2011 Informational Letters

 

Published Informational Letters

Letter# Description Issue Date Effective Date

1084

Revised PACE Enrollment and Ongoing Review/Change Processes

12/29/2011

Immediately

1083

Claim for Targeted Medical Care Claim Form 

12/28/2011

03/01/2012

1082

Iowa Medicaid Pharmacy Program Changes

12/21/2011

12/19/2011

1081

Iowa Medicaid Pharmacy Program Changes

12/19/2011

01/30/2012

1080

Iowa Medicaid Pharmacy NCPDP D.Ø Implementation

12/12/2011

01/01/2012

1079

Date Span Billing for Durable Medical Equipment Rental and Medical Supplies

01/04/2012

02/01/2012

1078

Important 5010 HIPAA Transition Information

12/12/2011

01/01/2012

1077

Use of the "GD" Modifier

12/08/2011

Immediately

1076

Non-Rebatable Physician Administered Drugs

01/09/2012

Immediately

1075

Iowa Medicaid Pharmacy Program Changes

11/21/2011

Varies

1074

Important 5010 HIPAA Transition Information

11/15/2011

01/01/2012

1073

Revisions to the State Maximum Allowable Cost (SMAC) Program

11/14/2011

12/12/2011

1072

Home and Community Based Services Waiver Slots and Waiting Lists for Individuals with Intellectual Disabilities

11/15/2011

Immediately

1071

Iowa Medicaid Pharmacy Program Changes

10/28/2011

Immediately

1070

Issues Related to the Home and Community Based Services (HSBS) Rate Restorations

10/31/2011

Immediately

1069

Update on the Atypical Code Conversion Project

10/31/2011

Immediately

1068

Electronic Health Record (EHR) Incentive Payment Program Updates – Preparing for Year Two

10/28/2011

Immediately

1067

Extension Due Date for Submission of 2011 Provider Quality Management Self-Assessment

10/28/2011

Immediately

1066

IowaCare Medical Home Coverage

11/02/2011

12/01/2011

1065

Quality Assurance Assessment Fee (QAAF)

10/14/2011

Immediately

1064

Professional Claim Format: Referring or Prescribing Providers Must be Enrolled with Medicaid

10/18/2011

Immediately

1063

Smoking Cessation Prior Authorization (PA) Requests

10/14/2011

Immediately

1062

Important 5010 HIPAA Transition Information

10/13/2011

01/01/2012

1061

Iowa Medicaid Pharmacy Program Changes
     - Replaced by Info Letter 1071

10/26/2011

Varies

1060

Announcement of Pharmacy Stakeholder Meeting

10/06/2011

Upon Receipt

1059

Annual Update of Hospice Rates

10/03/2011

10/01/2011

1058

Reporting Present on Admission

  • POA Exempt Diagnosis Code List

  • Replaced by Info Letter 1108

9/30/2011

9/01/2011

1057

Preadmission Screening and Resident Reviews (PASRR) Issues

9/28/2011

Immediately

1056

Iowa Medicaid Pharmacy NCPDP D.Ø Payer Sheet and Guidance

9/23/2011

9/28/2011

1055

Team Therapy

9/16/2011

Upon Receipt

1054

Iowa Medicaid Pharmacy Program Changes

9/16/2011

10/24/2011

1053

Changes in Limited Emergent Hospital Coverage for IowaCare Members

9/19/2011

8/01/2011

1052

Therapy Codes Subject to Multiple Procedure Payment Reductions (MPPR)
Replaced by IL 1859-MC-FFS

9/13/2011

9/01/2011

1051

Fourth Notice Regarding Transition to 5010 HIPAA Format

9/13/2011

1/01/2012

1050

Independent Audits of DSH Payment Programs

9/12/2011

Upon Receipt

1049

Background Checks and Mandatory Reporter Training

9/29/2011

Immediately

1048

Smoking Cessation Coverage Available to Medicaid Members

9/02/2011

Upon Receipt

1047

Nursing Facility Rates Effective July 1, 2011

8/30/2011

Immediately

1046

Restoration of Home and Community Based Provider Rates

8/30/2011

7/01/2011

1045

Fifteen (15) Day Initial Prescription Supply of Select Medications

8/24/2011

9/01/2011

1044

Medicare Annual Wellness Visit and the Medicaid Preventative Exam
Replaced by IL 1829-MC-FFS

8/24/2011

Immediately

1043

PMIC Maximum Reimbursement Rate and Restoration of the 5% Reduction

8/24/2011

Immediately

1042

Observation Care Services

8/22/2011

9/01/2011

1041

Multiple Procedure Payment Reductions (MPPR) for Therapy Claims(Replacement Text is Highlighted Below)

8/18/2011

9/01/2011

1040

Changes to the Nursing Facility Admission Process: Preadmission Screening and Resident Reviews (PASRR)

8/17/2011

9/01/2011

1039

HCBS Change in Payment Methodology

7/29/2011

9/01/2011

1038

Level of Care Certification Form for the AIDS/HIV, Elderly, Ill and Handicapped and Physical Disability Home and Community Based Services (HCBS) Waivers

8/29/2011

Immediately

1037

Elimination of Graduate Medical Education (GME) Payments for Out-Of-State Hospitals

7/29/2011

9/01/2011

1036

Third Notice Regarding Transition to 5010 HIPAA Format

8/12/2011

1/01/2012

1035

Waiver Prior Authorization for Home and Community Based Items $50.00 and Under

7/25/2011

Immediately

1034

Iowa Health Information Network Survey

7/25/2011

Immediately

1033

Updated Form for Certification Regarding Abortion

7/29/2011

Immediately

1032

Medicare Crossover Form Requirement

7/29/2011

9/01/2011

1031

Medicaid Site of Service Differential

7/29/2011

9/01/2011

1030

2011 Provider Quality Management Self-Assessment and Direct Care Workforce Data Collection

8/12/2011

Upon Receipt

1029

Lock-in Program Reminders

7/28/2011

Immediately

1028

Reporting Present on Admission

  • POA Exempt Diagnosis Code List
         - Replaced by Info Letter 1058

7/29/2011

9/01/2011

1027

Annual Restraint and Seclusion Attestation Letters

7/05/2011

Upon Receipt

1026

Second Notice Regarding Transition to 5010 HIPAA Format

7/05/2011

1/01/2012

1025

Emergency Room (ER) Visits: Copayment and Reimbursement Changes

7/29/2011

9/01/2011

1024

Annual Training, Health Information Technology Component

6/27/2011

Immediately

1023

Orthodontia Treatment

7/29/2011

9/01/2011

1022

Dispensing Fee, Fifteen Day Initial Supply Limit and Noncoverage of Cough and Cold and Weight Loss Drugs

8/01/2011

Varies

1021

Preadmission Screening and Resident Review (PASRR) Level II Implementation

6/20/2011

7/01/2011

1020

Reminder: Upcoming Implementation for Physician Face to Face Encounter for Home Health Care

6/20/2011

7/01/2011

1019

Iowa Medicaid Pharmacy Program Changes

6/27/2011

7/18/2011

1018

Multiple Procedure Payment Reductions (MPPR) for Therapy Claims
     - Replaced by Info Letter 1041

7/29/2011

9/01/2011

1017

Transition to 5010 HIPAA Format

6/01/2011

1/01/2012

1016

Medical Equipment and Supply Fees

7/29/2011

9/01/2011

1015

Iowa's Participation in the Federal Fiscal Year 2011 PERM Program - Measurement of Improper Payments in Medicaid and the Children's Health Insurance Program (CHIP)

6/01/2011

Immediately

1014

Medicaid Electronic Health Record (EHR) Incentive Payment Program

5/23/2011

Immediately

1013

Assisted Living CDAC Documentation Form Requirements

5/23/2011

Immediately

1012

Iowa Medicaid Pharmacy NCPDP 5.1 Payersheet Changes

5/18/2011

7/11/2011

1011

Implementation Extension - Physician Face to Face Encounter Follow Up - Informational Letter No. 983

5/23/2011

7/11/2011

1010

Cost Related to Money Follows the Person Services Reported on the Medicaid Cost Report

5/13/2011

Upon Receipt

1009

Civil Money Penalty Quality Improvement Initiative Grant (CMPQII)

5/17/2011

Upon Receipt

1008

Preadmission Screening and Resident Review (PASRR) Level II

5/17/2011

7/01/2011

1007

Re-verification of Service Certification and Atypical Procedure Code Conversion

5/09/2011

10/11/2011

1006

Cost Report and Payment Issues during Transition of Remedial Services to Magellan Behavioral Care of Iowa

5/09/2011

7/01/2011

1005

Background Checks and Mandatory Reporter Training 

  • Replaced by Info Letter 1049

5/19/2011

Immediately

1004

Annual Provider Training 2011

4/26/2011

Upon Receipt

1003

Billing Case Management & Targeted Case Management Services

5/13/2011

7/01/2011

1002

New Document Submission Process for HCBS Waiver Services

4/13/2011

Immediately

1001

Exclusion from Participation in Federal Health Care Programs

4/08/2011

4/08/2011

1000

New CDT Codes

4/08/2011

1/01/2011

999

Submission of Remedial Services Progress Notes

4/08/2011

4/01/2011

998

Hospice and Concurrent Services

5/13/2011

Upon Receipt

997

High Technology Radiology Prior Authorizations - UPDATES

4/04/2011

Varies

996

New Q-codes supersede CPT 90658 for Seasonal Influenza Vaccines

4/01/2011

5/01/2011

995

Hearing Aid "W" Codes, Monaural Dispensing Code

3/30/2011

5/01/2011

994

Iowa Medicaid Pharmacy Program Changes

3/25/2011

4/25/2011

993

Revised Adjustment Request Form, Revised Recoupment (Credit) Form

3/25/2011

6/01/2011

992

Rehab Shower/Commode Chairs (E0240)

3/21/2011

4/01/2011

991

Presumptive Eligibility for Pregnant Women

3/16/2011

Upon Receipt

990

Billing Medicare Cross-Over Claims to the IME
Replaced by IL 1829-MC-FFS

3/09/2011

Immediately

989

Billing Indian Health Services to the IME

3/07/2011

1/01/2011

988

Iowa Medicaid Pharmacy Program Changes

2/09/2011

3/14/2011

987

Remedial Services Transition report to the General Assembly

2/09/2011

1/01/2011

986

Billing Changes: Seat Lift Chairs for Medicare-Medicaid Dual Eligible Members
Automated Medication Dispensers and Total Electric Hospital Beds
2011 HCPCS Changes

1/31/2011

3/01/2011

985

Flu Vaccines for Children Administered by Pharmacies

2/04/2011

11/01/2010

984

Medicaid Electronic Health Record Incentive Payment Program

1/25/2011

Immediately

983

Medicare Requirement - Physician Face to Face Encounter

3/31/2011

Upon Receipt

982

Supports Intensity Scale Pilot Project

2/01/2011

Immediately

981

Curative Care for Hospice Children- Affordable Care Act Section 2302

1/19/2011

Immediately

980

Nursing Facilities and Non-Emergency Medical Transportation (NEMT)

1/19/2011

Immediately

979

Rounding Units for Hourly Habilitation Services

1/06/2010

Immediately

978

Presumptive Eligibility for Children

1/06/2010

Upon Receipt

977

Changes in Medicare Coverage

1/05/2011

1/01/2011

976

Billing for Oral Health Screening (D0120, D0145 and D0150)

1/01/2011

2/01/2011

975

Medically Needy and Spenddown

1/01/2011

Upon Receipt

 

/sites/default/files/1041_MultipleProcedurePaymentReductionsMPPRforTherapyClaims.pdf