2007 Informational Letters


Published Informational Letters

Letter # Description Issue Date Effective Date

668

Smoking Cessation Program for IowaCare Recipients

12/31/2007

02/01/2008

665

Remedial Service Progress Notes

12/27/2007

12/27/2007

664

New 2008 CPT and HCPCS Level II Coding Updates (All Providers)

12/28/2007

01/01/2008

663

New 2008 CPT and HCPCS Level II Coding Updates (Hospitals)

12/28/2007

01/01/2008

662

Iowa Medicaid Electronic Record System (I-MERS)

12/06/2007

12/06/2007

661

January 2008 RCF Assistance Increases

12/24/2007

01/01/2008

660

Escort services for more than one child

12/04/2007

12/04/2007

659

The purpose of this Informational Letter is to inform providers of Preferred Drug List (PDL) and other Iowa Medicaid pharmacy program changes.

12/03/2007

01/01/2008

658

Completion of Cross-Over Claims

12/05/2007

12/05/2007

657

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

11/29/2007

01/02/2008

656

National implementation of the PERM program to measure improper payment in Medicaid and SCHIP

11/29/2007

11/29/2007

655

Revised Medicare/Medicaid NPI Implementation Dates

11/27/2007

01/01/2008

654

Co-Payment for Pregnant Women

11/26/2007

11/26/2007

653

Rehabilitative Treatment Services Certification

11/21/2007

11/21/2007

652

Announcement of Mass Email and Online Remittance Advice Access 

11/15/2007

11/15/2007

651

Cranial Orthotic Devices

11/05/2007

11/01/2007

650

Automated Medication Dispensers, Nutritional Supplementation of a Regular Diet, & Refill of Medical Supplies

10/26/2007

11/01/2007

649

Annual Update of Hospice Rates

10/16/2007

10/01/2007

648

Group Behavior Services

10/15/2007

10/15/2007

647

NDC Implementation Update and Frequently Asked Questions (FAQ)

10/26/2007

10/26/2007

646

Tamper-Resistant Prescription Drug Pads for Covered Outpatient Drugs

10/12/2007

04/01/2007

645

New Provider Agreement and New Provider Number

10/10/2007

10/10/2007

644

Changes to the Preferred Drug List (PDL)

09/28/2007

10/29/2007

643

Policy on Medicaid Rates

09/24/2007

09/24/2007

642

Supervisory Visits for Iowa Plan Members With Primary Mental Health Diagnosis

09/26/2007

11/01/2007

641

Locum Tenens Use

09/12/2007

09/12/2007

640

IowaCare and Regular Medicaid Annual Routine Physical Examinations

09/07/2007

07/01/2007

639R

Implementation of Tamper-Resistant Prescription Drug Pads has been delayed until April 1, 2008

09/24/2007

10/01/2007

639

08/31/2007

10/01/2007

638

Medicare & Medicare HMO Paper Crossovers

08/24/2007

08/24/2007

637

Timely Filing Requirements

08/21/2007

08/21/2007

636

Billing for B9998

08/30/2007

08/30/2007

634

Iowa Medicaid Locum Tenen Policy
  - Replaced by Info Letter 641

08/03/2007

08/01/2007

633

Provider Enrollment Renewal

07/26/2007

07/26/2007

632

Annual Medicaid Cards

07/09/2007

08/01/2007

629

Inform providers of changes to the Preferred Drug List (PDL)

06/30/2007

06/30/2007

628

Addition of the ?BO? Modifier

06/27/2007

06/27/2007

627

IowaCare and Regular Medicaid Annual Routine Physical Examinations
  - Replaced by Info Letter 640

06/15/2007

07/01/2007

626

Coverage of the Implantable Contraceptive Implanon?

06/15/2007

01/01/2007

625

Submission of Iowa Department of Human Services Financial and Statistical Report (Form 470-0030 Rev. 12/14/01)

06/12/2007

06/30/2007

624

Submission of Iowa Department of Human Services Financial and Statistical Report (Form 470-0030 Rev. 12/14/01)

06/12/2007

06/30/2007

622

NPI Contingency and Billing Tips, New Claim Form Implementation

06/08/2007

06/08/2007

621

Remedial and Habilitation Authorization Address Change

06/06/2007

06/18/2007

620

Nonfederal Share of Remedial Services Funding

06/06/2007

06/06/2007

619

Obsolete K Codes

06/04/2007

07/01/2007

618

Modifier 22 when units exceed IME Maximums

06/04/2007

06/04/2007

617

Addendum to Informational Letter No. 543: Ending of Pay and Chase

05/30/2007

06/01/2007

616

UB-04 Claim Form Changes

05/23/2007

05/23/2007

615

2006 ADA Dental Claim Form Changes

05/23/2007

05/23/2007

614

Home and Community Based Services (HCBS) Waiver Respite

05/24/2007

05/24/2007

613

HCBS Quarterly Training

06/26/2007

06/26/2007

612

Revised Claim for Targeted Medical Care and Instructions

05/22/2007

05/22/2007

611

Annual Provider Training 2007

05/11/2007

05/11/2007

610

Iowa Medicaid Electronic Record System (I-MERS)

05/09/2007

IMMEDIATELY

608

Proper Billing of Medical Equipment and Supplies

05/01/2007

05/01/2007

607

Revised Claim for Targeted Medical Care and Instructions

05/07/2007

05/23/2007

606

New Provider Agreement

04/23/2007

04/23/2007

604

Submission of Iowa Department of Human Services Financial and Statistical Report

04/18/2007

04/18/2007

603

Changes in Reimbursement Methodology for Inpatient Psychiatric Services

04/13/2007

10/01/2006

602

Changes in Reimbursement Methodology for Clinic Services Provided by Community Mental Health Centers (CMHC)

04/13/2007

10/01/2006

601

HCBS Revised and Expanded Procedure Codes for Home Delivered Meals and Respite-Camp

05/01/2007

05/01/2007

600

Services provided to Young Children

04/13/2007

04/13/2007

599

Reporting your new number or NPI to IME and the new Provider Agreement

04/05/2007

04/05/2007

598

New Provider Agreement and New Provider Number

04/16/2007

04/16/2007

597

Clarification-Billing Developmental Services

04/05/2007

04/05/2007

596

Fiscal Year 2007 3% Fee Increase (Hospitals) ? Additional Adjustment

04/02/2007

04/02/2007

595

Fiscal Year 2007 3% Fee Increase (Providers) ? Additional Adjustment

03/27/2007

03/27/2007

594

Habilitation Services Rate Setting

03/30/2007

01/01/2007

593

NDC numbers required for Rebatable Drug Products

03/28/2007

05/01/2007

592

Postponed Deadline for the CMS 1500 Claim Form

03/26/2007

04/30/2007

591

PMIC Reserve Bed Days

03/22/2007

01/01/2007

590

Billing Developmental Services

03/16/2007

03/16/2007

589

The purpose of this Information Letter is to inform providers of major changes to the Preferred Drug List (PDL). For all other changes, refer to the PDL

03/15/2007

04/23/2007

588

Level of Care Certification Forms (470-4392 and 470-4393) for facility services and home and community based services (HCBS)

03/16/2007

03/16/2007

587

Hospital Outpatient APG Base Rate Increase Effective July 1, 2006

03/14/2007

03/13/2007

586

Orthodontia Codes

03/14/2007

03/14/2007

583

Mass Credit for Medicare Crossover Claims (Physicians)

03/01/2007

03/01/2007

582

Mass Credit for Medicare Crossover Claims (Other Providers)

03/01/2007

03/01/2007

581

Collection of Pharmacy Copayment from Iowa Medicaid Members

03/05/2007

03/05/2007

579

CMS form 1500 Changes

02/21/2007

02/21/2007

578

Fiscal Year 2007 3% Fee Increase (Other Providers)

02/21/2007

02/21/2007

577

Fiscal Year 2007 3% Fee Increase (Physicians)

02/21/2007

02/21/2007

576

State Fiscal Year 2006-2007 3% Dispensing Fee Increase

02/21/2007

02/23/2007

575

Hospital Inpatient DRG Base Rate Increase Effective July 1, 2006

02/19/2007

02/19/2007

574

Provider has not verified an NPI with Iowa Medicaid

02/15/2007

02/15/2007

573

Optical Character Recognition (OCR) of Paper Claims

06/22/2007

06/22/2007

572

New Provider Agreement

02/08/2007

02/08/2007

571

HCBS Quarterly Training

01/30/2007

01/30/2007

569

Targeted Case Management prior authorization in ISIS and medical necessity reviews for persons not on MR, BI and CMH Waivers

04/06/2007

05/01/2007

568

Habilitation Services Provider Training

01/17/2007

01/17/2007

567

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

01/15/2007

02/12/2007

566

Hospice Billing Updates

01/08/2007

01/08/2007

565

?Revised? Level of Care Certification Form to the AIDS/HIV, Elderly, Ill and Handicapped and Physical Disability HCBS Waivers

01/05/2007

01/05/2007

557

Laboratory Travel Allowance ? P9603 and P9604

04/05/2007

04/05/2007

554

Orthopedic Shoes and Therapeutic Shoes for Diabetics

07/20/2007

07/20/2007

547

Employee Policies Regarding Prevention and Detection of Medicaid Fraud and Abuse

01/23/2007

01/01/2007

536

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

01/08/2007

08/21/2006