Read Banner Messages for 05-02-11 and 05-06-11.fm text version

Banner Messages for the 05-02-11 and 05-06-11 R&S Reports

This file contains abbreviated messages meant to provide timely notifications that affect all provider groups (physicians, dentists, and so forth). Additional current and historic information affecting the Medicaid, Medicaid Managed Care, and Children with Special Health Care Needs (CSHCN) Services Program provider community may be found in the earlier postings of these files in the TMHP banner library at www.tmhp.com as well as in the bi-monthly editions of the Texas Medicaid Bulletin and the quarterly CSHCN Services Program Provider Bulletin, which update the Texas Medicaid Provider Procedures Manual and CSHCN Services Program Provider Manual, respectively.

Copyright Acknowledgements

Use of the AMA's copyrighted CPT® is allowed in this publication with the following disclosure: "Current Procedural Terminology (CPT) is copyright 2010 American Medical Association. All rights reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable Federal Acquisition Regulation System/Defense Federal Acquisition Regulation Supplement (FARS/DFARS) apply." The American Dental Association requires the following copyright notice in all publications containing Current Dental Terminology (CDT) codes: "Current Dental Terminology (including procedure codes, nomenclature, descriptors, and other data contained therein) is copyright © 2009 American Dental Association. All Rights Reserved. Applicable FARS/DFARS apply." Microsoft Corporation requires the following notice in publications containing trademarked product names: "Microsoft® and Windows® are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries."

Total Messages (42)

1 (05/06/11 through 05/27/11) *****Attention All Medicaid Providers*****

The Department of State Health Services Laboratory Checklist for THSteps Medical providers is now available. Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126.

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(05/06/11 through 05/27/11) *****Attention All Medicaid Providers*****

TMHP has identified an issue with 48 static fee schedule reports located on the TMHP website at www.tmhp.com. Providers should disregard codes that do not comply with Current Procedural Terminology (CPT) or the Healthcare Common Procedure Coding System (HCPCS) in these reports. On May 4, 2011, all fee schedules will be replaced by complete, corrected versions. No action on the part of the provider is required. Details are available on the TMHP website at www.tmhp.com.

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For more information, call the TMHP Contact Center at 1-800-925-9126. 3 (05/06/11 through 05/27/11) *****Attention All Medicaid Providers*****

This is an update to an article titled "Static Fee Schedule Reports Correction," which was published on the TMHP.com website at www.tmhp.com on April 20, 2011. The original article noted that static fee schedules report PRCR401C titled "Nurse Practitioner, Clinical Nurse Specialist, and Physician Assistant," and report PRCR434C titled "Nurse Practitioner, Clinical Nurse Specialist, and Physician Assistant-Certified Nurse Midwife," would be replaced by complete, corrected versions on May 1, 2011. These reports will now be replaced on May 4, 2011. For more information, call the TMHP Contact Center at 1-800-925-9126. 4 (04/29/11 through 05/20/11) *****Attention All Medicaid Providers*****

This is an update to the 2011 Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, subsection 8.2.37, "Medications-Injectable." The American Medical Association Drug Evaluations (AMA-DE) has been added to the list of alternatives that can be used in the absence of drug guidelines that are approved by the Food and Drug Administration (FDA). Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126.

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(04/29/11 through 05/20/11) *****Attention All Medicaid Providers*****

Effective April 1, 2011, for dates of service on or after January 1, 2011, changes were made to some cardiology services procedure codes that are rendered by outpatient facility providers. Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126. 6 (04/29/11 through 05/20/11) *****Attention All Medicaid Providers*****

This is a correction to an article titled "April Procedure Code Review Updates Now Available," which was published on the TMHP website on February 19, 2010, and in the May/June 2010 Texas Medicaid Bulletin, No. 229. The article included incorrect information for evaluation and management procedure codes 99203, 99204, 99213, and 99214 when they are rendered in the birthing center setting. Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126.

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(04/29/11 through 05/20/11) *****Attention All Medicaid Providers*****

Effective immediately, prior authorization requests submitted for tilt-in-space (manual) wheelchairs, pediatric size (manual) wheelchairs and strollers, custom ultra-lightweight (manual) wheelchairs, all power wheel chairs, scooters, and major modifications for these wheeled mobility systems may be granted with a through date of service of August 31, 2011.

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Some previously granted prior authorizations for wheeled mobility systems may have been issued with a through date of service on or after September 1, 2011. These prior authorized systems must be delivered and fitted on or before August 31, 2011; otherwise, providers may be required to complete a new seating assessment and resubmit the prior authorization request. For more information, call the TMHP Contact Center at 1-800-925-9126. 8 (04/29/11 through 05/20/11) *****Attention All Medicaid Providers*****

Reminder: Effective December 17, 2010, TMHP changed the way diagnosis-related group (DRG) claims are reimbursed and reported. Providers may refer to the original article titled "TMHP to Change Processing and Reporting of DRG Claim Reimbursements," which was published on October 29, 2010, and "Update to 'TMHP to Change Processing and Reporting of DRG Claim Reimbursements,'" which was published December 10, 2010, on the TMHP website at www.tmhp.com. This information also appeared in the January/February 2011 Texas Medicaid Bulletin, No. 233. For more information, call the TMHP contact center at 1-800-925-9126.

9

(04/29/11 through 05/20/11) *****Attention All Medicaid Providers*****

TMHP has identified an issue that impacts claims for enteral feeding supply kit procedure code B4035 with dates of service from April 22, 2009, through April 21, 2011. Some claims may have been denied in error. Affected claims will be reprocessed. Providers may receive additional payment, which will be reflected on Remittance and Status Reports. For more information, call the TMHP Contact Center at 1-800-925-9126.

10 (04/29/11 through 05/20/11) *****Attention All Medicaid Providers***** The 2011 edition of the Texas Medicaid Provider Procedures Manual is available on the TMHP website at www.tmhp.com. The manual includes policy that was in effect on January 1, 2011. Providers should refer to website articles and the Texas Medicaid Bulletin for changes to policy that implement on or after January 2, 2011. Providers can expect to receive this manual on a compact disc in early May 2011. For more information, call the TMHP Contact Center at 1-800-925-9126. 11 (04/29/11 through 05/20/11) *****Attention All Medicaid Providers***** Effective April 1, 2011, for dates of service on or after October 1, 2010, colorectal cancer screening procedure code G0328 requires modifier QW for reimbursement. This change maintains compliance with Clinical Laboratory Improvement Amendments (CLIA) guidelines. Some claims for procedure code G0328 that were submitted without modifier QW with dates of service from October 1, 2010, through March 31, 2011, may have been paid in error. When these claims are reprocessed, any payments that were made in error may be deducted from future payments (i.e., recouped). Deductions will be reflected on Remittance and Status (R&S) Reports. No action on the part of the provider is necessary. Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126.

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12 (04/29/11 through 05/20/11) *****Attention All Medicaid Providers***** TMHP has identified an issue that may affect users attempting to access information on the secure portal on the TMHP website at www.tmhp.com. Upon logging into the portal, some users receive the following error, "You have been directed to this page because your username is linked to one or more TPIs that do not have an associated NPI." If the user's account is attached to other TPIs that are not listed on the screen, they should select "Continue without Attesting at this time" to bypass the error message and access secure portal functions. Providers will be notified when the issue has been resolved. For more information, call the TMHP Contact Center at 1-800-925-9126. 13 (04/29/11 through 05/20/11) *****Attention All Medicaid Providers***** This is a correction to an article titled, "Benefit Criteria to Change for Inpatient and Outpatient Behavioral Health Services on May 1, 2011," which was published on the TMHP website at www.tmhp.com on March 11, 2011. Some of the provider type and place of service changes identified for inpatient behavioral health services (procedure codes 96101 and 96118) were implemented on July 1, 2010. Details are available on the TMHP website and the updated article will be published in the July/August 2011 Texas Medicaid Bulletin, No. 236. For more information, call the TMHP Contact Center at 1-800-925-9126.

14 (04/29/11 through 05/20/11) *****Attention All Medicaid Providers***** TMHP has identified an issue with the static fee schedules report PRCR401C titled Nurse Practitioner, Clinical Nurse Specialist, and Physician Assistant and report PRCR434C titled Nurse Practitioner, Clinical Nurse Specialist, and Physician Assistant-Certified Nurse Midwife and the associated Online Fee Lookup (OFL) results located on the TMHP website at www.tmhp.com. Some of the procedure codes in these fee schedules and the associated OFL results include incorrect effective dates. The fee amounts that are listed are correct. On May 1, 2011, these fee schedules will be replaced by complete, corrected versions. No action on the part of the provider is required. For more information, call the TMHP Contact Center at 1-800-925-9126.

15 (04/22/11 through 05/13/11) *****Attention All Medicaid Providers***** Effective for dates of service on or after June 1, 2011, the benefit criteria for injection administrations will change for Texas Medicaid. Details are available on the TMHP website at www.tmhp.com and will be published in the July/August 2011 Texas Medicaid Bulletin, No. 236. For more information, call the TMHP Contact Center at 1-800-925-9126.

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16 (04/22/11 through 05/13/11) *****Attention Medicaid Providers***** Effective for dates of service on or after June 1, 2011, benefit criteria for urethral dilation services will change. Details are available on the TMHP website at www.tmhp.com and will be published in the July/August 2011 Texas Medicaid Bulletin, No. 236. For more information, call the TMHP Contact Center at 1-800-925-9126.

17 (04/22/11 through 05/13/11) *****Attention All Medicaid Providers***** Effective for dates of service on or after June 1, 2011, benefit criteria for substance use disorder services will change for Texas Medicaid. Details are available on the TMHP website at www.tmhp.com and will be published in the July/August 2011 Texas Medicaid Bulletin, No. 236. For more information, call the TMHP Contact Center at 1-800-925-9126. 18 (04/22/11 through 05/13/11) *****Attention All Medicaid Providers***** This is a correction to an article titled "Update to 2010 Texas Medicaid Provider Procedures Manual About Proof of Timely Filing for Electronic Claims," which was published on the TMHP website at www.tmhp.com on March 4, 2011. The article states that the batch ID format allows electronic submitters to determine the hour that the batch report was received by TMHP. The batch ID format allows electronic submitters to determine only the exact day and year that the batch report was received by TMHP. For more information, call the TMHP contact center at 1-800-925-9126.

19 (04/22/11 through 05/13/11) *****Attention All Medicaid Providers***** Effective for dates of service on or after June 1, 2011, bariatric surgery procedure code 43775 will require prior authorization. Providers may refer to the 2010 Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, Subsection 6.3.6.1 "Prior Authorization for Bariatric Surgery" for additional information about prior authorization requirements. For more information, call the TMHP Contact Center at 1-800-925-9126. 20 (04/22/11 through 05/13/11) *****Attention All Medicaid Providers***** TMHP has identified an issue that affects claims that were submitted on or after February 25, 2011, for dates of service between October 1, 2010, and April 17, 2011, with respiratory syncytial virus (RSV) prophylaxis procedure code 90378 and diagnosis code 76520, 76521, 76522, 76523, 76524, 76525, 76526, 76527, 76528, or 76529. Claims with valid prior authorization numbers may have been incorrectly denied payment by Texas Medicaid with explanation of benefits (EOB) code 05107 (Claim diagnosis is invalid for client's age.) Affected claims will be reprocessed, and providers may receive additional payment, which will be reflected on Remittance and Status (R&S) Reports. No action on the part of the provider is necessary. For more information, call the TMHP Contact Center at 1 800-925-9126.

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21 (04/15/11 through 05/06/11) *****Attention All Medicaid Providers***** This is an update to the 2010 Texas Medicaid Provider Procedures Manual, Behavioral Health, Rehabilitation, and Case Management Services Handbook, section 7.14, "Non-covered Services." This section states that intensive outpatient program services are not a benefit of Texas Medicaid. Substance use disorder services are an exception and are a benefit of Texas Medicaid. For more information, call the TMHP Contact Center at 1-800-925-9126.

22 (04/15/11 through 05/06/11) *****Attention All Medicaid Providers***** Effective for dates of service on or after April 1, 2011, the age restriction for procedure code J3486 will be removed and injection of ziprasidone mesylate will become a benefit for clients of all ages. For more information, call the TMHP Contact Center at 1-800-925-9126. 23 (05/06/11 through 05/27/11) *****Attention All Medicaid and CSHCN Services Program Providers***** TMHP has identified an issue that affects claims with dates of service on or after January 1, 2009, that include some renal dialysis procedure codes. Claims may have been paid incorrectly by Texas Medicaid or the Children with Special Health Care Needs (CSHCN) Services Program if the claim submission did not include a facility provider number. When these claims are reprocessed, any payments that were made in error may be deducted from future payments (i.e., recouped). Deductions will be reflected on Remittance and Status Reports. Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

24 (04/29/11 through 05/20/11) *****Attention All Medicaid and CSHCN Services Program Providers***** This is an update to an article titled "Reimbursement Rates to Be Implemented January 2011 for Second Quarter 2010 HCPCS Procedure Codes," which was published on the TMHP website on November 19, 2010, and in the March/April Texas Medicaid Bulletin, No. 234. The article indicated reimbursement rates for procedure codes C9264, C9265, C9266, and C9268 would be effective for dates of service on or after January 1, 2011; however, these procedure codes were discontinued during the 2011 Healthcare Common Procedure Coding System (HCPCS) implementation and will not be made benefits of Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program. The article also included durable medical equipment services procedure code C9367, which did become a benefit for dates of service on or after January 1, 2011. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

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25 (04/29/11 through 05/20/11) *****Attention All Medicaid and CSHCN Services Program Providers***** Reminder: Providers with certain provider types must verify or update key demographic information every six months to ensure that their information is correct in the Online Provider Lookup (OPL). This information includes, but is not limited to, the provider's hours of operation, whether new patients are being accepted, any additional services offered, and counties served. Providers can update their demographic information online through the Provider Information Management System (PIMS). Beginning March 24, 2011, providers who have not verified or updated PIMS within six months are no longer able to bypass the demographic screen in the OPL without providing this information. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

26 (04/29/11 through 05/20/11) *****Attention All Medicaid and CSHCN Services Program Providers***** The last date to administer respiratory syncytial virus (RSV) prophylaxis was April 15, 2011. The RSV season is based on RSV surveillance data and the expert opinion of Texas-based specialists. For additional information about RSV, providers can refer to the 2010 Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, subsection 6.3.58, "Respiratory Syncytial Virus (RSV) Prophylaxis" and the 2010 CSHCN Services Program Provider Manual, section 30.2.23.10, "Respiratory Syncytial Virus (RSV) Prophylaxis," on page 29-79. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

27 (04/15/11 through 05/06/11) *****Attention All Medicaid and CSHCN Services Program Providers***** Effective for dates of service on or after June 1, 2011, age restrictions for some surgical procedure codes will change for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program. Details are available on the TMHP website at www.tmhp.com and will be published in the July/August 2011 Texas Medicaid Bulletin, No. 236 and the May 2011 CSHCN Services Program Provider Bulletin, No. 76. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413. 28 (04/15/11 through 05/06/11) *****Attention All Medicaid and CSHCN Services Program Providers***** TMHP has updated the taxonomy codes that are associated with various provider types and specialties that are part of the National Provider Identifier (NPI) attestation process on the TMHP website. Providers are encouraged to verify that they have attested all appropriate taxonomy codes. Details are available on the TMHP website at www.tmhp.com and will be published in the July/August 2011 Texas Medicaid Bulletin, No. 236 and the August 2011 CSHCN Services Program Bulletin, No. 79. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

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29 (05/06/11 through 05/27/11) *****Attention All Dental Providers***** This is a correction to the 2010 Texas Medicaid Provider Procedures Manual Children's Services Handbook, subsection 5.3.11, "Diagnostic Services" and the 2011 Texas Medicaid Provider Procedures Manual Children's Services Handbook, subsection 4.2.11, "Diagnostic Services." The limitations information for procedure code D0150 is incorrect. The correct information is: Procedure code D0150 is: used for a comprehensive oral examination; limited to one every three years by the same provider; denied when submitted for the same date of service as D0145 by any provider; and a benefit for clients who are birth through 20 years of age. For more information, call the TMHP Contact Center at 1-800-925-9126.

30 (04/29/11 through 05/20/11) *****Attention All Family Planning Providers***** Effective April 1, 2011, procedure codes 76881 and 76882 are benefits of Title V and XX family planning for dates of service on or after January 1, 2011. Details, including benefit and limitation information and reimbursement rates, are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126. 31 (04/29/11 through 05/20/11) *****Attention All PCCM Providers***** TMHP has identified an error that affects some surgery, radiology, laboratory, dental, hearing services, and durable medical equipment procedure codes for services that are rendered to Primary Care Case Management and Medicaid managed care clients. Effective April 6, 2011, for various dates of service, some provider type and place of service changes will be applied to the affected procedure codes and claims will be reprocessed. For claims that were incorrectly denied, providers may receive additional payment. Additional payments will be reflected on the providers' Remittance and Status Reports. No further action on the part of the provider is necessary. Details of the changes are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126.

32 (04/15/11 through 05/06/11) *****Attention All PCCM Providers***** TMHP has identified an issue that affects claims that were submitted with the surgical component for procedure code 31256, 68420, or 93642 and the professional component for procedure code 76831 when services were rendered to Primary Care Case Management (PCCM) clients by physicians in the outpatient hospital setting. These claims may have been incorrectly denied. Affected claims that were submitted with dates of service from September 1, 2010, through April 5, 2011, will be reprocessed. When these claims are reprocessed, providers may receive additional payment, which will be reflected on Remittance and Status Reports. No action on the part of the provider is necessary. For more information, call the TMHP contact center at 1-800-925-9126. 33 (05/06/11 through 05/27/11) *****Attention All Providers***** Effective May 28, 2011, the TMHP Electronic Data Interchange will be updated to include information that will help providers that are filing claims for clients who have dual Medicare Part C and Medicaid eligibility. Details are available on the TMHP website at www.tmhp.com.

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For more information, call the TMHP Contact Center at 1-800-925-9126.

34 (04/29/11 through 05/20/11) *****Attention All Providers***** Texas Medicaid has announced the state Medicaid Electronic Health Record (EHR) Incentive Program. Texas Medicaid, together with the Centers for Medicare & Medicaid Services, is in the process of implementing the provisions of the American Recovery and Reinvestment Act of 2009 (Recovery Act). The Recovery Act provides incentive payments to Medicaid providers for the adoption and meaningful use of certified EHR technology. Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

35 (04/22/11 through 05/13/11) *****Attention All Providers***** This is an update to an article titled "Claims Processing for Noncontracted Medicare Advantage Plans (MAPs)," which was published on the TMHP website on July 2, 2010. The article stated that a new feature would be added to the TMHP system to capture the MAP Plan ID and to differentiate an individual MAP's contracted products (lines of business) from noncontracted products. Effective March 25, 2011, the system has been updated to capture the MAP Plan ID information. Details are available on the TMHP Website at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126. 36 (04/15/11 through 05/06/11) *****Attention All Providers***** This is an update to an article titled "Enhancements to Online Fee Lookup (OFL) on the Portal," which was published December 17, 2010, on the TMHP website at www.tmhp.com. The planned implementation to allow OFL users to retrieve a 24-month fee history for procedure codes has been delayed. Providers can still use the OFL to retrieve fee information for the current date or for a specific prior date of service within a rolling two-year period. Providers will be notified when the implementation of the 24-month fee history has been rescheduled. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413. 37 (04/15/11 through 05/06/11) *****Attention All Providers***** TMHP will perform scheduled maintenance to the Claims Engine and Long Term Care (LTC) systems beginning at midnight, Saturday, June 4, 2011. Maintenance will last 27 hours and end at 3 a.m. on Monday, June 6, 2011. During the maintenance, some applications will be unavailable for both Acute Care and LTC systems. Batch claims and batch claims status inquiries may be submitted during the maintenance period. Details about the affected applications are available on the TMHP website at www.tmhp.com.

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(04/22/11 through 05/13/11) *****Attention All CSHCN Services Program Providers***** Effective for dates of services on or after June 1, 2011, total parenteral nutrition benefits will change for the Children with Special Health Care Needs (CSHCN) Services Program. Details are available on the TMHP website at www.tmhp.com and will be published in the August 2011 CSHCN Services Program Provider Bulletin, No. 79. For more information, call the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413. 38 (04/22/11 through 05/13/11) *****Attention All CSHCN Services Program Providers***** Effective for dates of service on or after June 1, 2011, medical services procedure code C9367 will be a benefit for the Children with Special Health Care Needs (CSHCN) Services Program. The reimbursement rate for procedure code C9367 will be $19.14. For more information, call the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

39 (04/22/11 through 05/13/11) *****Attention All CSHCN Services Program Providers***** Effective for dates of service on or after June 1, 2011, the Children with Special Health Care Needs (CSHCN) Services Program benefit for mastectomy and reconstructive or cosmetic procedures will change. Details of these changes are available on the TMHP website at www.tmhp.com. For more information, call the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413. 40 (04/15/11 through 05/06/11) *****Attention All CSHCN Services Program Providers***** Effective March 27, 2011, for dates of service on or after February 25, 2011, therapy procedure codes 92507 and 92526 are no longer subject to the Centers for Medicare & Medicaid Services (CMS) Medically Unlikely Edit limitation of one service per day for Children with Special Health Care Needs Services clients. Affected claims with dates of service from February 25, 2011, through March 26, 2011, will be reprocessed, and claims that were incorrectly denied will be reimbursed. No action on the part of the provider is necessary. For more information, call the TMHP-CSHCN Services Contact Center at 1-800-568-2413.

41 (04/15/11 through 05/06/11) *****Attention All CSHCN Services Program Providers***** Effective for dates of services on or after June 1, 2011, the reimbursement rates for procedure codes 97802 and 97803 will change for the Children with Special Health Care Needs (CSHCN) Services Program. Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP-CSHCN Services Program Contact Center at 1 800-568-2413. 42 (04/15/11 through 05/06/11) *****Attention All CSHCN Services Program Providers***** Effective for dates of service on or after June 1, 2011, the reimbursement rates for procedure codes 99503 and 99504 will change for the Children with Special Health Care Needs (CSHCN) Services Program.

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Details are available on the TMHP website at www.tmhp.com. For more information, call the TMHP-CSHCN Services Program Contact Center at 1 800-568-2413.

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