Blog Entry List

Optional Eligibility Group and HRSA Group are different
Clinical Coverage Policy 1E-6, Pregnancy Medical Home is being replaced with Pregnancy Management Program effective July 1, 2021.
CMS PERM audit educational provider webinar to be held in April 2022
Effective May 1, 2022, claims with Rev Code 025x and 063x will deny without appropriate documentation of NDC and HCPCS codes.
Changes include Medicaid for Pregnant Women coverage for 12 months postpartum.
For dates of service beginning April 1, 2022, the ICF-IID provider assessment per licensed bed day will increase to $27.30.
Continued Eligibility Reviews and Bonus Payments
Behavioral health services to transition to Tailored Plans in December 2022
Coverage date has been extended from March 31, 2022, to the end of the federal Public Health Emergency
March 2022 detail on continuing, end-dating and revised rates
New Legislation Extends Medicaid for Pregnant Beneficiaries from 60 Days to 12 Months After Birth Effective April 1, 2022.
Acute Hospital at Home program sunsetting next week
End-date of some flexibilities set to sunset March 31 extended to June 30, 2022
Includes HCPCS Code G2214 and Revision to Definition of Behavioral Health Care Manager
Key dates, playbook updates, coverage for pregnant beneficiaries extended to 12 months and more