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CMS 1500 Provider Manual and Bulletins

 

CMS 1500 Provider Manual

CMS-1500 Provider Manual Updated
To search for specific information within the PDF document, select Ctrl F on your keyboard and type your keyword in the find box.

 

Important Policy Changes/Additions

The changes below are some of the major changes to the manual, however there are additional changes that have not been listed. Please note that due to some of these changes, other Chapters/Sections in the previous manuals may have been changed. To be sure you have the most current information available please download, print or save a copy for your records.

Update
Chapter/Section
Page

Updated policy on reimbursement for contact lenses

10.15.25.2.3   10-115

CMS 1500 Provider Bulletins

Change in 90460 Reimbursement Rate
1st Qtr 2013Health Check
Depo Code Change
Reimbursement Change on Contact Lenses
Wyoming Medicaid Fraud/Program Integrity Information
Medicaid Co-pay Prior Authorization and Vision Policy Changes Plus 2012 Summary of Changes
PB 2011-01 Medicare and TPL 1-5-11 (v2)
Immunization State Letter

 

Additional Links

Medicaid and State Healthcare Benefit Plans: Provides client benefit plan names, descriptions, eligibility limitations, coverage types and coverage limitations. This information is useful when determining if a client is eligible for services.
NDC Crosswalk : Provides a listing of the drug related procedure codes requiring an NDC. The listing provides the NDC, HCPCS (J codes), HCPCS and NDC descriptions, effective dates, end dates, and if applicable for Medicare crossovers only.


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