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DME Manual and Bulletins

DME

CMS 1500 Provider Manual (Effective 10.1.20)

Home Health and DME Prior Authroization Requirement Reinstatement

WY COBA Duplicate Claims Issues Postcard

Processing CHIP PA Requests for 10.01.2020 DOS

DME Covered Services Effective DOS 10.1.20

Fee Schedule -
Access this page for Standard Fee Schedule information, the Procedure Code Search page, the Dental Fee Schedule, the Genetic Testing Fee Schedule, and the OPPS Fee Schedule.

Medicare Non-Covered List

Edits EOB and Resolutions 4.2.20
This is a list of edits that may post when verifying claims in the Secure Web Portal, along with EOB codes that would post on any claim denials. Each edit and EOB code combination has a suggested resolution.

Provider Medicaid and State Health Care Benefit Plan 10.1.20

 

Important Policy Changes/Additions

Manual Updates

CMS-1500 Provider Manual (Effective 7.1.20)
CMS-1500 Provider Manual (Effecitve 4.1.20)
CMS-1500 Provider Manual (Effecitve 1.1.20)
CMS-1500 Provider Manual (Effective 10.1.19)
CMS-1500 Provider Manual (Effective 7.1.19)
CMS-1500 Provider Manual (Effective 4.1.19)
CMS-1500 Provider Manual (Effecitve 1.1.19)
CMS-1500 Provider Manual (Effective 10.1.18)
CMS-1500 Provider Manual (Effective 7.1.18)
CMS-1500 Provider Manual (Effective 4.5.18)
CMS-1500 Provider Manual (Effective 4.1.18)

DME Covered Services Updated 1.1.20
DME Covered Services Updated 1.1.19
DME Covered Services Updated 4.12.18
DME Covered Services Updated 11.30.17
DME Covered Services Updated 8.28.17 - Page 46 updated
DME Covered Services Updated 11.1.16 - Page 6 updated
DME Covered Services 7.26.16




DME Bulletins

2020 Bulletins

Home Health and DME Prior Authroization Requirement Reinstatement
WY COBA Duplicate Claims Issues Postcard
Processing CHIP PA Requests for 10.1.2020 DOS
Kid Care CHIP is Changing RA Banner
Kid Care CHIP is Changing
2020 Provider Workshops Bulletins
Discontinuation of PA Approval and Denial Paper Letter
iEchange Registration Reminder RA Banner
WYhealth iExchange Registration 4.29.20
Optum Bulletin - PA Vendor Transition Apr 2020
UPDATED Policy Enteral Nutrition and Incontinence Supplies