheet Update for 34ØB Claims Submission 08/01/2014 08/01/2014
1407 Preadmission Screening and Resident Review (PASRR) Changes 08/01/2014 08/01/2014
1406 NCPDP D.Ø Payer Sheet Update for 34ØB Claims Submission
Replaced by Info Letter 1408
07/11/2014 08/01/2014
1405 Release of HCBS Waiver Slots 08/01/2014 Upon Receipt
1404 340B Drug Pricing Program 07/17/2014 Immediately
1403 HCBS Habilitation Nonfinancial Eligibility Determinations 06/26/2014 07/01/2014
1402 HCBS Administrative Rules Change 06/30/2014 07/01/2014
1401 Second Notice Annual Restraint and Seclusion Attestation Letters and Incident Reporting 06/23/2014 Upon Receipt
1400 Listening Sessions to Select a Core Standardized Assessment (CSA) Tool for Persons Receiving Brain Injury Waiver Services 07/08/2014 Immediately
1399 HCBS Waiver 101 Training 06/17/2014 Upon Receipt
1398 Iowa Medicaid Pharmacy Program Changes 06/17/2014 07/21/2014
1397 ICD-9 Codes not Reimbursable as Hospice Primary Diagnoses
Replaced by Info Letter 1426
06/16/2014 08/01/2014
1396 Ambulance Rate Changes Effective July 1, 2014 06/16/2014 Immediately
1395 Amendments to the Iowa Medicaid Provider Agreement General Terms (470-2965) 06/13/2014 07/14/2014
1394 New Definition of Case Management Billable Activities (Revised) 06/09/2014 07/01/2014
1393 Iowa Department of Human Services (DHS) Launches New Website 06/02/2014 Immediately
1392

Supports Intensity Scale® Assessments

06/09/2014 Immediately

1391

New Definition of Case Management Billable Activities
Replaced by Info Letter 1394
06/02/2014 07/01/2014
1390 One Percent Rate Increase Effective July 1, 2013 06/27/2014 Immediately
1389 Online Education for AssessMyHealth Health Risk Assessment (HRA) 06/02/2014 Upon Receipt
1388 Provider Access to the AssessMyHealth Health Risk Assessment (HRA)  and the Value Index Score (VIS) – Online Dashboard 05/23/2014 Upon Receipt
1387 Healthy Behaviors under the Iowa Wellness Plan and Marketplace Choice Plan 05/16/2014 Upon Receipt
1386 Reminder-Payment Error Rate Measurement (PERM) Participation 05/13/2014 06/01/2014
1385 Required Collaboration between Chronic Health Homes and TCM/CM/SWs 05/08/2014 Upon Receipt
1384 Annual Provider Training 2014 05/08/2014 Upon Receipt
1383 HCBS Settings Transition Plan Public Comment Period 04/30/2014 Upon Receipt
1382 Iowa Medicaid Pharmacy Program Changes 04/29/2014 06/01/2014
1381 HCBS Waiver Brain Injury (BI) Online Training Modules 04/24/2014 Immediately
1380

Modifier for Dental Screening Provided By a Registered Nurse

04/18/2014 05/01/2014
1379 ICD-10 Implementation Delayed 04/21/2014 Upon Receipt
1378

Legal Representatives as Paid Employees

04/16/2014 01/01/2014
1377 Dental Wellness Plan Wraparound 05/02/2014 05/01/2014
1376 New Health Home Per-Member Per-Month (PMPM) Attestation Process

04/04/2014

04/01/2014
1375 Skilled Nursing Services Available Under the Iowa Wellness Plan

04/10/2014

01/01/2014
1374 Distinct Enrollment for Medicaid Certified Units

03/26/2014

05/01/2014
1373 Reminders on Encounter Code Billing

04/08/2014

05/01/2014
1372 Online Dashboard Education and Training for Value Index Score

03/21/2014

Upon Receipt
1371 MediPASS and Wellness Plan Patient Listings-Electronic Only

03/20/2014

05/01/2014
1370 2014 Civil Money Penalty Quality Improvement Initiative Grant (CMPQII)

03/18/2014

Upon Receipt
1369 Submission of Approved Exception to Policy (ETP) Requests

03/14/2014

Immediately
1368 Iowa Marketplace Choice Medical Wraparound Services

03/31/2014

01/01/2014
1367 Hospice in Conjunction with Other Medicaid Services

03/10/2014

Upon Receipt
1366 Diagnosis Related Group (DRG) Impact Fiscal Analysis for ICD-10 Implementation

03/17/2014

Immediately
1365 Electronic Health Record (EHR) Incentive Payment Program and Meaningful Use Attestation Updates

03/03/2014

Immediately
1364 Outpatient Therapy Rates in a Skilled Facility

03/03/2014

04/01/2014
1363 Iowa Marketplace Choice and Early Periodic Screening Diagnosis and treatment (EPSDT) Services

03/03/2014

01/01/2014
1362 ICD-10 Testing of Claim Submission for Seamless Transition

02/26/2014

Upon Receipt
1361 Iowa Medicaid Pharmacy Program Changes

02/24/2014

04/01/2014
1360 2013 Electronic Health Record (EHR) Incentive Payment Program Attestation Deadlines

02/20/2014

Immediately
1359 New Paper Version of the CMS-1500 (02/12) Health Insurance Claim Form-Reminder

02/20/2014

01/06/2014
1358 New Condition Codes for Medicaid-Certified Units
 - Replaced by Info Letter 1374

02/20/2014

04/01/2014
1357 Updated Rates for Primary Care-Retroactive Adjustments

02/20/2014

01/01/2014
1356 Use of Non-Emergency Medical Transportation (NEMT)

02/14/2014

03/01/2014
1355 Annual Restraint and Seclusion Attestation Letters

02/13/2014

Upon Receipt
1354 Tobacco Cessation Coverage Available to Medicaid Members
-Quitline Free Money
-Quitline Pregnant

02/27/2014

04/01/2014
1353 Dental Wellness Plan

02/12/2014

05/01/2014
1352 Value Index Score-Online Dashboard
Replaced by Info Letter 1388

02/07/2014

Upon Receipt
1351 Iowa Wellness Plan Patient Manager Agreement

02/07/2014

Immediately
1350 Home Health Services Program Correct Revenue Codes for Billing

01/28/2014

03/01/2014
1349 Long Acting Reversible Contraception (LARC)

02/03/2014

03/01/2014
1348 HCPCS code G0463 for Outpatient Hospital Clinic Visits-Clarification

01/30/2014

01/01/2014
1347 Managed Care Patient Listings

01/30/2014

01/01/2014
1346 LUPA Reimbursement Re-pricing Paid Claims

01/30/2014

Immediately
1345 Clarification on Preferred Diabetic Lancets, Syringes, Blood Glucose Meters, and Test Strips

01/17/2014

03/01/2014
1344 340B Drugs and Manufacturer Price Adjustment

01/28/2014

Immediately
1343 Maternal Tobacco Cessation Quality Improvement Project

01/17/2014

02/01/2014
1342 HCBS Waiver Transportation Reimbursement Rates
-MHDS Regional Average NEMT Rates for HCBS Waiver Transportation

01/15/2014

Immediately
1341 Iowa Health and Wellness Plan

01/13/2014

01/01/2014
1340 Iowas Participation in the Federal Fiscal Year 2014 PERM Program

01/09/2014

Upon Receipt
1339 Pharmacy Cost of Dispensing

01/09/2014

02/03/2014