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What's New Archives

What's New

Note: PDF Remittance Advices(RAs) are now available for download beginning with Remittance Advices dated December 4, 2009. If you have not already signed up for the PDF RAs please complete an EDI Registration and Trading Partner Agreement (if applicable) and mail to EDI Coordinator. For more information refer to the Provider Memo mailed in October 2009.

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
7/27/2010 Rate Change Disposable Gloves Rate Change Disposable Gloves 07/27/2010
7/09/2010 DME Provider Reversal Letter New Hampshire Medicaid DME Rate Adjustment Letter 07/01/2010
7/09/2010 DME Reversal Letter Attachment LIST OF DME CODES WITH NEW MEDICAID RATES Effective 4/1/2010
7/09/2010 Podiatry and Hospice Provider Notice Change in Podiatry Service Limit & Addition of Hospice Benefit Memo - June 2010
7/09/2010 Podiatry Service Limit Provider Notice Change in Podiatry Service Limit Memo - June 2010
6/24/2010 Hospice Provider Letter Hospice Provider Letter 06/21/2010
6/24/2010 Form 282A Medicaid Hospice Care Notification Form
6/24/2010 Form 282B Service Utilization within Hospice by Recipient
6/3/2010 Radiology Services billing Clarification in billing of Radiology Services by Hospitals Memo - June 2010
4/26/2010 Outpatient claims processing changes Changes to Processing of Revenue Code 0510 Clinic General, 0960-0989 Professional Fee, Physical Therapies, Occupational Therapies, Speech Therapies and Radiology Services billed as Outpatient Hospital Services Memo - April 2010
3/24/2010 Upcoming Federal audit of provider payments Notification of upcoming Federal audit of provider payments
4/8/2010 Reductions for certain DME products Notification of upcoming reductions for certain DME products
4/8/2010 DME CODES WITH NEW RATES LIST OF DME CODES WITH NEW MEDICAID RATES (effective 4/1/2010)
3/8/2010 Remittance Advices in PDF Format Mandatory Mandatory Replacement of Paper Remittance Advices with a Copy in PDF Format Memo - March 2010
2/5/2010 Billing for Flu Vaccinations Billing for Flu Vaccinations Memo - February 2010
12/23/2009 New Incontinence Product Forms New Incontinence Product Related Forms Memo - December 2009
12/23/2009 Form 272REV Incontinence Products Prior Authorization Revision Request Form
12/23/2009 Form 286 Request for Incontinence Product Not on Product Offering Sheet
12/10/2009 Chiropractor Benefit Elimination Elimination of Title XIX Chiropractor Benefit Memo - December 2009
11/23/2009 Choices for Independence services Services for Individuals Eligible for Choices for Independence Memo - November 2009
11/20/2009 DRG Pricing DRG Repricing Memo - November 2009
11/20/2009 DRG Table DRG Relative Weight/Price Table
Effective October 1, 2009
10/16/09 Incontinence Products Changes Exclusive Supplier of Incontinence Products, New Prior Authorization Request Form, Coding, Pricing, and Limits
10/16/09 Form 272 DIA Incontinence Products Prior Authorization Request Form
10/16/09 Billing Guidance - Effective December 1, 2009 (Incontinence Products) Gulf South, NH Medicaid’s Contracted, Exclusive Supplier of Incontinence Products: Procedure Codes, Billing Modifiers, and New Reimbursement Rates
10/16/09 Product Sheet - Effective December 1, 2009 (Incontinence Products) Gulf South, NH Medicaid’s Contracted, Exclusive Supplier of Incontinence Products: Product Offering and Monthly Maximums per Product
10/14/09 Remittance Advice Format Changes Replacement of Paper Remittance Advices with a Copy in PDF Format
10/14/09 EDI Registration Form Updated NH Title XIX EDI Registration Form
8/28/09 THE AMERICAN RECOVERY & REINVESTMENT ACT (ARRA) Federal Law – ARRA Section 1553 Protects Whistleblowers
5/11/09 837 Outpatient Billing (Institutional) 837O Institutional Billing Requirements Updated
5/08/09 837 Inpatient Billing (Institutional) 837I Institutional Billing Requirements Updated
2/11/09 Form 272X REQUEST FOR PRIOR AUTHORIZATION FOR DIAGNOSTIC IMAGING Updated
2/06/09 837 Billing (Professional) 837 Professional Billing Requirements Updated
2/06/09 837 Billing (Swing Bed) 837 Swing Bed Billing Requirements Updated
2/06/09 837 Billing (Nursing Home) 837 Nursing Home Billing Requirements Updated
12/18/08 PA Process Changes - Non-Emergent Diagnostic Imaging Change in the Process for Prior Authorizations for Non-Emergent Diagnostic Imaging
12/18/08 Form 272X REQUEST FOR PRIOR AUTHORIZATION FOR DIAGNOSTIC IMAGING
12/18/08 Radiology PA Procedures New Hampshire Medicaid Outpatient Radiology Prior Authorization Procedures
12/09/08 Federal Outpatient Hospital Billing Requirements Federal Requirements for Outpatient Hospital Billing Memo -- December 2008
12/09/08 Attachment to December 2008 Memo Attachment: Federal Register / Vol. 73, No. 217 / Friday, November 7, 2008 / Rules and Regulations
11/26/08 Swing Bed Providers
 UB04 Completion Instructions for Swing Bed Providers Only
11/26/08 UB04 Hospital
 UB04 Paper Completion Instructions for Hospitals
11/26/08 837 Billing (Professional) 837 Professional Billing Requirements
11/26/08 837 Billing (Swing Bed) 837 Swing Bed Billing Requirements
10/31/08 NDC and POA Indicator Implementation of the National Drug Code (NDC) and Present on Admission (POA) Indicator Memo - October 2008
10/22/08 Swing Bed Providers
 UB04 Completion Instructions for Swing Bed Providers Only
10/22/08 UB04 Hospital
 UB04 Paper Completion Instructions for Hospitals
10/7/08 DRG Pricing DRG Repricing Memo - October 2008
10/7/08 DRG Table DRG Relative Weight/Price Table
Effective October 1, 2008
10/1/08 National Drug Code (NDC) Required Requiring the National Drug Code (NDC) on Claims Memo - September 2008
09/30/08 Form 904 Form 904 /Certification of the Decision to Terminate Pregnancy
09/30/08 Document 904(i) Instructions for Form 904
08/15/08 Outpatient Procedure Codes Required Procedure Codes Required on Outpatient Hospital Claims Memo - August 2008
07/25/08 Psychotherapy Services Psychotherapy Services, Service Limits and Prior Authorization Process Memo - July 2008
06/02/08 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
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