The following documents are available for this provider type. See also All Providers.
Provider Manual
- Section I – General Medicaid Policy
- Section II – Program Policy
- Section III – Billing Information
- Section IV – Glossary
- Section V – Forms and Contacts
To see the full history of Notices of Rulemaking and Official Notices for this provider type, please download from the manual “Other Policy-Related Notifications for this Provider Type” using the link above. Additional Notices issued for all provider types can be found using the “Other Policy-Related Notifications for All Provider Types” link above.
RA Messages
| Date | Subject |
|---|---|
| 7/30/26-8/20/26 | CLIA Waived Codes with MOD QW |
| 7/23/26-8/6/26 | Medical Review Required for Procedures C9309 and J3404 |
| 7/9/26-7/23/26 | Updated Coverage for Procedure Codes J1434 and J2468 |
| 7/2/26-7/16/26 | Updated Codes Added to Outpatient Procedures Included in Primary Procedure Codes |
| 6/25/26-7/9/26 | Removing Med Review for Procedure 90678 |
| 6/18/26-7/2/26 | Radiology Rate Changes for 77387, 77407, and 77412 Retro Effective 1/1/2026 |
| 6/18/26-7/2/26 | Add Medical Review for Procedure J1413 |
| 5/21/26-6/4/26 | Age Coverage for 90678 Expanded |
| 5/7/26-5/21/26 | Units Per Day (UPD) Updated for J1628 |
| 4/23/26-5/14/26 | Guidance for Nursing Home Leave of Absence (LOA) |
| 4/16/26-4/30/26 | Updates for Procedure 77387 |
| 4/9/26-4/23/26 | PA Required for 81415, 81416, and 81417 |
| 4/2/26-4/16/26 | Claims Paid in Error Due to NDC System Error |
| 3/12/26-3/26/26 | Coverage for 93246 – EXT ECG>7D<15D RECORDING |
| 2/5/26-2/19/26 | System Updated to Exclude Procedure 59025 From Audits 6792 and 6793 |
| 2/5/26-2/19/26 | Units Per Day (UPD) Updated for J1568 |
| 2/5/26-2/19/26 | Coverage for G0328 |
| 11/27/25-12/11/25 | LYRIC MULTICODE REBUN Backout for Lab Procedures 87800 and 87801 |
| 10/30/25-11/13/25 | Age Update for Procedure J0219 (INJ AVAL ALFA-NQPT 4MG) |
| 9/11/25-9/25/25 | Coverage for Procedure Codes 61736 and 61737 |
| 9/4/25-9/18/25 | Procedure Codes J9266 Rate Update |
| 9/4/25-9/18/25 | Delivery Codes Removed From Audits 6792 and 6793 |
| 8/14/25-8/28/25 | Date of Death Review with Claims Impacted |