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ND Medicaid Provider Updates

Posted 1-5-2017

ER Copayment and PT, OT and Speech Limits - Effective for dates of service on or after January 1, 2017, there is no longer a Medicaid copayment for non-emergent use of the Emergency Department. The previous copayment was $3.00.

Also, effective for dates of service on or after January 1, 2017, there will be no service limits on physical, occupational and speech therapy visits and evaluations for Medicaid recipients under the age of 21. All services submitted to ND Medicaid for payment must continue to be supported by medical records and documentation of medical necessity.

The Department initiated the necessary North Dakota Administrative Code and MMIS updates for both of these changes.

Posted 1-4-2017

Attention all DME Enrolled Providers - The following added/deleted HCPC codes and narrative changes to HCPC codes are effective for dates of service on or after Jan. 1, 2017.

The following HCPC codes have been deleted from the provider price file.

B9000
K0901

K0902

The following HCPC codes have been added to the provider price file.

A4224
A4225

Narrative changes have been made to the following codes.

B9002
E0627
E0629
E0967
E0995
E2206
E2220
E2221
E2222
K0045
K0019
K0037
K0042
K0043
K0044
K0069
K0046
K0047
K0050
K0051
K0052
L1906
K0071
K0072
K0077
K0098
K0552

More detailed information on these changes can be found in the 2017 Narrative Changes Summary.


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