March 2017 Notices

March 14, 2017


HFS Technical Guidelines for UB-04 Paper Claim Preparation
The Department of Healthcare and Family Services (HFS) released a notice to address claim preparation issues regarding the UB-04 claim form for claims received on and after April 1, 2017.

HFS uses a claim imaging system to scan paper claims, including the UB-04. If certain claim preparation specifications are not met, claims may be rejected or returned to the provider as unprocessable.

The notice contains Technical Guidelines that, if followed, will minimize processing delays. Many of the guidelines are standard claim submission instructions, while others are specific to HFS’ imaging system. Please review your claim preparation procedures and make any necessary changes. It is extremely important for all providers to share the information in this notice with those who prepare their Medical Programs claims, including billing agencies.

LCPs/LCSWs Medicaid Reimbursement Guidance Released
HFS recently released new Medicaid reimbursement guidance for Licensed Clinical Psychologists (LCPs) and Licensed Clinical Social Workers (LCSWs). The fee schedule for these providers is retroactive to Jan. 1, 2017. This guidance follows a LCP/LCSW Medicaid reimbursement Provider Notice that HFS published on Dec. 28, 2016, stating that the fee schedule and billing instructions would be published in the new year.

Ambulatory Procedures Listing
HFS has posted new information regarding Ambulatory Procedures Listing for Jan. 1, 2017.