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 |
|---|---|
| 9/18/25-10/2/25 | Procedure Code J0129 Covered under Nurse Practitioner Contract |
| 9/4/25-9/18/25 | Professional Crossover Claims Duplicated in Error Will Be Recouped |
| 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 |
| 8/21/25-9/4/25 | Procedure Codes 99234-99236 and 99238-99239 Changes |
| 8/14/25-8/28/25 | Procedures Added to Audit 6890 |
| 7/17/25-7/31/25 | Coverage Update for 58300 and 58301 |
| 7/3/25-7/31/25 | Pharmacy Adding Electronic PA (ePA) and CoverMyMeds |
| 6/26/25-7/10/25 | Obstetrics (OB) Services Billing Changes (Global/Itemized) and Postpartum Visits |
| 6/26/25-7/10/25 | Procedure 99417 added to Audit 6890 |
| 6/19/25-7/3/25 | CLIA Waived Codes with MOD QW |
| 5/22/25-6/5/25 | EPSDT Services – Extension of Benefit Requests |
| 5/22/25-6/5/25 | Age Update for Procedure Code 90739 HEPB VACC 2/4 DOSE ADULT IM |
| 5/8/25-5/22/25 | Coverage Updates for Procedure Codes J0741 and J1324 |
| 5/8/25-5/22/25 | Coverage Updates for Procedure Codes 11976, 11982, 58300, and 58301 |
| 4/10/25-4/24/25 | Nurse Practitioner Coverage for Antepartum Care |
| 4/10/25-4/24/25 | Update For 99402 FP UA UB |
| 4/3/25-5/1/25 | Upcoming Changes for Preferred Blood Glucose Meters |
| 3/20/25-4/3/25 | Diagnosis Group 700 Updated |
| 3/6/25-3/20/25 | Coverage for Procedure Codes 38220, 38221, and 38222 |
| 12/12/24-12/26/24 | POS 31 Coverage Added to Procedure 99418 |
| 8/15/24-8/29/24 | Rates for 0239U and 81455 |