Transmittals

Implementing Home Health Travel Reimbursement Payment Changes for FCHIP (Frontier Community Health Integration Project) Mandated by section 123 of MIPPA 2008 and as amended by section 3126 of the ACA 2010

Implementation of the Intravenous Immune Globulin (IVIG) demonstration - Processing for home health service overlap editing

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

Implementation of New NUBC Condition Code “53” “Initial placement of a medical device provided as part of a clinical trial or a free sample”

Implementation of New NUBC Condition Code “53” “Initial placement of a medical device provided as part of a clinical trial or a free sample”

April 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

April 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Review Timeliness Requirements for Prepay Review

New Timeframe for Response to Additional Documentation Requests

Payment Codes on Home Health Claims Will Be Matched Against Patient Assessments

Continued Use of Modifier 59 after January 1, 2015

International Classification of Diseases, Tenth Revision (ICD-10) Limited End-to-end Testing with Submitters for 2015

International Classification of Diseases, Tenth Revision (ICD-10) Limited End-to-end Testing with Submitters for 2015

Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens

Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd Qtr Notification for FY 2015

Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Proces

Emergency Update to the CY 2015 Medicare Physician Fee Schedule Database (MPFSDB)

New Additions to State Medicaid Manual (SOM) Psychiatric Residential Treatment Facility (PRTF) Chapter 2

New to State Operations Manual (SOM), Appendix N- Psychiatric Residential Treatment Facilities (PRTF) Interpretive Guidance