Provider Bulletins

Medicaid

• Medicaid Peer Support Services
• Kentucky Medicaid Managed Care Commercial Coding List
• WellCare Medicare and Medicaid Behavioral Health Admissions
• Medicaid Eligibility Renewal
• New Coding Reimbursement Guidelines & Appropriate Place of Service Billing
• Medicaid Prior Authorization Guidance - Updated May 5, 2022
• 275 Claim Attachment Transactions via EDI
• Revised Claims & Payment Policy: Leg Stent Coding Updates
• New Coding Reimbursement Guidelines & Appropriate Place of Service Billing
• New Somatus Care Management Program for patients with CKD/ESRD
• Claims & Payment Policy: Gastrointestinal Pathogen Nucleic Acid Detection Panel Testing
• KY Department of Medicaid Services Updated Prior Authorization Guidelines
• Notification of Change to Outpatient Claim Submission Requirements
• Wellcare's Provider Portal - Providers Love Our New Chat!
• Claims & Payment Policy: New Ophthalmology Medical Necessity Payment Policies
• MS-DRG Prepayment Coding Edits
• Therapy and Pain Management Implementation Delayed
• No Copays/Cost Share for Kentucky Medicaid Members
• Bed Reserve and Therapeutic Pass Reimbursement Update
• WellCare’s Provider Portal – Now with Improved Live Chat!
• Claims & Payment Policy CPP-157: Ultrasound in Pregnancy
• Claims & Payment Policy 158: Dipstick, Venipuncture, & Catheter Edits CORRECTION
• CPP-161: Polymerase Chain Reaction Respiratory Viral Panel Testing
• CPP-163: NICU Level of Care Authorization and Reimbursement Matching
• Policy Update: Short Inpatient Hospital Stays: CP.MP.182
• Claims & Payment Policy CPP-158: Dipstick, Venipuncture, & Catheter Edits 
• Updates to Prior Authorization Requirements: Wound Care and Skin Substitutes
  
• New Portal Features: iCarePath Claim Appeals and Disputes
• Clinical Coverage Guideline: Short Inpatient Hospital Stays
• Targeted Case Management Monthly Limit Reminder
• Collateral Therapy Age Limit Reminder
• BHSO Tier II NTP Billing Coding Changes
• Drug Testing Payment Policy Updates (Effective 07012020)
• Prepayment Clinical Validations Edit Policy Notice (Effective 10152020)
• Claims & Payment Policy (#152): Pre-payment Clinical Validation
• New Portal Features: Edit your authorization online, add attachments,get real-time status and more
• Reinstatement of Prior Authorization Requirements
• New Coding Integrity Guidelines
• Maternal and Child Health Personal Concierge STEPS Program
• Claims & Payment Policy (#148): Post-Payment Review Policy
• Claims & Payment Policy (#145): Incorrect Billing for Severe Malnutrition 
• SafeLink Wireless Lifeline Program
• CHFS offers resources for diagnosis/treatment of 2019-nCoV (Novel Coronavirus)
• Claims & Payment Policy (#150): 340B Drug Payment Reduction Policy
• Dialysis Claims Payment Policy
• Notice of Kentucky Medicaid Legislative Changes Impacting DME Providers
• New Urine Drug Testing Guidelines
• Updates to Prior Authorization Requirements