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What's New Archives

Date Link Description
05/23/07 CMS Notice 2007
CMS 1500 Notice 		New Paper Billing Requirements
03/14/07 March 2007
 NPI Notice 2007
03/14/07 March 2007
 NPI Notice Attachment 2007
03/14/07 March 2007
 March 2007 Quarterly Bulletin
10/01/06 DRG 2006 Pricing Notice
DRG Price Table		 - DRG 2006 Notices
- DRG 2006 Rates
07/12/06 June 2006
 June 2006 Quarterly Bulletin
*correction on page 5
04/24/06 March 2006
 March 2006 Quarterly Bulletin
01/09/06 PET Process 01/09/06
PET SCAN Prior Authorization Process and Billing Requirements.
01/09/06 Dec 2005 December 2005 Quarterly Bulletin
12/27/05 Disposable Diaper Memo December 2005 Disposable Diaper Memo
12/01/05 Hospital Memo Hospital Outpatient Xray Urgent Memo
10/26/05 SNF Notice SNF Notice - New Billing Requirements
10/24/05 Dental Notice Dental Notices - Change Minimum Age
10/18/05 Drg Pricing Drg Repricing Memo - October 2005
10/18/05 Drg Table Drg Relative Weight/Price Table
Effective October 1, 2005
10/03/05 835 Update Format update for the 835 Electronic Remittance Advice
09/09/05 ECI Rate HCBC-ECI Rate Increase
09/09/05 Billing Guidelines New Billing Guidelines for Outpatient Hospital X-ray Services
08/19/05 Hysterectomy Form Form 911:
Hysterectomy exception form
08/19/05 HCBC Xwalk HCBC-ECI Crosswalk
06/23/05 June Bulletin June 2005 - New Hampshire Medicaid Bulletin
Volume XII - Issue II
05/16/05 Crosswalk 059 HCBC-ECI Procedure Code crosswalk update
04/25/05 AVR Update Automated Voice Response Update Memo
04/14/05 Occurrence Codes Acceptable Occurrence Codes
04/07/05 Medical Evaluation Request New 272EQ Form- Medical Evaluation Request Form (non-wheelchair).
04/05/05 Web Server Upgrade Site will be down from Friday April 8 from 12 Midnight to 2 AM Eastern.
03/29/05 957x Form Updated 957x Form - Override request Form.
03/29/05 975 Form Updated 975 Form - Wheelchair Van Services Documentation.
03/17/05 272D Form Updated 272D - Medical Equipment Evaluation Form
02/22/05 910 Form 910 Form - Sterilization resulting from hysterectomy acknowledgement form.
02/15/05 975 Form Updated 975 Form - Wheelchair Van Services Documentation.
01/12/05 Provider Application Updated Provider Application Form.
01/04/05 Quarterly Bulletin December Medicaid Quarterly Bulletin Vol XI Issue IV
12/23/04 Paper Claim Memo October 2004 Paper Claim Signature Requirement Memo
12/17/04 December Memo
Pricing		 December 2004 - DRG memo
DRG price changes from 2004 - 2005
12/07/04 Consent English
Consent Spanish		 Sterilization Consent Form.(English)
Sterilization Consent Form.(Spanish)
11/19/04 Consent Form Sterilization Consent Form.
11/15/04 Crossover Form NH Medicaid Medicare Crossover Form.
9/15/04 CMS Brochure CMS Conference Brochure announcing the September 21 and 22, 2004 CMS Provider Outreach Conference "Implementing the Next Wave of Health Care Reform."
9/13/04 Forms Page Select this link to take you to the forms page for the following updated and new forms:
272E
Advanced Life Support for Ambulance Certification
Basic Life Support for Ambulance Certification
9/13/04 Fee Schedules Page Select this link to take you to the fee schedules page for the new 2004 NH Medicaid Fee Schedules:
Procedure/Modifier List
Covered Procedures
Manually Priced Procedures
Valid Modifier Codes
9/13/04 Sept 2004 September 2004 Quarterly Bulletin
8/02/04 NH EDS Provider Electronic Solutions upgrade to version 2.15 available now. Select "Tools" and then select "Get Upgrade".
7/02/04 Dental Codes Updated dental procedure code list.
6/28/04 Form 272H Request for prior authorization out of state in-patient hospitalization
6/24/04 Form 975 Documentation to support use of wheelchair van services
6/14/04 June 2004 bulletin
 NH Medicaid bulletin Vol. XI, Issue II
6/14/04 Psychotherapy application Application for prior authorization of psychotherapy services in excess
5/18/04 Emergency co-payment memo

HIPAA mandatory Migration memo		 In-State Hospital Providers
May 2004 Memo
Emergency Department Co-payment.

All Providers
November 2003 Memo
Mandatory Migration to HIPAA ASC X12N 276/277
5/18/04 Effective May 25, 2004 EDS can accept the HIPAA-COMPLIANT 837 format (278) for both electronic adjustment/replacement and recoupment/void transactions using frequency code of 7 or 8. Should you need detailed assistance in these transactions please contact your provider representative.
4/28/04 Adjustment Form NH Medicaid Adjustment/Recoupment request form now in pdf format.
4/14/04 Mobility Evaluation Form

DME Authorization Form		 Mobility Evaluation Form (272M) and DME Prior Authorization Request Form now in pdf format.
4/05/04 March Bulletin NH Title XIX Medicaid Bulletin
Vol XI, Issue I, March 2004
1/15/04 Procedure Codes page Procedure codes are changing to match HIPAA requirements. This link will take you to the Procedure Codes page and to the crosswalks for the codes.
12/22/03 New Provider Application Updated 2003 provider application
12/22/03 December Bulletin NH Title XIX Medicaid Bulletin
Vol X, Issue IV, December 2003
12/22/03 DRG 2004 Price Table DRG Relative Weight/Price Table for 2004
12/22/03 DRG Repricing Memo DRG Repricing Memo- December 2003
11/25/03 Software Page Version 2.1.2 of the Provider Electronic Solutions Software is now available on the Software page.
11/21/03


HIPAA eligibility Memo


 HIPAA claims Memo

FAQ
 November 2003- All Providers Memos

-Notification of mandatory migration to the HIPAA ASC X12N 270/271 Health Care Eligibility Benefit Inquiry and Response
- Notification of mandatory migration to the HIPAA ASC X12N 276/277 Health Care Eligibility Benefit Inquiry and Response
- Frequently Asked Questions
10/14/03 Ambulance Rates New rate changes for Ambulance Providers.
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