Medicaid Bulletin

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.

Continued Eligibility Reviews and Bonus Payments

For dates of service beginning April 1, 2022, the ICF-IID provider assessment per licensed bed day will increase to $27.30.

Changes include Medicaid for Pregnant Women coverage for 12 months postpartum.

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

Acute Hospital at Home program sunsetting next week

New Legislation Extends Medicaid for Pregnant Beneficiaries from 60 Days to 12 Months After Birth Effective April 1, 2022.