Medicaid Advisory Letters (MALs)
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Medicaid Advisory Letters (MALs)
Medicaid Advisory Letters (MAL)
MAL 660: Payment of Fee-For Service Claims for Electronic Pregnancy Risk Assessment Forms (e-PRAF) MAL 659: Annual Update - International Classification of Diseases, 10th Revision, Diagnosis Codes (ICD-10-CM) MAL 658: Payment for the Completion and Submission of the Report of Pregnancy and the Pregnancy Risk Assessment by a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) MAL 657: Optical Laboratories contracts renewal for July 1, 2021 MAL 656: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Level II updates MAL 655: Payment for Vaccines Furnished by a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) MAL 654: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Level 11 updates MAL 653: Payment for Covered Pharmacists’ Services Provided by a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) MAL 652A: Correction to maximum fee for D2928 “prefab porcelain/ceramic crown - posterior permanent tooth” MAL 652: Ohio Medicaid coverage of Current Dental Terminology 2021 procedure codes MAL 651: Payment for the Application of Topical Fluoride Varnish by a Non-Dental Practitioner at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) MAL 650: Guidelines for Urine Drug Screen Services MAL 649: Annual Update - International Classification of Diseases, 10th Revision, Diagnosis Codes (ICD-10-CM) MAL 648: Electronic Signatures on ODM forms MAL 647: Response to questions regarding treatment and reporting of COVID-19 pandemic funding for ICF/IIDs MAL 646: CARES Act Relief for ICFIIDs through OBM MAL 645: Payment for Laboratory Services Furnished at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) MAL 644: Guidance to ICF/IIDs Regarding COVID-19 and Other Dividends MAL 643: Optical Laboratory Contracts - July 1, 2020 Obsolete as of 7/1/2021 - MAL 641: Separate Payment for Erythropoietin-Stimulating Agents Administered at ESRD Dialysis Clinics MAL 640: Oxygen Payment Correction E1390 and E1392 MAL 639: Insulin Pump for Type 2 Diabetes MAL 638: Revised Ohio Department of Medicaid Dental Periodicity Schedule 2020 MAL 637: Clarification of Coverage of D2929 - Prefabricated Porcelain/Ceramic Crown – Primary MAL 636: Providers Enrolled as Family Planning Clinics That Do Not Meet the Title X Funding Requirement MAL 635: Payment for Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Services Rendered Through Telehealth MAL 634: Payment for Medication-Assisted Treatment (MAT) and Take-Home Medications Furnished at a FQHC and RHC MAL 633: Annual Update - International Classification of Diseases, 10th Revision, Diagnosis Codes (ICD-10-CM) MAL 632: Payment for Hepatitis A Vaccine Provided Through Non-Participating VFC Providers MAL 631: Payment for Services Rendered Through Telemedicine at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) MAL 630: CPT and HCPCS Level II Coding Updates MAL 629: Coverage of D2929 - Prefabricated Porcelain/Ceramic Crown – Primary effective January 1, 2019 MAL 628: Payment for Long-Acting Reversible Contraception (LARC) Furnished at an FQHC or RHC MAL 627: Federally Qualified Health Center (FQHC) Transportation Services MAL 626-A - Update: Diagnosis Code Reporting Required on Claims Starting January 1, 2020
MAL 626: Diagnosis Code Reporting Required on All Claims – April 1, 2019 Implementation Has Been Delayed MAL 625: Clarification of Services Rendered under the Supervision of a Teaching Practitioner MAL 624: Payment of Group Therapy Services Rendered at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) MAL 623: Update of new vision volume purchasing contract optical laboratories for July 1, 2018 MAL 622-A : Update: Requirement to Report Individual Practitioners' NPIs in the Rendering Fields of FQHC and RHC Claims MAL 622: New Requirement to Report Individual Practitioners' NPIs in the Rendering Fields of FQHC, RHC, OHF, Ambulatory Health Care Clinic, and Freestanding Birth Center Claims Starting July 1, 2018 MAL 621: Prohibition of Commingling in FQHCs and RHCs MAL 620: Electronic Visit Verification (EVV) - Program Changes MAL 620-A: Acupuncture Services—Benefit Year Obsolete as of 7/1/2021 - MAL 619: Calcimimetics and Influenza Virus Vaccine Paid Separately and Outside of the Composite Payment Amount When Furnished at an End-Stage Renal Disease (ESRD) Dialysis Clinic MAL 618: American Dental Association (ADA) Coding Changes Effective January 1, 2018 MAL 617: FQHCs, RHCs, and Other Clinics—Required Reporting of SE Modifier on Fee-for-Service Claims with Provider-Administered Drugs Acquired Through the 340B Drug Pricing Program MAL 616: Payment of Chronic Care Management (CCM) Services Rendered at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) Obsolete as of 7/1/2021 - MAL 615: CPT Code 87341 (Infectious Agent Antigen Detection by Immunoassay Technique) To Be Included in ESRD Dialysis Clinic Composite Payment Amount MAL 614: Coverage of Tobacco Cessation Counseling Services MAL 613: Vaccines for Children – System Change Affecting Submission of Claims MAL 612: Guidelines for completing H.A.S. (hysterectomy, abortion, and sterilization) forms MAL 611: Physician Assistants prescriptive authority for Durable Medical Equipment (DME) MAL 610: Vision Care Services FFS renewal of optical laboratories contract and update to eyeglass frames MAL 609: Ohio Medicaid School Program requirements regarding referring practitioners MAL 608: Payment of Medical Nutrition Therapy Services Rendered by a Registered Dietitian at a Federally Qualified Health Center or Rural Health Clinic MAL 607: Child Birth Delivery Procedures and ICD-10 Diagnosis Codes Required on Claims for Mother’s Weeks of Gestation of Pregnancy MAL 606: ODM Form 03411, "Certificate of Medical Necessity: Wheelchairs" MAL 605: Payment for Multiple-Birth Deliveries (Twins and Triplets) MAL 604: Policy Clarification Federal Vaccines for Children program MAL 601: Coverage of insect repellent to combat Zika virus MAL 600: Recognizing place of service 17; Walk-in Retail Health Clinic MAL 599: Changes to Vision Care Services Effective June 1, 2016 MAL 598: Payment of Chronic Care Management Services (CCM) Under CPT Code 99490 for FQHCs and RHCs MAL 597: New and Revised Place of Service Codes (POS) for Outpatient Hospital Update of New Vision Volume Purchasing Contract Optical Laboratories for July 1, 2015
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