Messages for Remittance Advices dated September 17, 2009 – September 24, 2009 TO: CHMS, DDTCS,HOME HEALTH; THERAPY, HOSPITAL, RE: FORM DMS-640 – OCCUPATIONAL, PHYSICAL AND SPEECH THERAPY PHYSICIAN, REHAB HOSPITAL, RSPMI AND OTHER PROVIDERS FOR MEDICAID ELIGIBLE BENEFICIARIES UNDER AGE 21 THAT MAY PERFORM OR PRESCRIBE OT, PT OR SLT FOR MEDICAID PRESCRIPTION/REFERRAL BENEFICIARIES UNDER AGE 21 Effective September 8, 2009, an updated version of Form DMS-640 will be available on the Arkansas Medicaid website www.medicaid.state.ar.us for provider download and use. The revised version of the form has been updated with Therapy expenditure figures only, for State Fiscal Year 2008. There have been no changes made to the form that would affect documentation or service delivery information. TO: ALL PHARMACY PROVIDERS RE: CHANGES TO GENERIC UPPER LIMITS The Centers for Medicare and Medicaid Services (CMS) have released a revised list of Federal Upper Limits, with a mandatory effective date of 9-25-09. An updated list, providing all State and Federal Upper Limits effective as of 9-25-09 can be accessed on or after 9-25-09, on the Arkansas Medicaid Website at www.medicaid.state.ar.us. TO: ALL TRANSPORTATION PROVIDERS RE: PROCEDURE CODES A0390 AND T2002 Effective for dates of service on or after 9-1-09, Section 251.100 was added to the Transportation Manual and Section 252.100 was revised. Please refer to Update Transmittal #123 dated 9-1-09. Two procedure codes that should have been removed from Section 252.100 remain listed. Please note that codes A0390 and T2002 are also non-payable, based on the revised policy contained in Update #123. This page in the provider manual will be corrected at the next printing. TO: ALL PROVIDERS RE: AEVCS SCHEDULED DOWNTIME AEVCS will not be accessible during schedule maintenance beginning 12:01 a.m. Sunday 10/11/2009 and ending by 03:00 a.m. on Sunday 10/11/2009. All electronic transactions will be unavailable during this downtime. We apologize for any inconvenience. TO: ALL RSPMI PROVIDERS RE: BILLING DETAIL SPAN DATES Section 240.000 of the manual accurately states that providers may bill only for services provided w/in a single day on a single claim detail. The information in Section 252.310 of the manual in the instructions for Completion Field 24-A #1 currently reads “On a single claim detail (one charge on one line), bill only for services provided w/in a single calendar month”. This language will later be updated to read “On a single claim detail (one charge on one line), bill only for services provided w/in a single calendar day” along with the deletion of #2 in Field 24-A. If you need this material in an alternative format, such as large print, please contact our Americans with Disabilities Act Coordinator at 501-682-8323 (Local); 1-800-482-5850, extension 2-8323 (Toll-Free) or to obtain access to these numbers through voice relay, 1-800-877-8973 (TTY Hearing Impaired). Thank you for your participation in the Arkansas Medicaid Program. If you have questions regarding these messages, please contact the EDS Provider Assistance Center at 1-800- 457-4454 (toll-free) within Arkansas or locally and out-of-state at (501) 376-2211. Remittance Advices cannot be forwarded. Notify the Arkansas Medicaid Program of any address change, indicating all provider numbers affected by the change. This notification must include the provider’s original signature (no facsimiles accepted).
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