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What's New Archives

What's New

Despite our best efforts to ensure accuracy of the information located
on this web site, time lag and discrepancies may occur.
Items posted before January 2005 have been moved to the Archives page
listed on the left.

Date	Link	Description
06/02/2008	Adjustment Form	Adjustment/Recoupment Request form
12/05/07	Form 910	Form 910/Acknowledgment of Sterilization As a Result of Hysterectomy
12/05/07	Form 910 (Spanish)	Formulario de 910 /Notificación de Esterilización Como Resultado de Una Histerectomía
11/15/07	Drg Pricing	Drg Repricing Memo - November 2007
11/15/07	Drg Table	Drg Relative Weight/Price Table Effective October 1, 2007
11/08/07	September 2007	September 2007 Quarterly Bulletin
09/28/07	Provider Diaper Notice	Provider Diaper Notice
09/14/07	272D Durable Medical Equipment Prior Authorization	09/14/2007 272D Durable Medical Equipment Prior Authorization
09/14/07	272E Request for Prior Authorization in Excess of Service Limits	09/14/2007 272E Request for Prior Authorization in Excess of Service Limits
09/14/07	272EQ Medical Evaluation Request (non-wheelchair)	09/14/2007 272EQ Medical Evaluation Request (non-wheelchair)
09/14/07	273BG Gastric Bypass Surgery Prior Authorization Request	09/14/2007 273GB Gastric Bypass Surgery Prior Authorization Request
09/14/07	273PY Panniculectomy Prior Authorization Request	09/14/2007 273PY Panniculectomy Prior Authorization Request
09/14/07	273PG Pregnancy Notification	09/14/2007 273PG Pregnancy Notification
09/14/07	273MM Reduction Mammaplasty	09/14/2007 273MM Reduction Mammaplasty
09/14/07	272M Mobility Evaluation Form	09/14/2007 272M Mobility Evaluation Form
09/14/07	272EP Request for Prior Authorization in Excess of Service Limits - Psychotherapy	09/14/2007 272EP Request for Prior Authorization in Excess of Service Limits - Psychotherapy
07/18/07	Audit 928 Provider Notice	Audit 928 Provider Notice
07/02/07	June 2007	June 2007 Quarterly Bulletin
06/15/07	False Claims Notice False Claims Info State Plans For Medical Assistance SMDL #06-025	False Claims Notice and Information
06/06/07	UB04 Provider Notice	UB04 Provider Notice
06/06/07	Nursing Home	UB04 Completion Instructions for Nursing Homes only
06/06/07	Swing Bed Providers	UB04 Completion Instructions for Swing Bed Providers Only
06/06/07	UB04 Hospital	UB04 Paper Completion Instructions for Hospitals


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