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Latest Updates

Provider Audit Workgroup to hold public hearings in July

Three public hearings scheduled to solicit input from interested parties on policies and procedures used in the performance of Medicaid provider audits and possible improvements to the audit process.

Dr. Jay Asdell Named IDA President

IDA has named Dr. Jay Asdell as its new president for the 2016-2017 fiscal year. Dr. Asdell has been a member of IDA since 1986.

IHCP advises providers to update billing practices to get ready for Core MMIS

The existing claims IHCP processing system is being replaced with a new, more automated Medicaid management information system (MMIS) called Core MMIS. The new system is designed to more accurately and efficiently adjudicate claims according to IHCP coverage policies and national billing guidelines.

IHCP Changes PA Vendor

FSSA approves assignment of PA, RCP, and TBI responsibilities from ADVANTAGE to Cooperative Managed Care Services.

IHCP clarifies the dental benefit period for HIP members

A member’s benefit period depends on when the member enrolls in the HIP program. Once an individual is enrolled in HIP, the 12-month benefit period begins.

CMS delays Medicare Part D Prescriber Enrollment Requirements until February 1

We just learned CMS will delay enforcement of the Medicare Part D Prescriber Enrollment Requirements until February 1, 2017. CMS also strongly encourages prescribers of Part D drugs to submit their Medicare enrollment applications or opt-out affidavits to their Medicare Administrative Contractors (MACs) before August 1, 2016.

 

 

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