Medicaid Provider Information

Provider Manuals

All Providers

• General Information for Providers - Medicaid and Other Medical Assistance Programs (August 2008) (1 MB pdf) - The following chapters have been revised: Coordinated Services Program, Home Health Private Duty Nursing, Managed Care, Medicaid Eligibility of Recipient, Medicare Coverage, Rural Health Clinics and Federally Qualified Health Centers, Surveillance Utilization Review, and Third-Party Liability.

Behavioral Health Providers

• Ambulatory Behavioral Health Care for Adults (January 2005) (111kb pdf)
• Ambulatory Behavioral Health Care for Children and Adolescents (June 2006) (196kb pdf)

Dental Providers

• Dental Provider Manual (April 2008) (1.76 MB pdf) - web links within the manual have been updated as of February 2009.

Durable Medical Equipment Providers

• Durable Medical Equipment Provider Manual (874 kb pdf) -- Last updated 5-18-07
  • Revisions were made to the DME manual on August 30, 2006 - several links were added to the state's e-forms web page. These links are located on pages 17 & 18 of the manual and are for Certificates of Medical Necessity.

Hospice Care Providers

• Hospice Care Services Manual (April 2005) (58kb pdf)

Nursing Facility Providers

• Nursing Facility Rate Manual (July 2006 Corrected 7-24-06) (300kb pdf)
• Dual Diagnosis Screening for Long Term Care (October 2004) (1.5Mb pdf)
• Dual Diagnosis Level 1 Screening Form (October 2004) (48kb pdf)
• Dual Diagnosis Level of Care/Continued Stay Review Form (October 2004) (56kb pdf)
• Dual Diagnosis Nursing Facilities Tracking Form (October 2004) (27kb pdf)
• Medicaid Payment Alert Form (October 2004) (15kb pdf)

Optometric Providers

• Optometric and Eye Glass Services Manual (October 2006) (818kb pdf)
• Vision Prior Authorization Form (February 2005) (14kb pdf)

Pharmacy Providers

• Pharmacy Provider Manual (October 2009) (277 kb pdf)

Under 21 Psychiatric Providers

• Dual Diagnosis Screening Procedures for Acute Psychiatric Treatment (October 2004) (707kb pdf)
• Dual Diagnosis Residential Screening for Psychiatric Treatment (October 2004) (999kb pdf)
• Dual Diagnosis Admission Review Form (October 2004) (30kb pdf)
• Dual Diagnosis Continued Stay Review Form (October 2004) (41kb pdf)
• Dual Diagnosis Retrospective Review Form (October 2004 ) (28kb pdf)
• Dual Diagnosis Certificate of Need Acute Inpatient Form (October 2004) (54kb pdf)
• Dual Diagnosis Certificate of Need Residential Care Form (October 2004 (54kb pdf)

 

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