Wyoming

  Medicaid

 
Home

 

Provider Welcome

 

Provider Portal

 

Provider Manuals and Bulletins

 

Provider Enrollment

 

Provider Locator

 

CMS Reenrollment

 

Browsers

 

Contact Us

 

FAQs

 

Fee Schedules Fee Schedules

 

Forms

 

HIPAA

HIPAA 5010

ICD10

 

Interpretation Services Interpretation Services

 

Links

 

Medicare Part D

 

NDC Billing Requirement

 

 

OPPS OPPS Information

 

Training Provider Training

 

Senate Enrolled Act 49

 

Vendor Services

 

Web Portal Tutorials

 

WINASAP

 

What's New

Serving Wyoming Medicaid Providers

 

 

CMS 1500 Provider Manual and Bulletins

 

CMS 1500 Provider Manual

CMS-1500 Provider ManualUpdated
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

8/15/14 Updated Cap Limit Waiver Form., Prior Authorization Request Form, and updated Genetic Testing section 10.14.2.2 to include OB/GYN.

7/15/14 Updated Ambulance Basic Life Support Section

7/02/14 Updated procedure code range for Genetic Testing Section 10.14.2

07/01/14 Updated ASC Section 10.6, updated Mental Health Section 10.15.18

06/01/14 Updated covered codes under Section 10.16.5 Pregnant by Choice Covered Codes
05/14/14 Replaced old CMS 1500 claim form and examples with new form throughout the manual

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

Independent Enrollment of Licensed Mental Health Professionals 6.27.14
New CMS-1500 Claim Form Reminder 6.23.14
Ambulatory Surgical Center's Reimbursement Methodology
2014 Provider Attestation Rate Change
CMS Claim Form Bulletin 5.14.14
Changes to TC and 26 Modifier Reimbursement
On-line/Web Re-enrollment 5.1.14
Updated CLIA Information
Newborn Baby 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
UpdatedGenetic Testing Codes Require PA Effective 1.1.14
2nd  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.

Carrier Code List: List of Insurance Carrier Codes and Names