Topics Related to Bulletins

Withdrawal Management Policies Delayed
The audit will sample fee-for-service claims collected for a full year – July 1, 2024, through June 30, 2025.
Recent State Plan Amendment outlines duties of a responsible third party
New separately reimbursable CPT codes in the ambulatory surgery setting
Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.
Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.
Updates on the Sandata mobile app, telephony and fixed visit verification.
The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.
The next review panel meeting is April 11, 2024