HCPF Provider Bulletin

Click here to read the July Provider bulletin. The index includes:

In this issue:
All Providers ........................................ 1
PAR Submission.................................... 1
Nurse Advice Line ................................. 2
Implementing the SPA for TCM............. 2
Independence Day Holiday ................... 2
Ambulatory Surgical Centers (ASCs) 3
Billing Reminder .................................... 3
Dental and Orthodontic Providers..... 3
PAR Submission.................................... 3
Dialysis Providers ............................... 3
Billing Reminder .................................... 3
DME Providers..................................... 3
AACDs, Electrical Stimulation Devices, & Apnea Monitors Benefit Coverage Standards3
Emergency & Non-Emergency Medical Transportation Providers.................... 3
1% Rate Reduction - Effective July 2012 .....3
Home Health Providers....................... 4
PAR Submission.................................... 4
Practitioners......................................... 4
Using CPT Code 11981......................... 4
School-Based Health Center (SBHC) Providers .............................................. 4
Benefit Coverage Standard ................... 4
Therapy Providers............................... 4
Combined 48 Unit Limit Postponed....... 4
Vision Providers .................................. 5
Coverage of Vision Therapy.................. 5
Pharmacy Providers............................ 6
Next DUR Board Meeting...................... 6
Prior Authorization Updates................... 6
COBManager Process for Pharmacy Claims 6
PDL Update ........................................... 6
Next P&T Committee Meeting............... 7
July and August 2012 Provider Workshops......................................................... 7
Transportation Rates & PAR Requirements..................Attachment A