Local ICD-10 training offerings:
OPTUM is offering free ICD-10 training in June. Click here for details on the June 23 session and click here for details on the June 24 session.
“Winning the Race to ICD-10-CM” was presented at the 22nd Annual Idaho Health Care Conference by Teresa Cirelli, Reimbursement Director with the Idaho Medical Association, an Idaho ICD-10 Collaborative partner.
Updates have been made to the Provider Handbook. You may find the link on the left navigation panel of this website. Changes are noted at the beginning of each document. The updated documents are:
Ambulatory Health Care Facility
CMS 1500 Instructions
General Billing Instructions
Vision Chronic or Acute Condition Diagnosis Codes
Due to the Memorial Day holiday, the financial cycle for the week of 5/25/2015 will be delayed by one day. Payments, Remittance Advices (RAs), and the HIPAA 835 Claim Advice Files will be one day later than normal.
There is a new Provider Enrollment Requirements document available in the References section of the Provider Handbook to assist potential, new, and current providers with understanding requirements related to becoming Idaho Medicaid Providers. Details include:
What is required of every provider
Specifics grouped by provider type and specialty
List of service provider specialties that are not eligible for enrollment
The May edition of the MedicAide Newsletter is now available online. Please click here for the latest news and information affecting Idaho Medicaid providers. If you must receive the MedicAide by mail, please dial 1 (866) 686-4272 and select option 3.
Beginning in April, Medicaid is implementing updated provider enrollment requirements to align with the Affordable Care Act (ACA). The changes can be found in the March and April MedicAide newsletters. The paper maintenance forms have also been updated and new versions can be found in the Forms section of idmedicaid.com.
We have completed successful validation of ICD-10 updates to our Molina claims processing system (MMIS) for ICD-10 compliance with an effective date of 10/1/2015. ICD-9 coded claims are required for dates of service through 9/30/2015. Starting 10/1/2015, all claims with a date of service of 10/1/2015 and later are required to be billed with ICD-10 codes.
In order to be paid up to the Encounter Rate for claims with a third party payment, specific instructions must be followed. Click here for the instructions.
It is very important that you dial a 1 when calling us. Please call 1 (866) 686-4272.