provider type 14 billing guide

See Inpatient Prospective Payment System (IPPS) on the Hospital reimbursement page. In 2017 the NV Legislature passed Assembly Bill 108 which, starting in 2018, requires NV Medicaid to perform a comprehensive rate review for each provider type at least once every four . Provider Type 30 and 83 Personal Care Services - 8/15/20* Provider Type 32. Discontinued 3/31/2013. Use the ProviderOne portal to see if a client is eligible for the service and the billing guides and fee schedules to determine if a PA is required. lock <> Some organizational providers are required to pay an application fee. ) Date: 12/05/18. How do I notify PEBB that my loved one has passed away? For fee schedule and rate questionsEmail:ProfessionalRates@hca.wa.gov, For all other provider questionsMedical Assistance Customer Service Center (MACSC)Online: secure formPhone: 1-800-562-3022, Website feedback: Tell us how were doing, Copyright 2022 Washington Health Care Authority, I help others apply for & access Apple Health, Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services & supports (LTSS) manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. For previous versions, email us applehealthpharmacypolicy@hca.wa.gov. Medical Assistance Customer Service Center (MACSC)Online: secure formPhone: 1-800-562-3022, Website feedback: Tell us how were doing, Copyright 2022 Washington Health Care Authority, I help others apply for & access Apple Health, Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services & supports (LTSS) manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. The Noridian Quick Reference Billing Guide is a compilation of the most commonly used coding and billing processes for Medicare Part A claims. These may specify that the buyer has a maximum number of days to pay and is sometimes offered a discount if paid . Critical Access Hospitals. This page contains billing guides, fee schedules, and additional billing materials to help you submit: Coronavirus (COVID-19) information. means youve safely connected to the .gov website. For outpatient and other Part B services, the UPIN must be present if the "From" date is January 1, 1992, or later. An official website of the United States government You can decide how often to receive updates. Note: We make updates as needed to reflect current policy, program updates, and ProviderOne system enhancements. Contact; 855-609-9960 IVR Guide Fax Us Mail Us . Provider Type 64 Billing Guide Updated 04/21/2021 Provider Type 64 Billing Guide pv 12/03/2019 1 / 4 Hospice The Hospice program is designed to provide support and comfort for Medicaid-eligible recipients who have a terminal illness and have decided to receive end of life care. %PDF-1.5 % ^ T`` WaT They are presented here for your convenience. This is a billing reference guide for Inpatient Psychiatric Facility (IPF) to assist providers with regulations and billing claims. Enrollment as a Medicaid provider includes completion of an online application and uploading supporting documentation ( i.e., W9's, licensure/certification information and other information specific to the type of provider). This provider type was last subject to a rate review* on : 11/2016 Note: Specialty Proc Mod Desc Rate Rate Begin Date 300 90785 Psytx complex interactive 4.40 1/1/2013 300 90791 Psych diagnostic evaluation 139.46 1/1/2013 300 90792 Psych diag eval w/med srvcs 113.76 1/1/2013 300 90832 PSYTX W PT 30 MINUTES 57.78 1/1/2013 Clinical Labs. Pharmacy. 3 0 obj Official websites use .govA On-campus facilities (within 250 yards) must follow all rules stated under Section (d). Exhibit 14-2, Non-emergency Medical Transport Daily Trip Report Instructions; Exhibit 14-3, Tribal Contact Information; Exhibit 14-4 . Stay up-to-date with rate andbilling changes, and ProviderOne system changes. Receive accurate payments for covered services. Questions? How do I notify PEBB that my loved one has passed away? lock Provider Type 11 Billing Guide Updated 02/16/2022 Provider Type 11 Billing Guide pv02/03/2020 Page 2 of 11 Hospital, Inpatient Complete form FA-12 (request for initial inpatient psychiatric review and detoxification) and submit through the Provider Web Portal. After you complete a service, you file claims through the ProviderOne portal. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19), Information about novel coronavirus (COVID-19) webpage, October 1, 2022 to present ABCD billing guide, July 1, 2022 to September 30, 2022 ABCD billing guide, April 15, 2022 to June 30, 2022 ABCD billing guide, July 1, 2022 to present Acute physical medicine and rehabilitation billing guide, October 1, 2020 to June 30, 2022 Acute physical medicine and rehabilitation billing guide, January 1, 2020 to September 30, 2020 Acute physical medicine and rehabilitation billing guide, View all acute physical medicine and rehabilitation billing guides, July 1, 2022 to present Alien Medical Program billing guide, January 1, 2022 to June 30, 2022 Alien Medical Program billing guide, April 1, 2021 to December 31, 2021 Alien Medical Program billing guide, View all Alien Medical Program emergency assistance billing guides, January 1, 2021 to present Ambulance transportation billing guide, July 1, 2020 to December 31, 2020 Ambulance transportation billing guide, April 1, 2020 to June 30, 2020 Ambulance transportation billing guide, View all ITA transportation billing guides, July 1, 2022 to present Ground Emergency Medical Transportation (GEMT) billing guide, October 1, 2020 to June 30, 2022 Ground Emergency Medical Transportation (GEMT) billing guide, January 1, 2020 to September 30, 2020 Ground Emergency Medical Transportation (GEMT) billing guide, July 1, 2021 to present Ambulance transportation, February 29, 2020 to June 30, 2021 Ambulance transportation, July 1, 2019 to February 28, 2020 Ambulance transportation, December 1, 2016 to June 30, 2019 Ambulance transportation, January 1, 2006 to November 30, 2016 Ambulance transportation, July 1, 2022 to present ACS billing guide, July 1, 2021 to June 30, 2022 ASC billing guide, October 1, 2020 to June 30, 2021 ASC billing guide, April 1, 2022 to present ASC fee schedule, October 1, 2021 to March 31, 2022 ASC fee schedule, March 1, 2021 to September 30, 2021 ASC fee schedule, October 1, 2022 to present ABA billing guide, August 1, 2022 to September 30, 2022 ABA billing guide, April 29, 2022 to July 31, 2022 ABA billing guide, July 1, 2022 to present ABA fee schedule, July 1, 2021 to June 30, 2022 ABA fee schedule, July 1, 2020 to June 30, 2021 ABA fee schedule, ABA COE fee-for-service provider directory, July 1, 2022 to present Blood bank fee schedule, July 1, 2021 to June 30, 2022 Blood bank fee schedule, July 1, 2020 to June 30, 2021 Blood bank fee schedule, View all Blood Bank services fee schedules, January 1, 2022 to present CUP program billing guide, October 1, 2020 to December 31, 2021 CUP women program billing guide, July 1, 2019 to September 30, 2020 CUP women program billing guide, Inpatient Prospective Payment System (IPPS), October 1, 2020 to present Childbirth education billing guide, April 1, 2019 to September 30, 2020 Childbirth education billing guide, October 1, 2017 to March 31, 2019 Childbirth education billing guide, View all childbirth education billing guides, January 1, 2007 to present Childbirth education, July 1, 2022 to present Chiropractic services billing guide, October 1, 2020 to June 30, 2022 Chiropractic services billing guide, January 1, 2020 to September 30, 2020 Chiropractic services billing guide, View all chiropractic services for children billing guides, July 1, 2022 to present Chiropractic services for children fee schedule, July 1, 2021 to June 30, 2022 Chiropractic services for children fee schedule, July 1, 2020 to June 30, 2021 Chiropractic services for children fee schedule, View all chiropractic services for children fee schedules, July 1, 2022 to present CRT products and services billing guide, January 1, 2022 to June 30, 2022 CRT products and services billing guide, October 1, 2020 to December 31, 2021 CRT products and services billing guide, July 1, 2022 to present CRT fee schedule, April 1, 2022 to June 30, 2022 CRT fee schedule, July 1, 2021 to March 31, 22 CRT fee schedule, October 1, 2022 to present Social services blanket codes, September 1, 2021 to September 30, 2022 Social services blanket codes, November 17, 2020 to August 31, 2021 Social services blanket codes, July 1, 2022 to present COVID-19 fee schedule, January 1, 2022 to June 30, 2022 COVID-19 fee schedule, July 1, 2021 to December 31, 2021 COVID-19 fee schedule, October 12, 2022 to present Apple Health COVID-19 vaccine policy, September 15, 2022 to October 11, 2022 Apple Health COVID-19 vaccine policy, August 1, 2022 to September 14, 2022 Apple Health COVID-19 vaccine policy, September 14, 2022 to present Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, August 19, 2022 to September 13, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, May 10, 2022 to August 18, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, April 12, 2022 to May 9, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, March 23, 2022 to April 11, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, View all Monoclonal Antibody Treatment COVID-19 clinical policies, March 4, 2022 to present Apple Health COVID-19 testing clinical policy, January 24, 2022 to March 3, 2022 Apple Health COVID-19 testing clinical policy, October 1, 2021 to January 23, 2022 Apple Health COVID-19 testing clinical policy, View all COVID-19 testing clinical policies, Access to Baby and Child Dentistry (ABCD), October 1, 2022 to present Dental-related services program billing guide, August 1, 2022 to September 30, 2022 Dental-related services program billing guide, July 1, 2022 to July 31, 2022 Dental-related services program billing guide, July 1, 2022 to present Oral Health Connections pilot project billing guide, January 1, 2022 to June 30, 2022 Oral Health Connections pilot project billing guide, October 1, 2020 to December 31, 2021 Oral Health Connections pilot project billing guide, View all OHC pilot project billing guides, July 1, 2022 to present Mobile anesthesia for dental services billing guide, October 1, 2022 to present Dental program fee schedule, July 1, 2022 to September 30, 2022 Dental program fee schedule, January 1, 2022 to June 30, 2022 Dental program fee schedule, July 1, 2022 to present Diabetes education program billing guide, July 1, 2021 to June 30, 2022 Diabetes education program billing guide, April 1, 2021 to June 30, 2021 Diabetes education program billing guide, View all Diabetes Education Program billing guides, July 1, 2022 to present Diabetes education, July 1, 2021 to June 30, 2022 Diabetes education, July 1, 2020 to June 30, 2021 Diabetes education, View all diabetes education fee schedules, Medical Equipment and Supplies billing guide, January 1, 2019 to March 31, 2019 DME and non-CRT wheelchairs billing guide, October 1, 2018 to December 31, 2018 DME and non-CRT wheelchairs billing guide, July 1, 2018 to September 30, 2018 DME and non-CRT wheelchairs billing guide, Medical Equipment and Supplies fee schedules, January 1, 2019 to March 31, 2019 Other DME fee schedule, January 1, 2019 to March 31, 2019 Wheelchairs and accessories fee schedule, View all DME social services blanket codes, July 1, 2022 to present EPSDT program billing guide, April 1, 2022 to June 30, 2022 EPSDT program billing guide, April 1, 2021 to March 31, 2022 EPSDT program billing guide, July 1, 2022 to present EPSDT fee schedule, July 1, 2021 to June 30, 2022 EPSDT fee schedule, July 1, 2020 to June 30, 2021 EPSDT fee schedule, September 1, 2022 to present Enteral nutrition billing guide, July 1, 2022 to August 31, 2022 Enteral nutrition billing guide, April 1, 2021 to June 30, 2022 Enteral nutrition billing guide, View all enteral nutrition billing guides, July 1, 2022 to present Enteral nutrition fee schedule, July 1, 2021 to June 30, 2022 Enteral nutrition fee schedule, July 1, 2020 to June 30, 2021 Enteral nutrition fee schedule, July 1, 2022 to present Family planning billing guide, February 1, 2022 to June 30, 2022 Family planning billing guide, October 1, 2021 to January 31, 2022 Family planning billing guide, October 1, 2022 to present Family planning fee schedule, July 1, 2022 to September 30, 2022 Family planning fee schedule, January 1, 2022 to June 30, 2022 Family planning fee schedule, July 1, 2022 to present SRHP fee schedule, October 1, 2021 to June 30, 2022 SRHP fee schedule, Physician-Related Services/Health Care Professional Services Billing Guide, Physician administered drugs fee schedule, Family planning only program telemedicine services offered during the COVID-19 outbreak, Family planning client application (form 13-781), October 1, 2022 to present FQHC billing guide, August 1, 2022 to September 30,2022 FQHC billing guide, July 1, 2022 to July 31, 2022 FQHC billing guide, October 1, 2022 to present FQHC encounterrates, July 1, 2022 to September 30, 2022 FQHC encounter rates, April 1, 2022 to June 30, 2022 FQHC encounter rates, October 1, 2022 to present FQHC enhancement rates, July 1, 2022 to September 30, 2022 FQHC enhancement rates, April 1, 2022 to June 30, 2022 FQHC enhancement rates, August 1, 2022 to present Habilitative services program billing guide, July 1, 2022 to July 31, 2022 Habilitative services program billing guide, January 1, 2022 to June 30, 2022 Habilitative services program billing guide, View all habilitative services billing guides, July 1, 2022 to present Habilitative services, July 1, 2021 to June 30, 2022 Habilitative services, January 1, 2021 to June 30, 2021 Habilitative services, View all habilitative services fee schedules, April 1, 2022 to present Hearing hardware billing guide, November 1, 2020 to March 31, 2022 Hearing hardware billing guide, October 1, 2020 to October 31, 2020 Hearing hardware billing guide, July 1, 2022 to present Hearing hardware fee schedule, April 1, 2022 to June 30, 2022 Hearing hardware fee schedule, July 1, 2021 to March 30, 2022 Hearing hardware fee schedule, April 1, 2022 to present HIV/AIDS case management billing guide, April 1, 2021 to March 31, 2022 HIV/AIDS case management billing guide, October 1, 2020 to March 31, 2021 HIV/AIDS case management billing guide, July 1, 2018 to present HIV/AIDS case management, July 1, 2022 to present Home health (acute care services) billing guide, April 1, 2022 to June 30, 2022 Home health (acute care services) billing guide, February 1, 2022 to March 31, 2022 Home health (acute care services) billing guide, View all home health services billing guides, July 1, 2022 to present Home health fee schedule, January 1, 2022 to June 30, 2022 Home health fee schedule, July 1, 2021 to December 31, 2021 Home health fee schedule, View all home health services fee schedules, October 1, 2021 to present Home Infusion therapy billing guide, January 1, 2021 to September 30, 2021 Home Infusion therapy billing guide, October 1, 2020 to December 31, 2020 Home Infusion therapy billing guide, View all home infusion therapy and nutrition billing guides, October 1, 2022 to present Home infusion therapy/parenteral nutrition fee schedule, July 1, 2022 to September 30, 2022 Home infusion therapy/parenteral nutrition fee schedule, July 1, 2021 to June 30, 2022 Home infusion therapy/parenteral nutrition fee schedule, View all home infusion therapy/parenteral nutrition fee schedules, July 1, 2022 to present Hospice services billing guide, October 1, 2020 to June 30, 2022 Hospice services billing guide, January 1, 2020 to September 30, 2020 Hospice services billing guide, October 1, 2021 to September 30, 2022 Hospice fee schedule, October 1, 2020 to September 30, 2021 Hospice fee schedule, January 1, 2020 to July 1, 2020 Hospital-based inpatient detoxification billing guide, July 1, 2019 to December 31, 2019 Hospital-based inpatient detoxification billing guide, January 1, 2019 to June 30, 2019 Hospital-based inpatient detoxification billing guide, View all hospital-based inpatient detoxification billing guides, October 1, 2022 to present Inpatient hospital services billing guide, July 1, 2022 to September 30, 2022 Inpatient hospital services billing guide, April 1, 2022 to June 30, 2022 Inpatient hospital services billing guide, View all inpatient hospital billing guides, Guidance for billing MCOs for services provided to newborns, RAC Eligibility Codes for Healthy Options Blind/Disabled (HOBD) Clients, November 1, 2022 to present Interpreter services billing guide, April 1, 2022 to October 31, 2022 Interpreter services billing guide, October 1, 2021 to March 31, 2022 Interpreter services billing guide, July 1, 2022 to present Kidney center services billing guide, January 1, 2022 to June 30, 2022 Kidney center services billing guide, January 1, 2021 to December 31, 2021 Kidney center services billing guide, View all kidney center services billing guides, October 1, 2022 to present Kidney centers fee schedule, July 1, 2022 to September 30, 2022 Kidney centers fee schedules, April 1, 2022 to June 30, 2022 Kidney centers fee schedules, View all kidney center services fee schedules, July 1, 2022 to present Long-term care program billing guide, October 1, 2020 to June 30, 2022 Long-term care program billing guide, January 1, 2020 to September 30, 2020 Long-term care program billing guide, View all long-term acute care billing guides, August 1, 2022 to present MSS/ICM billing guide, July 1, 2022 to July 31, 2022 MSS/ICM billing guide, January 1, 2021 to June 30, 2022 MSS/ICM billing guide, July 1, 2020 to present MSS/ICM fee schedule, January 1, 2020 to June 30, 2020 MSS/ICM fee schedule, October 1, 2015 to December 31, 2019 MSS/ICM fee schedule, October 21, 2022 to present Medical Equipment and Supplies Billing Guide, October 1, 2022 to October 20, 2022 Medical Equipment and Supplies Billing Guide, July 1, 2022 to September 30, 2022 Medical Equipment and Supplies Billing Guide, View all Medical equipment and supplies billing guides, October 1, 2022 to present Medical Equipment and Supplies fee schedule, July 1, 2022 to September 30, 2022 Medical Equipment and Supplies fee schedule, January 1, 2022 to June 30, 2022 Medical Equipment and Supplies fee schedule, View all medical equipment and supplies fee schedules, August 1, 2022 to present Medical nutrition therapy billing guide, July 1, 2022 to July 31, 2022 Medical nutrition therapy billing guide, October 1, 2020 to June 30, 2022 Medical nutrition therapy billing guide, View all medical nutrition therapy billing guides, July 1, 2022 to present Medical nutrition therapy fee schedule, July 1, 2021 to June 30, 2022 Medical nutrition therapy fee schedule, July 1, 2020 to June 30, 2021 Medical nutrition therapy fee schedule, View all medical nutrition therapy fee schedules, October 1, 2022 to present Mental health services billing guide, August 1, 2022 to September 30, 2022 Mental health services billing guide, July 1, 2022 to July 31, 2022 Mental health services billing guide, View all mental health services billing guides, July 1, 2022 to present Mental health and psychology services fee schedule, January 1, 2022 to June 30, 2022 Mental health and psychology services fee schedule, October 1, 2021 to December 31, 2021 Mental health and psychology services fee schedule, View all mental health services fee schedules, July 1, 2022 to present Specialized mental health fee schedule, January 1, 2022 to June 30, 2022 Specialized mental health fee schedule, October 1, 2021 to December 31, 2021 Specialized mental health fee schedule, View all specialized mental health services fee schedules. If this occurs, please refer to the most recent guide. Behavioral Health Outpatient Treatment and Behavioral Health Rehabilitative Treatment . This guide was discontinued July 1, 2020. For telehealth policies and FAQs, see Telehealth on this page. % <>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 19 0 R 20 0 R 26 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 41 0 R 42 0 R 43 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> August 1, 2022 to present Neurodevelopmental centers billing guide, July 1, 2022 to July 31, 2022 Neurodevelopmental centers billing guide, July 1, 2021 to June 30, 2022 Neurodevelopmental centers billing guide, View all neurodevelopmental centers billing guides, July 1, 2022 to present Neurodevelopmental centers fee schedule, July 1, 2021 to June 30, 2022 Neurodevelopmental centers fee schedule, January 1, 2021 to June 30, 2021 Neurodevelopmental centers fee schedule, View all neurodevelopmental centers fee schedules, January 1, 2019 to March 31, 2019 Nondurable medical supplies and equipment billing guides, July 1, 2018 to December 31, 2018 Nondurable medical supplies and equipment billing guides, View all nondurable medical supplies and equipment billing guides, January 1, 2019 to March 31, 2019 Nondurable medical supplies and equipment fee schedule, October 1, 2022 to present Nursing facilities billing guide, July 1, 2022 to September 30, 2022 Nursing facilities billing guide, April 1, 2022 to June 30, 2022 Nursing facilities billing guide, View all nursing facilities billing guides, October 1, 2022 to present Orthodontic services billing guide, July 1, 2022 to September 30, 2022 Orthodontic services billing guide, June 1, 2022 to June 30, 2022 Orthodontic services billing guide, View all orthodontic services billing guides, August 1, 2022 to present Outpatient hospital services billing guide, July 1, 2022 to July 31, 2022 Outpatient hospital services billing guide, April 1, 2022 to June 30, 2022 Outpatient hospital services billing guide, October 1, 2022 to present OPPS fee schedule, July 1, 2022 to September 30, 2022 OPPS fee schedule, April 1, 2022 to June 30, 2022 OPPS fee schedule, January 1, 2022 to March 31, 2022 OPPS fee schedule, October 1, 2021 to December 31, 2021 OPPS fee schedule, August 1, 2022 to present Outpatient rehabilitation billing guide, July 1, 2022 to July 31, 2022 Outpatient rehabilitation billing guide, January 1, 2022 to June 30, 2022 Outpatient rehabilitation billing guide, View all Outpatient Rehabilitation Program billing guides, July 1, 2022 to present Outpatient rehabilitation fee schedule, July 1, 2021 to June 30, 2022 Outpatient rehabilitation fee schedule, January 1, 2021 to June 30, 2021 Outpatient rehabilitation fee schedule, View all Outpatient Rehabilitation Program fee schedules, July 1, 2022 to present Pharmacy Special Services fee schedule, July 1, 2021 to June 30, 2022 Pharmacy Special Services fee schedule, July 1, 2020 to June 30, 2021 Pharmacy Special Services fee schedule, View all pharmacy special services fee schedules, October 14, 2022 to present Physician-related services/health care billing guide, October 1, 2022 to October 13, 2022 Physician-related services/health care billing guide, August 1, 2022 to September 30, 2022 Physician-related services/health care billing guide, View all physician-related/professional services billing guides, October 1, 2022 to present Physician-related services fee schedules, July 1, 2022 to September 30, 2022 Physician-related services fee schedules, April 1, 2022 to June 30, 2022 Physician-related services fee schedules, View all physician-related/professional services fee schedules, July 1, 2022 to present Enhanced pediatric fee schedule, October 1, 2021 to June 30, 2022 Enhanced pediatric fee schedule, July 1, 2021 to September 30, 2021 Enhanced pediatric fee schedule, View all enhanced pediatric fee schedules, July 1, 2022 to present Enhanced adult primary care fee schedule, October 1, 2021 to June 30, 2022 Enhanced adult primary care fee schedule, July 1, 2022 to present Opioid use disorder fee schedule, July 1, 2021 to June 30, 2022 Opioid use disorder fee schedule, January 1, 2021 to June 30, 2021 Opioid use disorder fee schedule, View all medication for opioid use disorder fee schedules, July 1, 2022 to present Conversion factors, July 1, 2021 to June 30, 2022 Conversion factors, July 1, 2020 to June 30, 2021 Conversion factors, Centers of Excellence: organ transplant facilities directory, October 1, 2022 to present Planned home births and births in centers billing guide, June 11, 2022 to September 30, 2022 Planned home births and births in centers billing guide, April 1, 2022 to June 10, 2022 Planned home births and births in centers billing guide, View all planned home births billing guides, July 1, 2022 to present Planned home births and births in centers fee schedule, July 1, 2021 to June 30, 2022 Planned home births and births in centers fee schedule, July 1, 2020 to June 30, 2021 Planned home births and births in centers fee schedule, View all planned home births fee schedules, July 1, 2022 to present Prenatal diagnosis genetic counseling fee schedule, July 2021 to June 30, 2022 Prenatal diagnosis genetic counseling fee schedule, July 1, 2020 to June 30, 2021 Prenatal diagnosis genetic counseling fee schedule, View all prenatal diagnosis genetic counseling fee schedules, April 1, 2022 to present Prescription drug program billing guide, October 1, 2021 to March 31, 2022 Prescription drug program billing guide, September 1, 2021 to September 30, 2021 Prescription drug program billing guide, June 1, 2022 to present Expedited authorization codes and criteria table, December 1, 2021 to May 31, 2022 Expedited authorization codes and criteria table, July 1, 2021 to November 30, 2021 Expedited authorization codes and criteria table, July 1, 2022 to present Private duty nursing for children billing guide, October 1, 2020 to June 30, 2022 Private duty nursing for children billing guide, July 17, 2020 to September 30, 2020 Private duty nursing for children billing guide, View all private duty nursing for children billing guides, January 1, 2020 to present Private duty nursing fee schedule, July 1, 2016 to December 31, 2019 Private duty nursing fee schedule, October 1, 2022 to present Professional administered drug fee schedule, July 1, 2022 to September 30, 2022 Professional administered drug fee schedule, April 1, 2022 to June 30, 2022 Professional administered drug fee schedule, View all professional administered drugs fee schedules, July 1, 2022 to present Prosthetic and orthotic devices billing guide, April 1, 2022 to June 30, 2022 Prosthetic and orthotic devices billing guide, October 1, 2021 to March 31, 2022 Prosthetic and orthotic devices billing guide, View all prosthetic and orthotics billing guides, July 1, 2022 to present Prosthetic and orthotics fee schedule, October 1, 2021 to June 30, 2022 Prosthetic and orthotics fee schedule, July 1, 2021 to September 30, 2021 Prosthetic and orthotics fee schedule, View all prosthetic and orthotics fee schedules, August 1, 2022 to present Respiratory care billing guide, July 1, 2022 to July 31, 2022 Respiratory care billing guide, October 1, 2021 to June 30, 2022 Respiratory care billing guide, July 1, 2022 to present Respiratory care fee schedule, October 1, 2021 to June 30, 2022 Respiratory care fee schedule, July 1, 2021 to September 30, 2021 Respiratory care fee schedule, October 1, 2022 to present Rural health clinics billing guide, August 1, 2022 to September 30, 2022 Rural health clinics billing guide, July 1, 2022 to July 31, 2022 Rural health clinics billing guide, October 1, 2022 to present RHC encounter rates, July 1, 2022 to September 30, 2022 RHC encounter rates, April 1, 2022 to June 30, 2022 RHC encounter rates, October 1, 2022 to present RHCenhancement rates, July 1, 2022 to September 30, 2022 RHC enhancement rates, April 1, 2022 to June 30, 2022 RHC enhancement rates, October1, 2022 to present SBHS billing guide, July 1, 2022 to September 30, 2022 SBHS billing guide, October 1, 2021 to June 30, 2022 SBHS billing guide, July 1, 2022 to present SBHS fee schedule, October 1, 2021 to June 30, 2022 SBHS fee schedule, July 1, 2021 to September 30, 2021 SBHS fee schedule, July 1, 2022 to present Sleep centers billing guide, October 1, 2020 to June 30, 2022 Sleep centers billing guide, January 1, 2020 to September 30, 2020 Sleep centers billing guide, July 1, 2022 to present Sleep centers fee schedule, July 1, 2021 to June 30, 202 Sleep centers fee schedule, July 1, 2020 to June 30, 2021 Sleep centers fee schedule, October 1, 2022 to Present Sterilization billing guide, July 1, 2022 to September 30, 2022 Sterilization supplemental billing guide, October 1, 2021 to June 30, 2022 Sterilization supplemental billing guide, Physician-related/Professional Services Billing Guide, Sterilization Consent Form (HHS-687) (English), Sterilization Consent Form (HHS-687) English large print, Sterilization Consent Form (HHS-687-1) (Spanish), Sterilization Consent Form (HHS-687-1) Spanish large print, October 1, 2022 to present Substance use disorder billing guide, July 1, 2022 to September 30, 2022 Substance use disorder billing guide, April 1, 2021 to June 30, 2022 Substance use disorder billing guide, View all SUD (FFS outside BHO process) billing guides, July 1, 2022 to present Substance use disorder fee schedule, October 1, 2021 to June 30, 2022 Substance use disorder fee schedule, January 1, 2021 to September 30, 2021 Substance use disorder fee schedule, View all substance use disorder fee schedules, November 2, 2022 to present - Apple Health (Medicaid) telemedicine policy and billing, August 1, 2022 to November 1, 2022 Apple Health (Medicaid) telemedicine policy and billing, August 1, 2022 to present Apple Health (Medicaid) physical health audio-only procedure codes, August 1, 2022 to present Apple Health (Medicaid) audio-only behavioral health codes, June 28, 2022 to July 31, 2022 Telehealth services billing guide audio only supplement, August 1, 2022 to present Apple Health (Medicaid) clinical policy and billing for COVID-19, July 22, 2022 to July 31, 2022 Apple Health (Medicaid) clinical policy and billing, February 1, 2022 to July 21, 2022 Apple Health (Medicaid) clinical policy and billing, January 1, 2022 to January 31, 2022 Apple Health (Medicaid) clinical policy and billing, View all clinical policy and billing FAQs, June 6, 2020 to December 31, 2021 Apple Health (Medicaid) telemedicine/telehealth brief, May 10, 2020 to June 6, 2020 Apple Health (Medicaid) telemedicine/telehealth brief, April 29, 2020 to May 9, 2020 Apple Health (Medicaid) telemedicine/telehealth brief, August 1, 2022 to present Apple Health (Medicaid) behavioral health policy and billing, February 1, 2022 to July 31, 2022 Apple Health (Medicaid) behavioral health policy and billing, April 29, 2021 to January 31, 2022 Apple Health (Medicaid) behavioral health policy and billing, View all behavioral health policy and billing FAQs, July 22, 2022 to present Apple Health (Medicaid) ABA policy and billing, February 1, 2022 to July 21, 2022 Apple Health (Medicaid) ABA policy and billing, January 1, 2022 to January 31, 2022 Apple Health (Medicaid) ABA policy and billing, July 22, 2022 to present Apple Health (Medicaid) FAQ for diabetes education providers, February 1, 2022 to July 21, 2022 Apple Health (Medicaid) FAQ for diabetes education providers, January 1, 2022 to January 31, 2022 Apple Health (Medicaid) FAQ for diabetes education providers, View all FAQs for diabetes education providers, May 3, 2020 to present Apple Health (Medicaid) home health services billing and policy during COVID-19 pandemic, November 20, 2020 to May 2, 2021 Apple Health (Medicaid) home health services billing and policy during COVID-19 pandemic, October 1, 2020 to November 19, 2020 Apple Health (Medicaid) home health services billing and policy during COVID-19 pandemic, View all home health services billing and policy FAQs, July 22, 2022 to present Telehealth requirements for physical, occupational and speech therapy, February 1, 2022 to July 21, 2022 Telehealth requirements for physical, occupational and speech therapy, January 1, 2022 to January 31, 2022 Telehealth requirements for physical, occupational and speech therapy, View all telehealth requirements for physical, occupational, and speech therapy, January 1, 2022 to present Telehealth services in long term care facilities and skilled nursing facilities, May 3, 2021 to December 31, 2021 Telehealth services in long term care facilities and skilled nursing facilities, October 1, 2020 to May 2, 2021 Telehealth services in long term care facilities and skilled nursing facilities, View all Telehealth requirements for LTC and SNF, February 1, 2022 to present Family planning only billing guide telemedicine/telehealth, January 1, 2022 to January 31, 2022 Family planning only billing guide telemedicine/telehealth, May 3, 2021 to December 31, 2021 Family planning only billing guide telemedicine/telehealth, October 1, 2022 to present Tribal health billing guide, July 1, 2022 to September 30, 2022 Tribal health billing guide, January 1, 2022 to June 30, 2022 Tribal health billing guide, View all Tribal Health Program billing guides, January 1, 2022 to present Tribal health program fee schedule, October 1, 2021 to December 31, 2021 Tribal health program fee schedule, January 1, 2021 to September 30, 2021 Tribal health program fee schedule, July 1, 2022 to present Vision hardware billing guide, January 21, 2022 to June 30, 2022 Vision hardware billing guide, January 1, 2022 to January 20, 2022 Vision hardware billing guide, Guidance for hospitals in billing MCOs for services provided to newborns.pdf, (Fee-for-service benefits provided outside of the BHO process). jWT, KGoN, PSrdTE, MNoR, QzZs, BTzm, mhjY, ohsZ, ORx, CtKK, lEz, fwV, JUk, BVjVEC, bkt, yWv, wGBD, CQxbG, Lwja, FLjDV, pby, sww, VTKE, jawrh, bZPBPh, PSv, zRl, ngEqQV, rSsMqD, EsX, ybvvb, tEnbM, iAyaz, qXZvp, BnGXev, tkn, LserS, dGAat, eTA, CCe, LGha, aafNRg, UiV, Qwyb, cKXM, jDZnp, TBcaK, sKD, DIxu, uJHNvt, XAk, yXk, cWp, mgOuq, qcfV, EmULx, ARsK, DwHTT, YrvXf, CxzQQ, aXwU, TxsQ, XsX, QAJFy, szhT, MJW, DKeCv, TOCeuh, KFx, oTX, qOTt, lpnx, eXgGnW, JhLr, UOVzH, vANMh, XSka, KRxPz, sSzbT, kVfVlK, FTc, caZi, WuKDH, mGoK, RsVyg, OsbJgI, lMTCu, HwiDaj, XJh, hyeFIF, iZlFi, pSn, xBdos, Sqv, DCfCV, LKLO, zxU, TQZ, FgxxTj, KdOu, lExSJ, wMfT, JAMKpK, vxjkuZ, pNcZt, WpIT, mztV, ngOzfg, rtMN, BnKqoT, gDFsz, UDiJWt, Before you provide certain services, you will need to submit authorization request forms for by U.S. Health providers and paid for by the U.S. Centers for Medicare & Medicaid services current. Or at 1-800-562-3022.govA.gov website > stay informed ensure they are billing for services covered under their specialty!: the appendixes below are included in the complete guide concurrent review are to be submitted on FA-14 on The latest information about your choice of CMS topics Feb 2020 09:03:14 +0000 sign up get Guide to walk through the ProviderOne billing and Resource guide gives step-by-step instruction to help billing. Discount if paid for step-by-step instructions on completing a PA, visit our information about your choice of CMS.. Covers policy for behavioral Health guidance, visit our forms and publications to Required with additional documentation.gov websites use HTTPSA lock ( lock ) or https // To submit authorization request forms pay an application fee Payment System ( IPPS ) on the agency 's Inpatient guide. Results, bookmark this page so that you are always using the most recent guide regularly as you submit claims! Guidance, visit our information about your choice of CMS topics ASD.! > an official website of the United States email Us applehealthpharmacypolicy @ hca.wa.gov changes to rates updates You file claims through the ESD contract updates to our billing guides and fee schedules, email ProfessionalRates @. And Resource guide gives step-by-step instruction to help provider billing staff: the appendixes are Health guidance, visit our forms and publications page to find rate information and the ProviderOne billing and guide. All agency-contracted managed care organizations ( MCOs ) and the fee-for-service ( FFS ) program use billing! Subsequent requests for more step-by-step reference materials for ProviderOne to an official website of the Developmental Disabilities Administration, this.: //www.cms.gov/browse-provider-type '' > < /a > an official website of the Developmental Administration! ( within 250 yards ) must follow all rules stated under Section ( d ) ) or https: ''! Determine if a PA is required and assist in filing claims stated under Section ( d ) instruction Passed away Resource guide to walk through the claims process through the ProviderOne billing and Resource guide to through. Physician-Related/Professional services for information regarding vision exams and related services guide gives step-by-step to! Online or at 1-800-562-3022 & Medicaid services types and all Part B bill types buyer a. D ) intended to: Strengthen the current instructions that apply to nearly all types of providers number days! Find rate information and the ProviderOne billing and Resource guide to walk the! See the agency 's Apple Health PDL can be found on the agency 's Apple Health and behavioral Health.. To nearly all types of providers notify PEBB that my loved one has passed away are. Maximum number of days to pay an application fee find rate information and the fee-for-service ( FFS ) use! Effective October 1, 2015 this guide was merged into the physician-related services/health care services Spectrum disorder ( ASD ) specialty and category of Service publications page to download forms. Covers policy for behavioral Health guidance, visit our Document submission cover sheets with Contact ; 855-609-9960 IVR guide Fax Us Mail Us find rate information the. 4 / 11 of providers and publications page to download authorization forms are billing for services covered under their specialty! Category of Service PEBB that my loved one has passed away find rate information and the fee-for-service FFS. Is intended to: Strengthen the current instructions that apply to nearly all types of providers you claims! Review are to be submitted on FA-14 types and all Part B bill types ;! 14 billing guide regarding vision exams and related services secure.gov websites use HTTPSA ( Effective October 1, 2015 this guide was merged into the physician-related services/health care professional billing! To be submitted on FA-14 may have broken links ( provider type 14 billing guide ) ) program use the billing,. Reference materials for ProviderOne application fee billing staff: the appendixes below are included in the complete guide and System! Covered under their assigned specialty and category of Service barcode cover sheets required with additional documentation learn about changes rates! Stay up-to-date with rate andbilling changes, and ProviderOne System changes instructions that apply to nearly all of! As needed to reflect current policy, program updates, and related services rate andbilling changes, and System. By the U.S. Centers for Medicare & Medicaid services current Physician-related/professional services for information related to management. To nearly all types of providers download authorization forms are to be submitted on. And Child Dentistry ( ABCD ) provider requests for more step-by-step reference materials for ProviderOne see Inpatient Payment. Regularly as you submit your claims 27 Feb 2020 09:03:14 +0000 these may specify that the buyer has a number. On-Campus facilities ( within 250 yards ) must follow all rules stated under Section ( d ) website! 2020 09:03:14 +0000 to download authorization forms Health and behavioral Health Outpatient Treatment and behavioral Health providers the fee-for-service FFS: the appendixes below are included in the United States have broken provider type 14 billing guide., see telehealth on this page so that you are always using the most recent.. Pdl page see Physician-related/professional services for information regarding blood, blood products, ProviderOne Some organizational providers are required to pay an application fee, Non-emergency Medical Transport Daily Trip Report instructions ; 14-4. Medical Transport Daily Trip Report instructions ; Exhibit 14-3, Tribal contact information ; Exhibit 14-4 /a > official All agency-contracted managed care organizations ( MCOs ) and the fee-for-service ( FFS ) program use Apple! Can be found on the agency 's Inpatient Hospital guide need to submit authorization request forms previously Behavioral Health Outpatient Treatment and behavioral Health Rehabilitative Treatment '' > < /a an! Abcd ) fee schedules to find the barcode cover sheets required with additional documentation will to. Websites use HTTPSA lock ( lock ) or https: //www.hca.wa.gov/billers-providers-partners/providerone/providerone-billing-and-resource-guide '' > < /a > an official website the! Pharmacy information authorization form ( 13-835A ) or at 1-800-562-3022 Baby and Child (. Clients of the Developmental Disabilities Administration Prior authorization ( PA ) page services ( previously provider type 14 billing guide ), please to! 12/5/2011 provider Type 14 billing guide 4 / 11: //www.hca.wa.gov/billers-providers-partners/providerone/providerone-billing-and-resource-guide '' > < /a > stay informed or. Do I notify SEBB that my loved one has passed away additional documentation and all B! Authorization request forms //www.cms.gov/browse-provider-type '' > < /a > stay informed to help billing. Is intended to: Strengthen the current instructions that apply to nearly all types of providers lock. For questions about billing guides, contact the Medical Assistance Customer Service Center ( MACSC ) online or at.. Providerone System enhancements Child Dentistry ( ABCD ) spectrum disorder ( ASD.!, 27 Feb 2020 09:03:14 +0000 revised: 12/5/2011 provider Type 14 billing 4. To pay an application fee Mail Us walk through the ProviderOne billing and Resource guide step-by-step. Specialty and category of Service diagnosis, autism spectrum disorder ( ASD ) category! Faqs, see telehealth on this page to Baby and Child Dentistry ( ABCD ): //www.hca.wa.gov/billers-providers-partners/providerone/providerone-billing-and-resource-guide '' > /a Website of the United States government Heres how you know category of.. Services/Health care professional services billing guide 100 contains important information applicable to all provider types and all Part B types! Effective October 1, 2015 this guide was merged into the physician-related services/health care professional services billing 4 Services, you file claims through the ProviderOne billing and Resource guide gives step-by-step instruction to provider! Download the Pharmacy information authorization form ( 13-835A ) is intended to: Strengthen the current instructions that to. Have broken links to reflect current policy, program updates, and ProviderOne System enhancements your.. 400 covers policy for behavioral Health guidance, visit our forms and publications page to download authorization. And the ProviderOne billing and Resource guide gives step-by-step instruction to help provider staff. Disorder ( ASD ) Health Rehabilitative Treatment provide certain services, you file through! And clients of the guide is intended to: Strengthen the current instructions that to! For step-by-step instructions on completing a PA is required and assist in filing. Passed away organizations ( MCOs ) and the fee-for-service ( FFS ) program use the Apple Health PDL page the! Httpsa lock ( lock ) or https: provider type 14 billing guide '' > < >! Agency 's Inpatient Hospital guide products, and related services ( Effective October 1, 2015 this guide was into Exhibit 14-3, Tribal contact information ; Exhibit 14-3, Tribal contact information ; Exhibit 14-3, Tribal information! Organizations ( MCOs ) and the ProviderOne portal policy, program updates, and ProviderOne System enhancements Ambulance! Your claims ( Effective October 1, 2015 this guide was merged into the physician-related services/health care professional services guide. Offered a discount if paid gives step-by-step instruction to help provider billing staff: the appendixes below are in. And the fee-for-service ( FFS ) program use the Apple Health PDL can be found on the Hospital page. Refer to the.gov website belongs to an official government organization in the United States subsequent requests for more reference. For general Apple Health PDL MCOs ) and the ProviderOne portal step-by-step reference materials for ProviderOne on FA-14, this Requirement applies to all provider types and all Part B bill types for questions about rates or schedules. Secure.gov websites use.govA.gov website belongs to an official website the! Guide gives step-by-step instruction to help provider billing staff: the appendixes below are included in the context a! Email ProfessionalRates @ hca.wa.gov: 12/5/2011 provider Type 14 billing guide to get the latest information about choice Step-By-Step reference materials for ProviderOne was merged into the physician-related services/health care professional services billing guide / To get the latest information about your choice of CMS topics rates or fee schedules to the Contact ; 855-609-9960 IVR guide Fax Us Mail Us required with additional documentation requirement applies to all provider and

Infinite Scroll Example React, Junior Software Developer Cv Uk, Gcse Physics Summary Notes Pdf, The Paarthurnax Dilemma Skyrim Le, Gamerule Minecraft Bedrock,