Medicaid Policy Bulletins 2007

Policy Bulletins

This page contains policy bulletins issued in 2007. 

For other years of approved Medicaid Policy Bulletins, click here. 

For Notices of Proposed Policy, click here 

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Issue Date  Bulletin Number 

Subject 

December 2007  MSA 07-69  Sanctioned Providers Update 
December 21, 2007  MSA 07-68  Accreditation Commission for Health Care 
December 1, 2007  MSA 07-67  Adult Benefits Waiver Enrollment  
December 1, 2007  MSA 07-66   Outpatient Prospective Payment System Reduction Factor 
December 1, 2007  MSA 07-65  Rebasing DRG Rates; DRG Grouper Update; Per Diem Rates Update  
December 1, 2007  MSA 07-64  Updates to the Medicaid Provider Manual  
December 1, 2007  MSA 07-63  January 1, 2008 HCPCS New & Discontinued Procedure Codes; New Coverage of Existing HCPCS Codes 95930, E2310, E2311 & L8509; Retroactive End-Date for Discontinued HCPCS Codes S0820 & S2250; End-Date Coverage of HCPCS Code G0377 
December 1, 2007  MSA 07-62  Quality Assurance Assessment Program (QAAP) Collections 
December 1, 2007  MSA 07-61  Reporting National Drug Codes by Outpatient Hospitals 
December 1, 2007  MSA 07-60  Graduate Medical Education (GME) and Disproportionate Share Hospital (DSH) Payment Delays 
November 8, 2007  MSA 07-59  Beneficiary Identification Numbers 
November 1, 2007  MSA 07-58  Home Help Services in the Workplace 
October 1, 2007  MSA 07-57  Revised Dental Prior Authorization Form (MSA-1680-B) 
October 1, 2007   MSA 07-56   Delayed Implementation and Clarification of Tamper Resistant Prescription Pad Requirement; NPI Pharmacy Compliance Plan 
October 1, 2007  MSA 07-55  Refill Restriction for Narcotic Analgesics 
October 1, 2007  MSA 07-54  Beneficiary ID Numbers 
October 1, 2007  MSA 07-53  Revision of Ambulance Base Rate Billing Policy 
September 1, 2007  MSA 07-52   Revisions to the Mental Health and Substance Abuse Chapter  
September 1, 2007  MSA 07-51  Clarification on Use of Tamper Resistant Prescription Pads 
September 1, 2007  MSA 07-50  Updates to the Medicaid Provider Manual 
August 2007  MSA 07-49  Sanctioned Providers Update 
September 1, 2007  MSA 07-48  MDCH NPI Implementation with End of Contingency Plan; MDCH NPI Reporting Requirements for Ambulance Service Claims; NPI Pharmacy Compliance Plan; Revised MDCH NPI Edits for Primary and Secondary Provider Fields; Electronic 835 and MDCH Paper Remittance Advice; Verification of Beneficiary Eligibility 
September 1, 2007  MSA 07-47  Facility Innovative Design Supplemental (FIDS) Program for Inpatient Long Term Care Facilities 
September 1, 2007  MSA 07-46  Managed Care Documentation for Full Cost for Reimbursement Reconcilitation Reports 
September 1, 2007  MSA 07-45  Single Point of Entry (Long Term Care Connection) Demonstration Project 
September 1, 2007  MSA 07-44  CSHCS Application for Insurance Premium Payment 
September 1, 2007  MSA 07-43  CSHCS Travel Assistance Reimbursement Process 
August 2, 2007  MSA 07-42  Quality Assurance Supplement Reduction 
July 25, 2007  MSA 07-41  Outpatient Prospective Payment System Reduction Factor 
July 25, 2007  MSA 07-40  Tamper Resistant Prescription Pads 
July 18, 2007  MSA 07-39  Inpatient Hospital Payment Reduction 
July 2007  MSA 07-38  Sanctioned Providers Update 
July 1, 2007  MSA 07-35  FIDS Program for Inpatient LTC Facilities 
June 29, 2007  MSA 07-37  MOMS Guarantee of Payment Letter (DCH-1164), and E-Application Update 
June 29, 2007  MSA 07-36  Nursing Facility Return of Unused Drugs 
June 29, 2007  MSA 07-32  Elimination of the Long Term Care Eligibility List - Report Number FM-160 
June 22, 2007  MSA 07-34  Medicaid Health Plan Rate Development and Certification 
June 15, 2007  MSA 07-33  Reporting National Drug Codes for Physician Administered Drugs on Electronic and Paper Formats 
June 1, 2007  MSA 07-31  Updates to the Medicaid Provider Manual 
June 1, 2007  MSA 07-29  HCPCS Procedure Code Updates 
June 1, 2007  MSA 07-28  Change in Warrant Issue Date; New Automated Provider Enrollment System 
June 1, 2007  MSA 07-24  Changes to CSHCS Application and Payment Agreement Policy 
May 29, 2007  MSA 07-30  FY 07 Fee Reductions 
May 2007  MSA 07-25  Clarification of Reimbursement for Services by Out of State/Beyond Borderland Providers 
May 15, 2007  MSA 07-27  Automatic Refills of Medical Supplies 
May 15, 2007  MSA 07-26  Social Worker Licensure 
May 1, 2007  MSA 07-23  FY 07 Fee Reductions 
April 25, 2007  MSA 07-22  MDCH Contingency Plan for NPI Implementation; New MDCH Edits for Validating NPI; B2B Testing Process for NPI; NPI Pharmacy Compliance Plan; Verification of Beneficiary Eligibility 
April 2007  MSA 07-21  Sanctioned Providers Update 
April 2007  MSA 07-20  Policy for Hospitals to order Diapers under the Volume Purchase Contract for Fee For Service Beneficiaries prior to Discharge 
March 30, 2007  MSA 07-19  Incorrect Fax Number for the Program Review Division Issued Under Bulletin MSA 07-11 
March 28, 2007  MSA 07-18  Implementation Delay of the CMS 1500 (08/05) Paper Claim Form 
March 27, 2007  MSA 07-17  Reporting the NPI with Prescription Orders and Prescription Drug Claims 
March 20, 2007  MSA 07-15  Multi-Ingredient Compound Drug Claim Submissions 
March 2007  MSA 07-16  Sanctioned Providers Update 
March 1, 2007  MSA 07-14  Updates to the Medicaid Provider Manual 
March 1, 2007  MSA 07-13  MDCH Claim Editing for Type of Bill Codes, Implementation of the UB 04, MDCH Clarification of UB 04 Data Elements (Including NPI), Guidelines for Submitting Paper Test Claims, and Revisions to the Billing and Reimbursement for Institutional Providers Chapter 
February 16, 2007  MSA 07-12  Outpatient Prospective Payment System(OPPS) - Financial/Reimbursement 
February 15, 2007  MSA 07-11  Private Duty Nursing Accreditation 
February 15, 2007  MSA 07-10  Licensure of Audiologists; Hearing Aid Dealer Enrollment Requirements 
February 1, 2007  MSA 07-09  Implementation of the CMS 1500, New Claim Completion Instructions, Guidelines for Submitting Paper Test Claims, and Revisions to Billing and Reimbursement for Professionals Chapter 
February 1, 2007  MSA 07-08  Increase in Cost of Premium for MIChild Enrollment 
February 1, 2007  MSA 07-07  Observation Care Services 
January 28, 2007  MSA 07-05  Revision of PASARR Forms DCH-3877 and DCH-3878 
January 2007  MSA 07-06  HCPCS Code and Reimbursement for Incontinent Wipes 
January 2007  MSA 07-04  Sanctioned Providers Update 
January 1, 2007  MSA 07-03  Denial of Care or Services for Failure to Pay Co-Payments 
January 1, 2007  MSA 07-02  Implementation of the ADA 2006 Claim Form; Implementation and use of NPI on Claim Form