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Serving Wyoming Medicaid Providers

 

 

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

4/14/14  Updated CLIA Tables

1/30/14  Taxonomy 171M00000X added to codes H2017 and H2017+EP for Community

   Mental Health Centers and T1012 for Substance Abuse Centers.

Effective Dates of Service: January 1, 2013 to December 31, 2014

Physician Attestation is a requirement of the ACA to receive supplemental payments; as such Wyoming Medicaid is providing a self-attestation form for the Wyoming Medicaid primary care physicians to print and complete by September 30, 2013 to be retroactive to January 1, 2013.

PCP Attestation Information/Form

This Physician Attestation will be replacing the current Incentive Payment Program for the years 2013 and 2014.


CMS 1500 Provider Bulletins

Updated CLIA Information
Wyoming Medicaid ICD-10 Information
New CMS-1500-Claim Form Bulletin 3.12.14
Sample CMS-1500 (2-12) Form
PCP Attestation Rate Table 2014
PCP Attestation Rate Table 2013
Updated Genetic Testing Codes Require PA Effective 1.1.14
1st Qtr 2014 Health Check Newsletter
V2020 Reimbursement Change 12.6.13
DMEPOS Codes E1399 and K0108 12.2.13
Medicaid and Kid Care Application Changes 9.10.13
PDAP Oxygen Termination 7.1.13
Obstertric Rate Change Email
90863 Mental Health code Requiring Adjustments 6.21.13
Obstetric Rate Changes RA Banner 6.21.13
Changes to Obstertric Rates 6.19.13
New Obstetric Rates for 22 Obstetric Procedure Codes 6.19.13 
Change in 90460 Reimbursement Rate
Depo Code Change
Immunization State Letter
Medicaid Co-pay Prior Authorization and Vision Policy Changes Plus 2012 Summary of Changes
PB 2011-01 Medicare and TPL 1-5-11 (v2)
Recovery Audit Contractor Information and Training Opportunities 5.10.13
Reimbursement Change on Contact Lenses
Wyoming Medicaid Fraud/Program Integrity Information

 

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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