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Provider Announcements

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General announcements (PDF)

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Effective

Title

Provider types affected
10/1/2008 New hospice rates  Providers of hospice services
10/1/2008 Requirements for Tamper Resistant Prescription Pads Prescribing providers and pharmacies
9/10/2008 MMIS Insider: Volume 2, Issue 5 All providers
10/1/2008 Tamper-resistant prescription requirements Prescribing providers and pharmacies
8/22/2008 Current process for Medicaid/SCHIP Local Match School-based, Targeted Case Management and Behavioral Rehabilitative Services providers
8/15/2008 MMIS Insider: Volume 2, Issue 4 All providers
8/31/2008 Eligibility Verification Updates - Changes to EEVS and EDI Services All providers
8/8/2008 PCMs and MMIS changes OHP Primary Care Managers
8/1/2008 Administrative Rule Revisions, effective 8/1/2008 SBHS and MedSurg providers
8/1/2008 Change to Medicaid/SCHIP local match process School Based Health Services (SBHS), Behavioral Rehabilitative Services (BRS) and Targeted Case Management (TCM) providers
7/21/08 MMIS Insider: Volume 2, Issue 3 All Providers
7/14/2008 EDI Bulletin 20 Electronic billers
7/9/2008 Clarification about Medicaid/SCHIP local match process School Based Health Services (SBHS), Behavioral Rehabilitative Services (BRS) & Targeted Case Management (TCM) providers
7/1/2008 Administrative Rule Revisions, effective July 2008 All providers
9/2008 Upcoming changes to Medical Care IDs and the eligibility verification process All providers
6/30/08 MMIS Insider - Focus on EDI Electronic billers
6/20/08 Nursing facility claims method changes All providers
6/13/08 Summer staff shortage, call center All providers
5/29/08

MMIS Insider: Volume 2, Issue 2

DMAP, SPD & AMH providers
5/19/08

Have you registered for replacement MMIS training?

All providers
5/23/08

The NPI is Here. The NPI is Now.

All providers
7/1/08

Medicaid/SCHIP local match options

School Based Health Services (SBHS), Behavioral Rehab Services & Targeted Case Mgt (TCM) providers
5/12/08

MMIS training sessions for pharmacy providers

Pharmacy Providers
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
7/23/2007 Crossover claim information Introducing the new DMAP 505 All DMAP providers who bill using the OMAP 505 claim form

 

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MMIS provider announcements (PDF)

These announcements are about the replacement Medicaid Management Information System (MMIS). The information in these announcements is subject to change as the MMIS Replacement Project develops. For the most current information about MMIS Replacement Project status, go to the MMIS Current Topics Web page.

 

For more information about the replacement MMIS and how it will impact providers, go to the MMIS Replacement Project  Web site for providers.

 

You will need the free Adobe Acrobat Reader to view these documents. If you do not already have the latest version of the Acrobat Reader on your computer, you can download it now.

 

Issued

Title

Provider types affected
9/10/2008 MMIS Insider: Volume 2, Issue 5 All providers
8/15/2008 MMIS Insider: Volume 2, Issue 4 All providers
8/9/2008 Eligibility Verification Updates - Changes to EEVS and EDI Services All providers
8/8/2008 PCMs and MMIS changes OHP Primary Care Managers
7/21/08 MMIS Insider: Volume 2, Issue 3 All Providers
7/3/08 MMIS testing for FFS 837 claims FFS electronic billers
7/2/08 Point of Sale network connection Pharmacy providers
7/2/08 Upcoming changes to Medical Care IDs and the eligibility verification process All providers
6/30/08 MMIS Insider - Focus on EDI Electronic billers
6/20/08 Nursing facility claims method changes All providers
5/29/08

MMIS Insider: Volume 2, Issue 2

DMAP, SPD & AMH providers
5/19/08

Have you registered for replacement MMIS training?

All providers
5/12/08

MMIS training sessions for pharmacy providers

Pharmacy Providers
4/30/08

MMIS Insider: Volume 2, Issue 1

All Providers
4/1/2008

Revised MMIS implementation and training schedule

All Providers
12/21/07 MMIS Insider - Focus on EDI 

Electronic billers
11/16/07 MMIS Insider, Volume 1, Issue 3 All providers
10/12/07 MMIS Insider - Focus on EDI  Electronic billers
8/17/07 MMIS Insider: Volume 1, Issue 2 All providers
11/28/06 Revision of MMIS Implementation Schedule All providers
10/30/06 MMIS Insider, Volume 1, Issue 1 All providers
09/06/06 New Electronic Document Management System (EDMS) Coming Soon All providers
06/06/06 Coming Soon: Oregon's New MMIS All Providers

 

 

If you need a copy of an older letter, please contact contact the DMAP Client and Provider Education Unit at 1-800-527-5772.

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Page updated: September 19, 2008

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