59 Search results for " authorization"

  1. September 2016 Medicaid Bulletin Available

    • Sep 2, 2016
    • Category: Provider Announcements - 2016

    ... ent of Mid-Level Providers - Procedures for Prior Authorization of Synagis for Respiratory Syncytia...

  2. Latest Medicaid Pharmacy Newsletter Available

    • Aug 31, 2016
    • Category: 2013-2016 Pharmacy Announcements

    ... f Ulesfia Lotion Terminated - Procedures for Prior Authorization of Synagis for Respiratory Syncytia...

  3. Bypass for PA Edit When Medicare is Primary Payor

    • Aug 11, 2016
    • Category: Provider Announcements - 2016

    ... e claim for Medicare do not require Medicaid prior authorization (PA). A previously identified issue...

  4. July 2016 Medicaid Bulletin Available

    • Jul 5, 2016
    • Category: Provider Announcements - 2016

    ... atient Specialized Therapy Claim Denials for Prior Authorization - Pharmacy Reimbursement Methodol...

  5. Claim Issue for Outpatient Specialized Therapy Services

    • May 24, 2016
    • Category: Provider Announcements - 2016

    ... PATIENT SPECIALIZED THERAPY SERVICES REQUIRE PRIOR AUTHORIZATION. In these cases, the benefit health...

  6. Update on Outpatient Specialized Therapy Claims and PA

    • Apr 29, 2016
    • Category: Provider Announcements - 2016

    ... d Therapy claims will deny when the required prior authorization (PA) has been denied or has expired...

  7. Reminder - TPL bypass for High Tech Imaging (eviCore) Claims

    • Apr 22, 2016
    • Category: Secondary Claims Announcements

    ... aims denying in error for lack of an eviCore prior authorization when retroactive changes have been ...
    ... licy 1K-7 for the list of codes that require prior authorization for high tech imaging.   * I...

  8. April 2016 Medicaid Bulletin Available

    • Apr 4, 2016
    • Category: Provider Announcements - 2016

    ... nge in Processing of Accounts Receivable - Prior Authorization for Outpatient Specialized Therapie...

  9. New DME Edit for HCPCS code E0483

    • Jan 29, 2016
    • Category: Provider Announcements - 2016

    ... " is listed as Lifetime. The device requires Prior Authorization. Once prior authorization has been ...

  10. TPL bypass for High Tech Imaging (eviCore) Claims

    • Jan 29, 2016
    • Category: Secondary Claims Announcements

    ... aims denying in error for lack of an eviCore prior authorization when retroactive changes have been ...
    ... licy 1K-7 for the list of codes that require prior authorization for high tech imaging.   * I...

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