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 Gainwell Technologies Provider Relations Department at (800) 473-2783 or (225) 924-5040.

Billing Index
Adjusting/Voiding Claims Anesthesia
CMS 1500 Billing Instructions CommunityCARE/KIDMED System Transition
CommunityCARE Referral Authorization Changes for NPI Dental Billing Information
Electronic Claims Submission (EMC) GENERAL CHECK WRITE SCHEDULES AND RELATED INFORMATION (Excluding LTC/ICF-DD/ADHC Provider Specific Information)
Hurricane Gustav Edits Immunizations
Inpatient Hospital Additional Payment for LARCs LTC/ICF-DD/ADHC Providers – Claims Processing Information and Check Write Schedules
NDC Information for Physician Administered Drugs Oil Spill Related Information
PREPAY REVIEW IMPLEMENTATION AND RELATED INFORMATION Professional Services
Reimbursement Rate Reductions Remittance Advice
RHC/FQHC TAKE CHARGE PLUS
Timely Filing TPL Policy
UB 04 Billing Instructions Urgent Care Facilities and Retail Convenience Clinics
Vision (Eyewear) Billing Guide

MEDICAID BILLING INFORMATION


2023 Annual 1099 Notice for Providers 01/16/24

Attention Providers/Submitters of Electronic Claims – 2023 Holiday Cutoff Dates for Receiving Electronic Claim Files 10/15/23

2022 Annual 1099 Notice for Providers 02/01/23

2021 Annual 1099 Notice for Providers 01/21/22

Attention Providers/Submitters of Electronic Claims – December 2021 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/16/21 (Revised 12/10/21)

Ambulance Treatment-in-Place/Telehealth Billing Guidelines 04/22/21

Attention Providers/Submitters of Electronic Claims – Revised December 2020 Holiday Cutoff Dates for Receiving Electronic Claim Files 12/16/20

LTC Monthly Processing Schedule for Calendar Year 2021 11/20/20

Medicaid Check Write Schedule for Calendar Year 2021 11/18/20

Attention Providers/Submitters of Electronic Claims - November and December 2020 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/17/20

Medicaid Provider Relief Funding Deadline Extended and Update on Eligibility 08/04/20

Some Medicaid Fee-For-Service Provider Payments Missed Week of April 13, 2020 04/20/20

2019 Annual 1099 Notice for Providers 01/21/20

Recycle of Denied claims for CPT Code 82962 11/14/19

Attention Providers/Submitters of Electronic Claims - November and December 2019 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/13/19

Attention All Providers Receiving Electronic Remit Transactions (835) 01/03/19

Attention Providers/Submitters of Electronic Claims - November and December 2018 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/15/18 (Revised 12/04/18)

Coverage of Hepatitis B Adult 2 Dose Vaccine 12/04/18

ATTENTION PROVIDERS/SUBMITTERS: MEDICARE AND MEDICAID ADVANTAGE FILING GUIDELINES 09/17/18

ATTENTION PROVIDERS OF HOME HEALTH SERVICES 09/07/18

Automated Closure of Medicaid Eligibility 07/31/18

Attention: EarlySteps Speech Language Pathologists 07/10/18

ATTENTION ALL PROVIDERS: INCORRECT USE OF ICD-10 CODES WILL RESULT IN CLAIM DENIALS 06/27/18

ATTENTION Vision (Eyewear) SERVICES PROVIDERS: 05/24/18

ATTENTION OUTPATIENT HOSPITAL PROVIDERS: LARCs Inserted in the Outpatient Hospital Setting 04/30/18

Attention: LTC and ICF-DD Providers 04/04/18

Attention All Providers Receiving Electronic Remit Transactions (835) 03/18/18

Attention Submitters of Electronic Claim Files 03/12/18

ATTENTION PROVIDERS BILLING FOR MEDICARE CROSSOVER SERVICES 02/19/18

ATTENTION: LTC and ICF-DD FACILITIES 11/16/17 (Revised 12/21/17) (Revised 02/08/18)

Attention LTC and ICF-DD Facilities 02/05/18

ATTENTION: Providers and Submitters of Fee for Service (FFS) Medicare Crossover Claim Denials for Dual QMB/Take Charge Plus Members 01/31/18

Providers May Now Submit Medicare Advantage Claims Electronically to Medicaid 01/31/18

2017 Annual 1099 Notice for Providers 01/02/18

ATTENTION MEDICAID PROVIDERS 12/1/17

Attention Providers/Submitters of Electronic Claims - November and December 2017 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/14/17

Attention Applied Behavioral Analysis Providers Billing Behavior Identification Assessment – 0359T 10/10/17

ATTENTION PROFESSIONAL PROVIDERS 09/20/17

Attention Providers Breast Reconstruction Post Mastectomy 09/14/16

Timely Filing for Retroactive Eligibility 08/10/16

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

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

Additional Medicaid Billing Information