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Transmittals

  • OTC COVID-19 Test100-20
  • Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment
  • Influenza Vaccine Payment Allowances - Annual Update for 2023-2024 Season
  • Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger Accounting System (HIGLAS)
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 UpdateInternational Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update
  • Annual Clotting Factor Furnishing Fee Update 2024
  • New Place of Service (POS) Code 27 - "Outreach Site/Street”
  • Quarterly Update to Home Health (HH) Grouper
  • January 2024 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder
  • Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2023 Update
  • Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE
  • User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Display Edit/Audit and CWF Error Code Override Information on the MCS Desktop Tool (MCSDT)
  • Amending sections 20.2.2 and 20.2.3 to update information on the state Medicaid agency contracts and addition of new Section 90, 90.1, 90.2, 90.2.1 and 90.3 on SNP Health Risk Assessment Screening Requirement.
  • Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger Accounting System (HIGLAS)
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 UpdateInternational Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update
  • Annual Clotting Factor Furnishing Fee Update 2024
  • New Place of Service (POS) Code 27 - "Outreach Site/Street”
  • Quarterly Update to Home Health (HH) Grouper
  • Combined Common Edits/Enhancements Modules (CCEM) Code Set Update
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