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CMS 1500 Provider Manual and Bulletins


CMS 1500 Provider Manual

CMS-1500 Provider Manual (Effective 4.1.17)

Provider Medicaid and State Health Care Benefit Plan 1.1.17

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

Manual Updates

CMS-1500 Provider Manual (Effective 2.3.17)
CMS-1500 Provider Manual (Effective 1.6.17)
CMS-1500 Provider Manual (Effective 1.1.17)
CMS-1500 Provider Manual Q4 2016 (Valid 10/1/16 - 12/31/16)
CMS-1500 Provider Manual Q3 2016 (Valid 7/1/16 - 9/30/16)
CMS-1500 Provider Manual Q2 2016 (Valid 4/1/16 - -6/30/16)
CMS-1500 Provider Manual Q1 2016 (Valid 1/1/16 - 3/31/2016)








CMS 1500 Provider Bulletins

2017 Provider Bulletins


Vision Workshops 2017
Workshops Bulletin
Q2 Manual Changes Bulletin
340B Policy Letter
Medicare Pricing
Colorectal Cancer Screening Program
Discontinuing of the MH & SA Option Manual Bulletin
Physician Administered Drugs 2.1.17
Child Development Center Enrollment Requirements 1.26.17

2016 Provider Bulletins

NDC RA Banner
Ordering, Referring, or Prescribing Provider Required on Claim
External Cause Codes
Cap Limit Changes
DMEPOS Face to Face Visit Requirements
Ambulance Trip Report WATRS
Medicare Cross Over Policy
Wyoming Medicaid Budget Cuts
Policy Updates Regarding Presumptive Eligibility and Benign Lesions
Wyoming Medicaid Critical Contact Information Policy Update
Dietitian Covered Services
Documentation Standards
Additional Budget Cut Details
Wyoming Medicaid Budget Reduction Plan
Access Review Monitoring Plan
Immunization Conference Presentation 5.11.16
Ordering, Referring, Prescribing Provider Claims Requirements
1st Qtr 2016 Health Check Newsletter
Wyoming Medicaid Genetic Testing PA Requirements 2.29.16



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