Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

States must revalidate the enrollment of all providers at least every five years to ensure the information on record is accurate and current.

Look for details on training in June related to these changes.

Forum to be held Tuesday, June 25 in Concord.

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

The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.

Updates on the Sandata mobile app, telephony and fixed visit verification.

Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.