MEDICAID BILLING INFORMATION


Medicaid billing can be complicated. We hope this page will answer some of your questions about the use of different claim forms, the adjustment or voiding of claims, and the timely filing of claims. Remittance advices and the Provider Update newsletter also contain valuable information about payable services. You may search recent remittance advices and newsletters from a link on the Provider Support Center home page.

If you are interested in submitting claims electronically, you may wish to visit the link above to get information about how to become an EMC submitter.

As always, billing questions may be directed to the Molina Medicaid Solutions Provider Relations Department at (800) 473-2783 or (225) 924-5040.

2015 Annual 1099 Notice for Providers

ADHC Billing Form and Procedure Code Changes – Second Notice

Adjusting/Voiding Claims

Air Ambulance Transportation Notice

Anesthesia

Attention ALL Adult Day Health Care (ADHC) Providers Transition from Monthly Billing Cycle

ATTENTION ALL ADULT DAY HEALTH CARE PROVIDERS - Change in Billing Form for ADHC Services

Attention All Providers Claims Voided Due To Timely Filing Error

ATTENTION ALL PROVIDERS INCORRECT USE OF ICD-9/ICD-10 CODES AND QUALIFIERS WILL RESULT IN CLAIM DENIALS

Attention All Supports Waiver Providers!!! New Date for the Implementation Date of the Supports Waiver Changes

ATTENTION Bayou Health Plans: Emergency Ambulance Claims Incorrectly Paid by Fee for Service Medicaid (Molina) Voids.

Attention Billing Medicaid Recipients

ATTENTION EPSDT PCS PROVIDERS

Attention EPSDT-Personal Care Services (EPSDT-PCS) Providers

Attention Home Health Providers 2016 HCPCS Update

Attention Hospital and Independent Lab Providers-Coverage and Reimbursement of CPT Code 81220

Attention Hospital Providers: Diabetes Self-Management Training Payments

Attention Hospital Providers: Direct Observation Billing Recycle

ATTENTION LTC PROVIDERS = ADUJUSTMENTS OF FEBRUARY 2016 CLAIMS 03/17/16

Attention LT-PCS and PCA Waiver Providers

ATTENTION Non-Emergency Ambulance Providers

Attention Provider NPI for Behavioral Health Providers

Attention Providers of EPSDT Screening Services: Use of EP Modifier

Attention Providers of EPSDT Services

ATTENTION PROVIDERS SUBMITTING PROFESSIONAL MEDICARE CROSSOVER CLAIMS TO MOLINA – CLAIMS DENIED FOR EDIT 204 IN ERROR TO BE RECYCLED

Attention Providers Who Submitted Electronic Files

ATTENTION PROVIDERS WHOSE FEE-FOR-SERVICE CLAIMS PEND FOR PREPAYMENT REVIEWSYSTEM PROCESSING ISSUE INVOLVING THESE PENDS (EDIT 241)

Attention Providers with Erroneously Denied or Pended Claims on July 30, 2013 RA Edits 043, 190, 200 and 201

ATTENTION SCHOOL BOARDS/EARLY INTERVENTION CENTERS/LEAs

Billing Diagnostic Heart Catheterizations

CMHC Deadline Extension for Retroactive Claims

CMS 1500 Billing Instructions

CommunityCARE/KIDMED System Transition

CommunityCARE Referral Authorization Changes for NPI

Crossover Claim Denials for Edit 544 TCP

Dental Billing Information

Electronic Claims Submission (EMC)

Elimination of Signatures on Paper Claims

FREE STANDING REHABILITATION CENTERS TRANSITION TO THE CMS 1500 CLAIM FORM

GENERAL CHECK WRITE SCHEDULES AND RELATED INFORMATION (Excluding LTC/ICF-DD/ADHC Provider Specific Information)

Ground Ambulance Transportation Notice

Home and Community Based Services – Recycle of Claims Due to Post Authorization Adjusts

Home Health Multiple Daily Visits Procedure (Modifier Additions)

Home Health Required Changes to Type of Bill

Hurricane Gustav Edits

Immunizations

Inpatient Concurrent Care- Adult

Inpatient Hospital Additional Payment for LARCs

Important Update Concerning Changes to the Electronic Claims Status Inquiry (eCSI) Application

Medicaid and CHIP Coverage of HIV Testing and Screening

Louisiana Medicaid Payment Policy and Billing Instructions regarding Provider Preventable Conditions

LTC/ICF-DD/ADHC Providers – Claims Processing Information and Check Write Schedules

Medicare Crossover Claims for Incarcerated Recipients

Molina Post Office Boxes

NDC Information for Physician Administered Drugs

New Hospice Rates for Service Intensity - Effective 1/1/2016

NPI Paper Changes

Oil Spill Related Information

Pharmacy (paper) NCPDP Billing Instructions

Point of Sale (POS) Processing

PREPAY REVIEW IMPLEMENTATION AND RELATED INFORMATION

Professional Services

Proper use of the STATE SUPPLEMENT (OSS) CHECKS System

Radiopharmaceutical Diagnostic Imaging Agents

Reimbursement Rate Reductions

Remittance Advice

Requirements for Attending and Referring Providers on Institutional Claims

Requirements for Ordering, Prescribing, and Referring Providers Revised 05/11/16

RHC/FQHC

TAKE CHARGE PLUS

Take Charge Plus ICD-10 Coding

Take Charge Plus Claims Processing Corrections

Timely Filing

TPL Policy

UB 04 Billing Instructions

Urgent Care Facilities and Retail Convenience Clinics