|
Effective
|
Title
|
Provider types affected
|
| 5/1/08 |
Administrative rule revisions, May 2008
|
All Providers
|
| 4/30/08 |
MMIS Insider: Volume 2, Issue 1
|
All Providers
|
| 4/28/08 |
Update to home health rates for Jan. 1, 2008
|
Home Health Providers
|
| 5/23/08 |
EDI bulletin 19
|
All Providers
|
| 4/1/08 |
CAWEM prenatal program/OHP-plus coverage information
|
All Providers
|
| MArch 14 and 27; April 1, 2008 |
Administrative Rule Revisions/Rulebook Updates
|
All Providers
|
| 4/1/2008 |
Reminder about tamper-resistant prescription pad requirements
|
Prescribing Providers
|
| 4/1/2008 |
Revised MMIS implementation and training schedule
|
All Providers
|
| 4/1/2008 |
15-Month CAWEM Prenatal Expansion Pilot
|
All Providers
|
| 4/1/2008 |
DMEPOS rate change 4/1/08
|
DME service providers, physicians and nurse practitioners
|
| 4/1/2008 |
Changes to pharmacy reimbursements
|
Pharmacies
|
| 5/1/2008 |
Revised Trading Partner Agreement (TPA)
|
EDI Clearinghouses
|
| 3/1/2008 |
Administrative Rule Revisions, March, 2008
|
All providers
|
| 4/1/2008 |
Reminder about tamper-resistant prescription pad requirements
|
Prescribing providers and pharmacies
|
| 03/2008 |
Correcting the 800 "busy signal" problem |
Providers
|
| 2/28/08 |
Payment Error Rate Measure (PERM) letter to providers from OPAR |
Medicaid and SCHIP Providers
|
| 3/1/08 |
OHP copayments reduced on some prescription drugs |
All prescribing providers
|
| 2/1/08 |
DMAP Admin rule revisions - Feb. 2008 |
All providers
|
| 1/8/08 |
Managed care enrollment in Jackson County |
Providers in Jackson County
|
| 2/1/08 |
Hysterectomy and sterilization form and billing changes |
Physicians and hospitals
|
| 1/28/08 |
Update of billing provider customers |
OHP billing providers
|
| 1/24/08 |
DMAP requires PA on OTC drugs
Update: The comment period for the proposed change to pharmacy copayments has been extended to Monday, February 4, 2008.
|
Prescribing providers and pharmacies
|
| 1/1/08 |
Home health rate adjustment |
Home health care providers
|
| 1/1/08 |
FFS RVU rate increase |
All providers
|
| 12/21/07 |
MMIS Insider - Focus on EDI |
Electronic billers
|
| 12/31/07 |
EDI Bulletin 17 |
All providers
|
| 12/14/07 |
DRG hospital billing error correction |
DRG hospitals
|
| 12/13/07 |
Codes for transportation claims |
Transportation providers |
| 1/1/08 |
OHP Pharmacy Management Program |
Pharmacies and prescribing Providers |
| 12/5/07 |
Administrative Rule Revisions |
All Providers |
| 10/1/07 |
Revised Hospice Rates |
Hospice Providers |
| 11/15/07 |
OIG fee-for-service dental study |
All OHP dentists |
| 11/16/07 |
MMIS Insider, Volume 1, Issue 3 |
All providers |
| 11/09/07 |
2007-2008 Flu Shot Update |
Prescribing providers |
| 11/08/07 |
Anesthesiology Billing Update |
Anesthesiologists and nurse anesthetists |
| 11/01/07 |
Newborn notification reminder |
Hospitals, birthing centers, direct entry midwives |
| 10/29/07 |
MS-DRG Grouper Version 25 implemented |
DRG hospitals |
| 10/12/07 |
MMIS Insider - Focus on EDI |
Electronic billers |
| TBA |
Delayed implementation of the DRG Grouper |
DRG hospitals |
| 11/1/2007 |
DMEPOS rate reduction |
Providers of durable medical equipment, prosthetics, orthotics & supplies |
| 10/8/2007 |
Columbus Day holiday delays EFT payments |
Providers who receive electronic funds transfer (EFT, or direct deposit) payments from DHS |
| 10/3/2007 |
Delay in paper claims processing |
Providers who bill paper UB-04, CMS-1500, ADA and DMAP 505 claims |
| 10/1/2007 |
6-month delay in tamper-resistant prescription pad requirement |
Pharmacies and prescribing providers |
| 9/12/2007 |
Value codes |
Institutional billers: fee-for-service |
| 9/7/2007 |
Reminder to send paper claims to PO boxes |
All providers |
| 10/1/2007 |
PA policy for sedative hypnotic drugs |
Prescribing providers and pharmacies |
| 9/17/2007 |
NPI and taxonomy code requirements Q&A memo |
All electronic billers |
| 10/1/2007 |
Tamper resistant prescription pads |
Pharmacies and prescribing providers |
| 10/1/2007 |
New payment rates for hospice services, effective 10/1/2007 |
Providers of hospice services |
| 10/1/2007 |
DRG coding changes for inpatient rehabilitation and neonate hospital services |
DRG hospitals |
| 9/1/2007 |
Oregon NPI Authentication Repository Project |
All Providers |
| 8/21/2007 |
EDI Bulletin 16 |
Electronic billers |
| 7/1/2007 |
Plan Drug List (PDL) updated effective July 1, 2007 |
Prescribing Providers and Pharmacies |
| 8/17/2007 |
MMIS Insider: Volume 1, Issue 2 |
All providers |
| 9/1/2007 |
Restrictions on institutional codes on EDI transactions |
Electronic billers using 837i claims transactions |
| 8/15/2007 |
Billing update: Accepted Place of Service codes and CMS 1500 emergency flag |
All providers |
| 12/31/2007 |
NPI Compliance Deadline for Electronic Data Interchange (EDI) Claim Submission |
Fee-for-Service Providers |
| 8/17/2007 |
DMAP AIS will be unavailable 8:30 p.m. 8/17 to 6:30 a.m. 8/20 (ET) |
All Providers |
| 7/31/2007 |
Resubmit claims denied for invalid modifier |
All Providers |
| 8/13/2007 |
New federal requirement for Medicaid-covered outpatient drug prescriptions |
Pharmacies, Prescribing Practitioners |
| 8/1/2007 |
Important billing reminder: Pharmacy NPI required on all POS transactions |
Pharmacies |
| 7/3/2007 |
Replacement DMAP Medical Care IDs |
All providers |
| 7/2/2007 |
EDI Bulletin 15 |
Electronic Billers |
| 7/2/2007 |
Reminder to update enrollment information |
All Providers |
| 7/1/2007 |
Administrative Rule Revisions |
All Providers |
| 6/29/2007 |
Revised Trading Partner Agreement (TPA) |
EDI Clearinghouses |
| 6/25/2007 |
Workaround for verifying managed care enrollment |
All providers |
| 6/27/2007 |
Restructuring of DMAPs Provider Services Call Center |
All providers |
| 6/12/2007 |
Some UB-04 claims incorrectly denied |
Users of UB-04 claim forms |
| 6/1/2007 |
Admin Rule revisions |
All providers |
| 6/1/2007 |
Newborn notification reminder |
Hospitals, birthing centers, direct entry midwives |
| 5/23/2007 |
EFT services restored |
All providers |
| 5/28/2007 |
EFT Memorial Day payment delay |
All providers |
| 5/22/2007 |
EFT payments delayed |
All providers |
| 7/23/2007 |
Crossover claim information Introducing the new DMAP 505 |
All DMAP providers who bill using the OMAP 505 claim form |
| 7/1/2007 |
New “K” codes for use with CPAP |
DME providers |
| 5/23/2007 |
Reminder about accepted claim forms |
All DMAP providers |
| 5/4/2007 |
New Web-based AIS update |
All providers |
| 3/16/2007 |
Individual NPI Reminder |
EDI providers from whom we have no NPI yet |
| 02/22/2007 |
NPI Reminder for Paper Billers: 100 days and counting |
All providers who currently bill on paper and are eligible for NPI |
| 02/22/2007 |
NPI Reminder for EDI Submitters: 100 days and counting |
All providers who submit EDI transactions to DHS |
| 02/13/2007 |
Accepted NPI claim forms effective 2/13/07 |
All providers who submit paper claims |
| 02/01/2007 |
DMAP Adminsitrative Rule Revisions effective 2/1/2007 |
All providers |
| 01/29/2007 |
RA stuffer: Reminder about OHP with Limited Drug benefits |
All providers |
| 01/05/2007 |
Reminder DMAP contracts with a home-delivery pharmacy for fee-for-service clients |
All providers |
| 03/16/2007 |
PA on Rx sedatives |
Prescribers and Pharmacies |
| 01/02/2007 |
NPI Revised Claim Forms - SUBJECT TO CHANGE |
All Providers |
| 01/03/2007 |
PA for Hepatitis C drug therapies |
Prescribing Providers |
| 01/01/2007 |
Administrative Rule Revisions: Effective 01/01/2007 |
All Providers |
