2006 Informational Letters


Published Informational Letters

Letter # Description Issue Date Effective Date

564

HCBS Habilitation Services Update

12/27/2006

01/01/2007

563

Use of Correct Modifiers Concerning ?Medical Direction?

12/19/2006

01/01/2006

562

Medicare Parts A and B Crossover Claims

12/19/2006

12/19/2006

561

New 2007 CPT and HCPCS Level II Coding Updates - Hospitals

12/19/2006

01/01/2006

560

New 2007 CPT and HCPCS Level II Coding Updates - All Providers

12/19/2006

01/01/2006

559

2006-2007 VFC Influenza Vaccine Availability

12/26/2006

12/26/2006

558

Provider has not verified an NPI with Iowa Medicaid

12/14/2006

12/14/2006

556

Response to RSP Questions

12/13/2006

12/13/2006

555

Temporary Equipment While Patient Owned Equipment is Being Repaired

12/14/2006

01/01/2007

553

Procedure Code Updates

12/12/2006

01/01/2007

552

Changes to the Preferred Drug List (PDL) and the Addition of Coverage of Smoking Cessation Drugs

11/30/2006

01/01/2007

549

Hospice Billing Updates

11/20/2006

11/20/2006

548

HCBS Habilitation Services

11/20/2006

01/01/2007

546

Schedule for Cost Reports

11/15/2006

02/28/2007

545

Submission of Implementation Plans for Medical Services Approval

11/15/2006

11/15/2006

544

Response to Questions

11/15/2006

11/15/2006

543

Addendum to Informational Letter No. 533: Ending of ?Pay and Chase?

11/15/2006

01/16/2007

542

New CMS-1500 and UB-04 Claim Forms

11/15/2006

Various

541

New Power Wheelchair Codes

11/17/2006

11/15/2006

540

January 2007 RCF Assistance Changes

12/08/2006

01/01/2007

539

Use of the KX Modifier for Replacement Eyeglasses

11/15/2006

12/01/2006

538

The Eligibility Verification System - Clarification

11/09/2006

11/01/2006

537

Remedial Services Approvals

10/31/2006

11/01/2006

535

Discontinue Use of Targeted Case Management Form 470-2464 (Report for Enhanced Services)

10/25/2006

11/01/2006

534

Annual Update of Hospice Rates

10/23/2006

10/01/2006

533

Ending of ?Pay and Chase?

10/23/2006

12/04/2006

532

Release of the Iowa NPI Verification Tool

10/23/2006

10/09/2006

531A

Electronic Monitoring of HCBS Waiver Consumers

10/25/2006

10/25/2006

531

The Eligibility Verification System

10/12/2006

10/12/2006

530

New 2006 ADA Dental Claim Form

10/05/2006

03/01/2006

529

Changes to the Preferred Drug List (PDL)

09/26/2006

10/30/2006

526

Fall Provider Training 2006

09/14/2006

09/14/2006

525

National Provider Identifier (NPI)

09/03/2006

05/23/2007

524

Revised Level of Care Process for Nursing Facility and ICF/MR programs

08/29/2006

10/01/2006

523

New Home and Community Based Services Elderly Waiver Level of Care Process

08/28/2006

09/01/2006

522

Addresses for Remitting Payments

08/21/2006

08/21/2006

521

Remedial Services Provider Training

08/18/2006

08/18/2006

520

Revised Level of Care Process for Nursing Facility and ICF/MR programs

08/21/2006

Various

519

Revised Level of Care Process for Nursing Facility, ICF/MR and Home and Community Based Services (HCBS) Elderly Waiver programs

08/21/2006

Various

518

Medicare Crossover Claims

08/14/2006

08/14/2006

517

Reprocessing of Outpatient Hospital Claims

08/01/2006

08/01/2006

516

New Home and Community Based Services AIDS/HIV, Ill and Handicapped and Physical Disability Level of Care Process

07/28/2006

08/01/2006

515

Revised HCBS Waiver - Level of Care Process (AIDS/HIV, Ill & Handicapped and Physical Disability waivers)

07/31/2006

09/01/2006

513

Policy Change ? Fitting/Dispensing Fees ? W2021 and W2022

07/31/2006

09/01/2006

512

New Federal Medicaid Documentation Requirements

07/18/2009

07/01/2006

511

Revised Home and Community Based Services Children?s Mental Health Waiver Level of Care Process

07/20/2006

08/01/2006

510

Reprocessing of Inpatient and Outpatient Hospital Claims

07/17/2006

07/17/2006

509

Weekly Payment Cycles

07/14/2006

08/07/2006

508

Rehabilitative Services

07/18/2006

11/01/2006

507

Rehabilitative Services

07/18/2006

11/01/2006

506

Revisions to the State Maximum Allowable Cost (State MAC) Program for Multi-Source Prescription Drugs

07/2006

08/01/2006

505

Medicaid Provider Enrollment for Rehabilitative Services

07/18/2006

11/01/2006

503

Eyeglass Repair Fees

07/10/2006

07/10/2006

502

New Home and Community Based Services Brain Injury and Mental Retardation Level of Care Process

06/22/2006

07/01/2006

501

The purpose of this Information Letter is to inform providers of major changes to the Preferred Drug List (PDL)

06/16/2006

07/17/2006

500

Personal Needs Allowance Increase

06/19/2006

07/01/2006

499

Medicaid Third Party Liability (TPL) Policy Clarification ? Supplemental Insurance Questionnaire

06/05/2006

06/05/2006

498

Use of New Lock Box for Provider Overpayments

05/30/2006

05/30/2006

497

Proper Crediting Iowa Medicaid For Return Of Drugs

04/21/2006

04/21/2006

496

State Fiscal Year 2005-2006 3% Dispensing Fee Increase for Pharmacy claims between July 1, 2005 and April 9, 2006

05/05/2006

07/01/2005

495

Revisions to the State Maximum Allowable Cost (State MAC) Program for Multi-Source Prescription Drugs

04/2006

05/22/2006

494

Submission of Iowa Department of Human Services Financial and Statistical Report

04/12/2006

06/30/2006

493

Fiscal Year 2006 3% Fee Increase

04/12/2006

04/17/2006

492

Payment Changes

04/20/2006

07/01/2005

491

Pharmaceutical Case Management

04/03/2006

04/01/2006

490

The purpose of this Information Letter is to inform providers of major changes to the Preferred Drug List (PDL)

03/31/2006

05/01/2006

489

Optometric Emergency Room and Consultation Procedures, Service Date for Eyeglasses, and Coverage of Dispensing Fees

04/10/2006

01/01/2006

488

Emergency Services for Ineligible Aliens

04/03/2006

04/03/2006

487

Drug Prior Authorization Updates

02/17/2006

03/20/2006

486

EPSDT/Care for Kids Provider Web Site

02/17/2006

02/01/2006

485

Billing for Family Planning Waiver Members

02/10/2006

02/01/2006

484

Billing for Supernumerary Teeth

02/10/2006

03/01/2006

483

Introducing Iowa Family Planning Network

01/30/2006

02/01/2006