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Behavioral Health Manuals and Bulletins

 

CMS 1500 Provider Manual

CMS-1500 Provider Manual (Effective 10.1.20)

Upcoming T25 Changes Electronic Claims Submission Process and Reduced Rates

WY COBA Duplicate Claims Issues Postcard

Processing CHIP PA Requests for 10.1.2020 DOS

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. 

ECSII CASII Policy and Billing Information

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

Provider Medicaid and State Health Care Benefit Plan 101.20

New CPT Codes Supplemental Guidance 1.9.19


To search for specific information within the PDF document, select Ctrl F on your keyboard and type your keyword in the find box.

 

 

Wyoming Medicaid Behavioral Health Program Administration

To assist providers in understanding the Medicaid Behavioral Health changes Wyoming Medicaid has written an executive summary about the administration of the program and federal regulations that address the Quality Improvement Organization (QIO).



Executive Summary/State Plan/Rules
BHProgram Administration Executive Summary 10.19.18
Public and Tribal Notice 3.3.16
Magellan Providers Interest Form
Ch 13 Medicaid Rule 9.9.18
2017 Medicaid Annual Report
State Plan Amendment 1.1.17


Behavioral Health Documentation Standards Presentations and Webinars
Provider Compliance
Provider Compliance Webinar
Audits and Provider Responsibility
Audits and Provider Responsibility Webinar
Medical Necessity and Authorization for Medical Necessity
Medical Necessity and Authorization Webinar
Documentation Standards
Documentation Standards Webinar 


 

Important Policy Changes/Additions

Manual Updates

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


                                                           

 

Behavioral Health Provider Bulletins

2020 Bulletins

Upcoming T25 Changes Electroinic Claims Submission Process and Reduced Rates
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
Q3014 Denial Resolution RA Banner
2020 Provider Workshops Bulletin
Discontinuation of PA Approval and Denial Paper Letter
Attention Behavioral Health Provider - Peer Specialist Update
In-State Physician's License End Date RA Banner
Pharmacy Electronic PAs Submission 4.7.20
FQHC/RHC Tribal Facilities Telehealth 3.20.20
BH Peer Specialist via Telehealth 3.20.20
BH Group Therapy via Telehealth 3.18.20
iExchange Registration Reminder RA Banner
WYhealth iExchange Registration 4.29.20
Optum Bulletin - PA Vendor Transition Apr 2020
New Behavioral Health Modifier Requirement