2020
- Claims and Payment Policy: Review of NOS, NEC, & Unlisted Codes
- Comprehensive Eye Exam Claim & Payment Policy
- Prepayment Code Modifier Validation
- New Portal Features: Edit your authorization online, add attachments, and more
- Claims & Payment Policy # 152: Pre-Payment Coding Validation Edits
- Opioid Program MAT Certification
- Maternal and Child Health Personal Concierge STEPS Program
- New Coding Integrity Guidelines
- DOH offers resources for diagnosis/treatment of 2019-nCoV (Novel Coronavirus)
2019
- Revised ED Outpatient Facility EM Coding Policies
- Updates to Prior Authorization Requirements: Wound Care and Skin Substitutes
- New Modifier Claims and Payment Policy
- New Urine Drug Testing Guidelines
- Updates to Prior Authorization Requirements
- Medicaid Milliman Clinical Guidelines (MCG) Rollout
- Prior Authorization Requirements
- Intensity-Modulated Radiation Therapy (IMRT) Reimbursement Policy
- Post Payment Technical Denial Enforcement
