Bulletins, Notices & Newsletters

Bulletin Number Subject Bulletin Date Effective Date
17-002 Pharmacy Changes (PDF)
3/30/17 5/1/17
17-001 Carpal Tunnel Surgical Procedures (PDF 139.2KB) 2/8/17 3/1/17
16-007 Observation Services (PDF 118.9KB)
12/7/16 12/15/16
16-006 Observation Room Services (PDF 242.2KB)
9/15/16 10/1/16
16-005 Hardware Removal (PDF 63.6KB)
9/8/16 10/1/16
16-004 PCP Member Transition (PDF 75.3KB)
9/6/16 10/1/16
16-003 Electronic Claims Billing (PDF 98.9KB) 5/11/16 Immediately
16-002 Status Requests (PDF 80.4KB)
3/29/16 4/1/16
16-001 Diagnostic Tomosynthesis (PDF 92.8KB)
3/9/16 Immediately
15-014 Request for Claims Review (PDF 49.6KB)
12/31/15 Immediately
15-013 Professional Services: Authorization not required (PDF 66.6KB)
12/30/15 Immediately
15-012 Acceptance of Institutional Claims Electronically (PDF 50.9KB)
12/9/15 Immediately
15-011 Authorization Changes (PDF 141.3KB)
11/30/15 12/1/15
15-010 Option 1 Eligibility Changes (PDF 35.2KB)
10/20/15 11/1/15
15-009 Provider Billing for services Rendered by Resident Physician (PDF 92.1KB)
9/14/15 Immediately
15-008 ICD-10 (PDF 104.7KB)
8/26/15 10/1/15
15-006 Avastin (PDF 22.2KB)
7/23/15 Immediately
15-005B MMR Tool (PDF 252.9KB)
6/22/15 7/1/15
15-005A Medical Record Requirements (PDF 429.3KB)
6/22/15 7/1/15
15-005 Medical Record Requirements (PDF 74.3KB)
6/22/15 7/1/15
15-004 Transitioning Members (PDF 89.9KB)
6/3/15 11/1/14
15-003 MRI, CT Scans and PET Scans (PDF 99.5KB)
4/20/15 6/1/15
15-002 Copayments Removed (PDF 44.4KB)
3/19/15 4/1/15
15-001 Authorization Request Form (PDF 75.6KB)
3/11/15 3/11/15
14-015 Modifier 51 and 59 (PDF 34.3KB)
12/31/14 1/15/15
14-014 Hyalgan (PDF 33.9KB)
12/9/14 1/1/15
14-013 Collection of Copayments (PDF 41.4KB)
12/5/14 11/1/14
14-012 Pharmacy Update (PDF 46.6KB)
11/24/14 11/21/14
14-011 Option 1 Copayment Deduction (PDF 96.7KB)
10/31/14 11/1/14
14-010 Spinal Surgery Coverage Guidelines (PDF 57.3KB)
10/28/14 11/1/14
14-009 Coordinated Care Option 1 (PDF 50.5KB) 10/28/14 11/1/14
14-008 Transition (PDF 32.4KB)
10/3/14 11/1/14
14-007 Benefit Changes (PDF 32.4KB)
9/26/14 11/1/14
14-006 Authorization Request (PDF 32.4KB)
8/22/14 n/a
14-005 Afibercept Injection HCPCS J0178 (PDF 32.9KB)
8/11/14 8/15/14
14-004 Changes to Pharmacy Formulary (PDF 22.2KB)
4/21/14 5/1/14
14-003 Ultraviolet Rx Code Update (PDF 28.4KB)
2/21/14 4/1/14
14-002 Urgent Notice: HIPAA Violation (PDF 23.8KB)
2/5/14 Immediately
14-001 Health Care District Coverage Programs, Statewide Medicaid Reform, and the Affordable Care Act (PDF 127KB)
1/13/14 n/a
13-10 Sleep Studies Coding Revision (PDF 199.1KB)
12/9/13 1/1/14
13-08 Provider Information Update Form (PDF 36.4KB)
12/12/13 12/12/13
13-07 Evaluation and Management Service Guidelines (PDF 135.8KB)
11/14/13 n/a
13-06 Changes to Formulary (PDF 114.2KB)
10/25/13 11/1/13
13-05 90 Day Supply for Select Medications (PDF 25.9KB)
9/17/13 10/1/13
13-04 Modifier 59 Distinct Procedure Services (PDF 56.9KB)
8/31/13 10/1/13
13-03 Automated Phone System (PDF 25.9KB)
7/30/13 7/30/13
13-02 Claims Billing Education (PDF 318.5KB)
7/25/13 7/25/13
13-01 Benefits Changes (PDF 25.7KB)
6/5/13 7/1/13
12-009 New Podiatry Benefits (PDF 76.8KB)
12/19/12 12/1/12
12-08 Benefits Changes (PDF 26.9KB)
10/18/12 12/1/12
12-07 Pharmacy Benefits Changes (PDF 25.2KB)
10/18/12 12/1/12
12-006 Nutritional Authorization Requirements (PDF 24.7KB)
6/7/12 7/1/12
12-005 Vestibular Testing Authorization Requirements (PDF 25.1KB)
6/7/12 7/1/12
12-004 Prior Authorization Requirements (PDF 25KB)
6/7/12 7/1/12
01-12 CT, MRI and Pet Studies (PDF 25.2KB)
6/1/12 7/1/12
02-12 J-Codes (PDF 146.9KB)
4/1/12 5/1/12
02-12 Breast Surgery (PDF 25.5KB)
4/1/12 5/1/12
Claims Status Results Line (PDF 17.7KB)
3/15/12 3/15/12
11-007 National Provider Identifier-Final Notice (PDF 31.1KB)
11/2/11 12/1/11
11-006 2011 - Flu Season (PDF 25.5KB)
10/6/11 10/6/11
11-003 National Provider Identifier (PDF 181.6KB)
8/2/11 8/2/11
11-002 Updated Forms (PDF 20.6KB)
4/7/11 4/7/11
11-001 Optometry (PDF 15.7KB)
1/20/11 1/1/11
10-004 EDI Submitter Alert (PDF 45.9KB)
9/21/10 10/15/10
10-003 Changes to Health Care District Authorization Requirements (PDF 53.3KB)
9/21/10 10/1/10
10-002 Changes to Health Care District Pharmacy Network (PDF 51.7KB)
9/20/10 10/16/10
10-001 HCD Formulary Update (PDF 85.6KB)
4/26/10 5/1/10
05-002 Retro Coverage (PDF 72.8KB)
5/22/09 6/1/09
09-016 2009-2010 Flu Season (PDF 67.3KB)
10/5/09 10/5/09
09-015 Benefit Update (PDF 44.9KB)
9/23/09 10/1/09
09-012 Anesthesia Billing (PDF 151.7KB)
7/31/09 7/31/09
09-010 Vestibular Testing (PDF 98.8KB)
5/6/09 5/11/09

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