More rate increases coming for Medicaid providers – CCHAP Practice Administrator Newsletter

“Medicaid Provider Rate Increases: Medicaid provider rate increases were approved during the 2015-2016 legislative session and are effective for dates of service beginning July 1, 2015. HCPF has worked to obtain approval from CMS to implement the rates with an effective date of July 1, 2015. Some providers will be paid retroactively if there has been a delay in implementation, and other rate increases will be implemented when approved and loaded into the Medicaid Management Information System (MMIS).

Please see the FY 15-16 Frequently Asked Questions on the HCPF Provider Implementations webpage. The fee schedule is located on the Provider Rates & Fee Schedule webpage and is being updated to reflect the approved 0.5% rate increase. Approved increases include eligible physician and clinic services, Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services, and more. Read all the details here…

Medicaid Revalidation Requirement: Beginning September 15, 2015, all Colorado providers who want to continue, or begin, providing services to Medicaid and CHP+ members after March 31, 2016 will be required to enroll and revalidate their licensure and business information under new federal enrollment screening criteria. Providers who fail to revalidate and enroll by March 31, 2016 may have their claims suspended or denied.

Self-paced Online Enrollment Application Training for the new Colorado Online Provider Enrollment (OPE) tool is available for all providers. These are online, self-paced, eLearning modules. Please visit the Provider Resources page to register!

Check out the Colorado Children’s Healthcare Access Program’s full Practice Manager Newsletter for more information on:

• Enhanced Primary Care Medical Provider Initiative
• Back To School Immunizations
• Reattribution of Medicaid ACC Patients is Coming
• Colorado PAR Program - New Vendor
• ICD-10 Update from Medicaid
• Record Retention for Medicaid and CHP+ Patients
• Medicaid Provider Billing Workshops
• Medicaid Provider Relations Team” [Source: CCHAP]