The following documents are available for this provider type. See also All Providers.

Provider Manual

• Section I – General Medicaid Policy
  • Section I
  • Section I Update Log
  • Other Policy-Related Notifications for All Provider Types
• Section II – Program Policy
  • Section II
  • Section II Update Log
  • Other Policy-Related Notifications for this Provider Type
• Section III – Billing Information
  • Section III
  • Section III Update Log
• Section IV – Glossary
  • Section IV
  • Section IV Update Log
• Section V – Forms and Contacts
  • Section V
  • Section V Update Log

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
10/8/26-10/22/26	CLIA Waived Codes with MOD QW
9/24/26-10/8/26	Place of Service Update for Procedure Codes 97597, 97598, and 97602
8/20/26-9/3/26	Updated Coverage for Procedure Codes J1434 and J2468
8/13/26-8/27/26	Place of Service (POS) Updates for Identified Procedures
7/30/26-8/20/26	CLIA Waived Codes with MOD QW
7/9/26-7/23/26	Updated Coverage for Procedure Codes J1434 and J2468
7/2/26-7/16/26	Procedure Codes 97110 UB and 97150 UB No Longer Covered Under MEDSV & NURSP Contract
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
5/21/26-6/4/26	Age Coverage for 90678 Expanded
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
2/5/26-2/19/26	System Updated to Exclude Procedure 59025 From Audits 6792 and 6793
1/8/26-1/22/26	Place of Service (POS) 81 Added to Radiology Contract When Billed with Modifier TC
12/11/25-12/25/25	Procedure Code 36556 Place of Service (POS) Updated
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

Fee Schedules

Procedure Code Tables

Recent Official Notices