Tag: Medicaid

Feel free to print a copy for your office.

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From MGMA 7/22/2020

FROM MGMA

HHS released an overview of future reporting requirements for providers that received payments under the Provider Relief Fund. HHS outlined the timing of future reporting requirements for providers that receive payments that exceed $10,000 in the aggregate from any Provider Relief Fund distribution (i.e., any payment under the $50 billion general distribution; Medicaid distribution; or a targeted distribution). The overview released on July 20 does not indicate whether providers that received $10,000 or less will be subject to any reporting obligations, and does not provide detail as to the form or content of reports. However, the following timeline is provided:

• August 17, 2020: Detailed instructions will be available by this date
• October 1, 2020: Reporting system comes available
• February 15, 2021: Report due
• July 31, 2021: Second report due for those who expended funds in 2021

MGMA will continue to monitor this issue and update the community as soon as detailed instructions for reporting become available.

Drew Voytal
Associate Director
MGMA Government Affairs
Washington, DC

The Department of Health and Human Services (HHS) will be distributing another $15 billion to eligible providers (Medicaid and CHIP). The deadline for this is July 20th.

To stay up on the latest information here is the link to the government website:

https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/general-information/index.html

From Molina March 23,2020:

All MCOs:

Claims for Telephone (Audio-Only) Medical Services

Background: Providers may bill codes 99201-99205 and 99211-99215 for dates of service of March 20, 2020, through April 30, 2020, to receive Medicaid reimbursement for telephone (audio-only) medical services.

Key Details: To help ensure continuity of care during the COVID-19 (coronavirus) response, HHSC is authorizing providers to bill codes 99201-99205 and 99211-99215 for telephone (audio-only) medical (physician delivered) evaluation and management services delivered on March 20, 2020, through April 30, 2020.

Providers should continue to use the 95 modifier to indicate that remote delivery has occurred.

Telephonic evaluation and management services are not to be billed if clinical decision-making dictates a need to see the patient for an in-person or telemedicine (video) office visit within 24 hours or at the next available appointment. In those circumstances, the telephone service shall be considered a part of the subsequent office visit.

If the telephone call follows an office visit performed and reported within the past seven calendar days for the same diagnosis, then the telephone services are considered part of the previous office visit and are not separately billed.

Additional Information:

Providers can refer to the Texas Medicaid Provider Procedures Manual, Telecommunication Services Handbook for additional information about the Texas Medicaid telemedicine services benefit.

Resources: http://www.tmhp.com/Pages/Medicaid/Medicaid_Publications_

ProviderManual_Curr ent.aspx

Contact: [email protected]​[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/03/Molina-03232020.pdf” download=”all” viewer=”google”]

The Medicare Learning Network® (MLN) offers free educational materials for health care professionals on Centers for Medicare & Medicaid Services (CMS) programs, policies, and initiatives. Find a complete list of MLN educational offerings in the MLN Catalog at http://go.cms.gov/mln-catalog.

For a complete “HOW TO” guide on the MLN and LMS System, including how to set up an account: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/LMPOS-FAQs-Booklet-ICN909182.pdf