Updates

Date Title
Date Title
09/01/2016 Provider Newsletter: September 2016
08/23/2016 Coverage of Dental Fluoride Varnish and Oral Evaluations Provided by Non-Dental Providers
08/08/2016 Update: MMIS Status
08/05/2016 Acuity Rate Provider Documentation Guidelines
08/01/2016 Provider Newsletter: August 2016
08/01/2016 Medicaid Policy Clarification: Pharmacogenetics Testing
07/27/2016 835 Electronic Remittance Advice Transmission Delay - Pharmacy Providers
07/05/2016 Drug Utilization Review Update - Direct Acting Antivirals
07/01/2016 Provider Newsletter: July 2016
06/22/2016 Message from the Director: Budget-Pended Medicaid Payments
06/22/2016 Budget-Pended Medicaid Payments FAQs
06/16/2016 Rochester Optical 13th Annual Open House for Vision Care Providers
06/13/2016 Reading Dental Adjustment Claims
06/13/2016 Reading Institutional Adjustment Claims
06/13/2016 Reading Professional Adjustment Claims
06/03/2016 Changes to Dental Services Coverage
06/01/2016 Update: MMIS Status
06/01/2016 Provider Newsletter: June 2016
05/24/2016 Message from the Director: Temporary Payment Delay Due to State Budget Situation
05/01/2016 Provider Newsletter: May 2016
04/20/2016 Update: MMIS Status
04/18/2016 New Federal Upper Limits for Multiple Source Drugs - Second Notice
04/11/2016 Care Coordinators Reporting TEFRA Services
04/01/2016 Provider Newsletter: April 2016
04/01/2016 New Federal Upper Limits for Multiple Source Drugs
03/31/2016 Orthodontic Services Statement of Coverage (effective 05/01/2016)
03/14/2016 Medicaid Policy Clarification: Cost of Gloves Used by Assisted Living Home Employees
03/04/2016 Update: MMIS Status
03/01/2016 Provider Newsletter: March 2016
03/01/2016 Submission of Provider Enrollment Fee FAQs
02/22/2016 Alaska Medicaid Annual Report - SFY2015
02/22/2016 Provider Documentation Requirements
02/01/2016 Provider Newsletter: February 2016
01/28/2016 Update: MMIS Status
01/01/2016 Provider Newsletter: January 2016
12/01/2015 Provider Newsletter: December 2015
11/19/2015 Dental Procedures Requiring Field 25, Area of Oral Cavity, Reporting
11/17/2015 Immunization Administration Billing: CPT 90460 and 90461
11/01/2015 Provider Newsletter: November 2015
10/01/2015 Provider Newsletter: October 2015
09/25/2015 UB-04 Claim Form Instructions
09/24/2015 CMS-1500 Version 02/12 Claim Form Instructions
09/24/2015 ADA 2012 Claim Form Instructions
09/22/2015 ICD-10 Impacts and Changes: Claims that Overlap the ICD-10 Implementation Date
09/21/2015 ICD-10 Diagnosis Codes for Non-Diagnosing Provider Claims
09/17/2015 ICD-10 Codes Required for Dates of Service On and After October 1, 2015
09/01/2015 Alaska Medicaid Policy Clarification: Urine Drug Screening/Testing
09/01/2015 Provider Newsletter: September 2015
08/14/2015 Update: MMIS Status
08/14/2015 Service Authorization Requests Spanning the October 1st, 2015 ICD-10 Implementation Date
08/14/2015 Certificate of Medical Necessity Requests Spanning the October 1st, 2015 ICD-10 Implementation Date
08/12/2015 Behavioral Health Authorization Requests After the October 1st, 2015 ICD-10 Implementation Date
08/01/2015 Provider Newsletter: August 2015
07/01/2015 Provider Newsletter: July 2015
06/16/2015 Update: MMIS Status
06/04/2015 ICD-10 Provider Survey #3 Now Available
06/04/2015 Quick Reference: Searching for Service Authorizations in Health Enterprise
06/01/2015 Provider Newsletter: June 2015
05/27/2015 Appeals Process Information
05/21/2015 Rochester Optical 12th Annual Open House for Vision Care Providers
05/01/2015 Provider Newsletter: May 2015
05/01/2015 Medicaid policy clarification: Non-Emergent Out of Area Travel
04/14/2015 Commissioner Davidson Provider Tax Facts Letter
04/13/2015 Update: MMIS Status
04/07/2015 Electronic Attachment Quick Reference
04/01/2015 Provider Newsletter: April 2015
03/17/2015 ICD-10 News Update: Trading Partner Testing Announcement
03/11/2015 How to Submit a Non-Emergency Medical Transportation Authorization Request in Health Enterprise
03/11/2015 How to Request a Service Authorization for Non-Emergency Medical Transportation and Accommodation Services
03/10/2015 Update: MMIS Status
03/01/2015 Provider Newsletter: March 2015
02/17/2015 Pharmacy Preferred Drug List Update
02/06/2015 Update: MMIS Status
02/03/2015 2015 Fourth Quarter Provider Training Schedule Now Available
02/03/2015 2015 Third Quarter Provider Training Schedule Now Available
02/03/2015 1099 Update
02/01/2015 Provider Newsletter: February 2015
01/27/2015 Health Enterprise/Internet Explorer Compatibility
01/02/2015 Update: MMIS Status
01/02/2015 AMCCI Provider Update Letter
01/01/2015 Provider Newsletter: January 2015
12/19/2014 Changes to Alaska Medicaid Payment Cycle Schedule
12/12/2014 2015 Second Quarter Provider Training Schedule Now Available
12/11/2014 Quick Reference: Adjusting and Voiding Electronic Claims
12/05/2014 2015 First Quarter Provider Training Schedule Now Available
12/01/2014 Provider Newsletter: December 2014
11/24/2014 Update: MMIS Status
11/24/2014 CMS-1500 Version 02/12 Claim Form Instructions (revised 09/24/2015)
11/21/2014 2015 Alaska Medicaid Provider Training Schedule Now Available
11/04/2014 Update: MMIS Status
11/01/2014 Provider Newsletter: November 2014
10/17/2014 Update: MMIS Status
10/01/2014 Provider Newsletter: October 2014
09/30/2014 Local Transportation for Medicaid Members
09/18/2014 Update: MMIS Status
09/01/2014 Provider Newsletter: September 2014
08/14/2014 Update: MMIS Status
08/01/2014 Provider Newsletter: August 2014
07/24/2014 FDA Approved Covered Outpatient Drugs
07/01/2014 Provider Newsletter: July 2014
07/01/2014 Update: MMIS Status
06/24/2014 Alaska Medicaid Coordinated Care Initiative
06/13/2014 Senate Passes "Doc Fix" Bill with One Year ICD-10 Deadline Delay
06/11/2014 DMEPOS Meeting – Handout (OBSOLETE)
06/01/2014 Provider Newsletter: June 2014
05/29/2014 Payment Error Rate Measurement (PERM) Webinar for Providers
05/19/2014 Rochester Optical Eleventh Annual Open House for Vision Care Providers
05/08/2014 Update: MMIS Status
05/01/2014 Provider Newsletter: May 2014
04/24/2014 Update: MMIS Status
04/22/2014 Regulation Changes: Outpatient Drugs and Provider-Administered Drugs
04/17/2014 Update: MMIS Status
04/14/2014 Change to Qualis Service Authorization Doctor to Doctor Conversations
04/10/2014 Update: MMIS Status
04/08/2014 Reading Dental Adjustment Claims (revised 06/13/2016)
04/08/2014 Reading Professional Adjustment Claims (revised 06/13/2016)
04/08/2014 Tobacco Cessation Therapy: Dental Coverage and Limitations
04/08/2014 Behavior Management: Dental Coverage and Limitations
04/03/2014 Update: MMIS Status
04/03/2014 Reading Institutional Adjustment Claims (revised 06/13/2016)
04/01/2014 Provider Newsletter: April 2014
03/28/2014 Update: MMIS Status
03/25/2014 Transaction Control Numbers Breakdown
03/20/2014 Update: MMIS Status
03/13/2014 Update: MMIS Status
03/06/2014 Update: MMIS Status
03/01/2014 Provider Newsletter: March 2014
02/27/2014 Update: MMIS Status
02/26/2014 Updated Qualis Service Authorization List Effective 04/01/2014
02/26/2014 Remittance Advice Sorting
02/22/2014 Timely Filing and Audits Letter to Providers
02/20/2014 Update: MMIS Status
02/12/2014 Update: MMIS Status
02/07/2014 Advance Payments Available to Providers During Enterprise Delay
02/01/2014 Provider Newsletter: February 2014
01/31/2014 ICD-10 Provider Readiness Assessment
01/30/2014 Update: MMIS Status
01/30/2014 New NCCI Edits Effective 04/01/2014
01/30/2014 NCCI Edit Claim Denials and Appeals
01/22/2014 Changes in Medicare Crossover Claims Processing
01/14/2014 Transportation Authorization Update Form Now Available
01/01/2014 Provider Newsletter: January 2014
12/24/2013 Automated Voice Response System Replaces Eligibility Verification System
12/05/2013 Alaska Medicaid Transitions to Denali Care
12/01/2013 Provider Newsletter: December 2013
11/25/2013 Hospice Services Revenue Code Changes
11/08/2013 Transportation Authorization Update Form Now Available (revised 01/14/2014)
11/05/2013 New Year Brings New Eligibility Cards for Some Medicaid Recipients
11/01/2013 Provider Newsletter: November 2013
11/01/2013 Long Term Care Services Revenue Codes Update
10/28/2013 CMS-1500, UB04, and ADA Original (Red) Claim Form Requirement
10/23/2013 Go Green! Online Remittance Advice and EFT Payment Options
10/10/2013 Requesting Service Authorizations Online
10/10/2013 Requesting Transportation Authorizations by Phone
09/28/2013 Residential Psychiatric Treatment Center Claim Submission Update
09/26/2013 Letter to Providers: Prescriptions for Medicaid Recipients Must be from an Enrolled Prescriber
09/25/2013 New Provider Identification Numbers Effective October 1, 2013
08/22/2013 Temporary Denial Edits Implemented for Health Enterprise Transition
08/22/2013 Letter to Providers: Pharmacists and Prescribers Must be Enrolled in Alaska Medicaid to Prescribe for Medicaid Recipients
08/22/2013 Alaska Health Enterprise Companion Guides: News Update
08/19/2013 Alaska Health Enterprise Frequently Asked Questions
07/25/2013 Alaska Health Enterprise Trading Partner Certification Testing
07/15/2013 Letter to Providers: MMIS Go-live on October 1, 2013
07/15/2013 Key Points for Providers: Getting ready for the new MMIS Implementation
06/17/2013 Single Date of Service Billing Requirement for School Based Services
06/17/2013 Coverage for Dental Fluoride Varnish Provided by Community Health Aides/Practitioners
06/07/2013 ESRD New Payment Regulations Effective January 1, 2013
06/04/2013 Covered CHA/P Codes
04/29/2013 Rochester Optical Tenth Annual Open House Invitation for Vision Care Providers
04/22/2013 Edit Listing for Providers
04/22/2013 Compliance Notice: Direct Entry Midwives
04/02/2013 Covered CHA/P Codes (revised 06/04/2013)
04/02/2013 Covered DHAT Codes
03/28/2013 Reminder: New Remittance Advice Format and Envelope
03/22/2013 SmartPA for Travel - Requesting Non-Emergency Medical Travel Has Just Been Made Easier
03/22/2013 Local Transportation for Medicaid Recipients (revised 09/30/2014)
03/11/2013 Change of Outpatient Imaging Service Authorization Procedures
03/11/2013 Outpatient Imaging Service Authorization List
03/01/2013 New Tamper-Proof Travel Vouchers
03/01/2013 ICD-10 Survey
02/15/2013 ESRD New Payment Regulations Effective January 1, 2013 (revised 06/07/2013)
01/29/2013 What is ICD-10?
01/10/2013 Updated Mental Health Services for FQHC and RHC
12/20/2012 Covered CHA/P Codes (revised 04/02/2013)
12/07/2012 Coverage for Dental Fluoride Varnish Provided by Physicians, Nurse Practitioners, and Physician Assistants (revised 08/23/2016)
11/14/2012 Community Behavioral Health Clinics: Guidance Document Procedure Code Set Changes for 2013
11/14/2012 Mental Health Physician Clinics: Guidance Document Procedure Code Set Changes for 2013
11/01/2012 Single Date of Service Billing Now Required for Residential Supported Living Providers
10/25/2012 Re-enrollment Has Begun and is Required of All Providers
10/01/2012 Alaska Airlines Bottled Oxygen Policy Change
09/13/2012 Provider Appeals Process for Medicaid NCCI Edits
09/13/2012 Appeals Process Information (revised 05/27/2015)
09/04/2012 FQHCs and RHCs: Enrollment and Reporting Requirements for Rendering Providers
09/04/2012 Tribal Health Clinics: Enrollment and Reporting Requirements for Rendering Providers
08/27/2012 Emergent and Non-Emergent Ground Ambulance Criteria (under revision)
07/18/2012 Medicaid Must Implement National Correct Coding Initiative (NCCI) Edits
05/29/2012 Rochester Optical Ninth Annual Open House Invitation for Vision Care Providers
04/18/2012 New EPSDT Screening Guidelines Effective 5/11/2012
04/17/2012 Reminder: Anesthesia Single Line Billing Effective 4/20/2012
03/30/2012 DHATs: New Edits for Claim Submission Effective May 1, 2012
03/30/2012 CHA/Ps: New Edits for Claim Submission Effective May 1, 2012
03/21/2012 ESRD New Claim Instructions: Effective April 1, 2012
03/09/2012 UPDATE! Provider Enrollment File Validation Underway
03/07/2012 Anesthesia Single Line Billing Effective 4/20/2012
03/02/2012 Handicapping Labiolingual Deviation (HLD) Index Report
03/02/2012 Translation/Interpretation Services: Medicaid Provider Responsibilities
02/28/2012 ACS is Now Xerox: Affiliated Computer Services Transitions to Xerox Brand
02/21/2012 J-Codes: Helpful Tips for Billing Physician-Administered Drugs
01/06/2012 New Billing Provider Address Requirements for HIPAA 5010 Transactions
11/18/2011 Behavioral Health Services Providers: New Service Authorization Request Form Now Available
10/24/2011 Enrollment Instructions for Community Health Aides/Practitioners
10/24/2011 Enrollment Instructions for Dental Health Aides/Therapists
10/24/2011 Community Health Aides/Practitioners and Dental Health Aides/Therapists Now Required to Enroll
10/14/2011 Local Transportation for Medicaid Recipients (revised 03/22/2013)
09/29/2011 Guidance Document - Delay in System Implementation of Integrated Behavioral Health Regulations
09/26/2011 New Remittance Advice Format and Envelope (revised 3/28/2013)
08/01/2011 Physician Administered Medications Payment Changes: Effective 9/7/2011
06/15/2011 Personal Care Agencies\New Edits for Rendering Provider Claim Submission Implemented Effective July 15, 2011
06/10/2011 Rochester Optical Eighth Annual Open House Invitation for Vision Care Providers
06/01/2011 Coverage for Dental Fluoride Varnish Provided by Physicians, Nurse Practitioners, and Physician Assistants (revised 12/07/2012)
04/29/2011 Tobacco Cessation Medications and Counseling; 4/29/2011
04/15/2011 Prescribers must enroll with Alaska Medicaid; 4/15/2011
03/31/2011 Diabetic Durable Medical Equipment; 3/31/2011
03/30/2011 Federally Qualified Health Centers and Rural Health Clinics: New Enrollment and Reporting Requirements for Rendering Providers
03/30/2011 Tribal Health Clinics: New Enrollment and Reporting Requirements for Rendering Providers
03/01/2011 Provider Appeals Process for Medicaid NCCI Edits (revised 09/13/2012)
03/01/2011 How to Bill New Immunization Administration CPT Codes 90460 and 90461 (revised 11/17/2015)
03/01/2011 Alaska Medicaid Vaccine Coverage List - 2011
03/01/2011 New Utilization Management Requirement – Web-Based Qualis Health Review Requests
02/28/2011 Substance Abuse Disorder Treatment Providers: Single Date of Service Billing Required
02/28/2011 Nurse Practitioner, Nurse Midwife, Speech Language Pathologist, Audiologist, and Occupational/Physical Therapist Claims Now Subject to NCCI Editing
02/17/2011 HIPAA 5010 Testing Begins for Alaska Medicaid Electronic Transactions
12/27/2010 Orthodontia Services Statement of Coverage (effective 11/9/2009 - 04/30/2016)
12/10/2010 Personal Care Agencies/Update: Change in Personal Care Assistant Enrollment Requirements Flyer
12/06/2010 Single Date of Service Billing
12/06/2010 Personal Care Agencies Conversion to Atypical Provider Billing Status Flyer
11/10/2010 Personal Care Agencies/Individuals Enrollment Update Flyer
10/01/2010 Chiropractic Services Claims Now Subject to ClaimCheck Editing Flyer
09/08/2010 Payerpath Referral Number Instructions
08/27/2010 Special Notice - Medicaid Must Implement National Correct Coding Initiative Edits (revised 07/18/2012)
08/04/2010 School-Based Services Revised Fee Schedule and Procedure Codes
08/02/2010 Provider Enrollment Portal (PEP) Overview
08/02/2010 Provider Type Reference
08/02/2010 Provider Enrollment Taxonomy Reference
08/02/2010 Provider Enrollment Glossary
07/27/2010 Dental Changes - Dentures and Panoramic Radiographs
06/21/2010 Coverage for Dental Fluoride Varnish Provided by Physicians, Nurse Practitioners, and Physician Assistants (revised 12/07/2012)
06/17/2010 Warrant Status Change Request
06/17/2010 Rochester Optical Open House
05/27/2010 Personal Care Services Fee Schedule
05/21/2010 Personal Care Services Eligibility Codes
05/06/2010 Alaska Medicaid Dental Claims Common Errors and Effective Solutions
04/12/2010 NPI-Only Claims Submissions Required by April 23, 2010 for 837P Transactions
04/08/2010 National Provider Identifier (NPI) Professional Claims Biller Instructions
04/05/2010 National Provider Identifier (NPI) Technical Instructions: Guidelines for Professional (837P) Claim Submission
04/02/2010 NPI-Only Professional Claims (837P) Teleconferences for April/May 2010
04/02/2010 Screening, Brief Intervention, and Referral to Treatment (SBIRT)
04/02/2010 Guidance for Diagnostic Coding for Mental Health and Developmental Disorders in Infants and Toddlers
02/01/2010 New 2010 Medicaid Coverage and Payment Regulations 7 AAC 105-160
02/01/2010 Appeal Process Information (revised 09/13/2012)
01/15/2010 New Alaska Medicaid Coverage And Payment Regulations Presentation
01/14/2010 New Alaska Medicaid Coverage And Payment Regulations Flyer
01/07/2010 Critical Incident Report Training for Waiver and PCA Providers
12/18/2009 New Alaska Medicaid Coverage And Payment Regulations Crosswalk
12/16/2009 Mental Health Physician Clinic ABC Sunset Code Packet
12/11/2009 Community Mental Health Clinics ABC Sunset Code Packet
12/11/2009 Substance Abuse ABC Sunset Code Packet
12/07/2009 National Provider Identifier (NPI) Instructional Document for Billing Group Services
12/02/2009 ABC Code Sunset Flyer
09/18/2009 Care Coordination Agency Edit Flyer
08/27/2009 State of Alaska Medicare/Medicaid DMEPOS Accreditation Letter
08/13/2009 Updated 8/13/09 - New Enrollment Requirements
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services for Anesthesiologists
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services for Certified Registered Nurse Anesthetists
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services for Occupational Therapists
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services for Outpatient Therapy Centers
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services for Physical Therapists
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services for Physician Assistants
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services for Physicians
08/13/2009 Updated 8/13/09 - New Rules for Billing Group Services for Speech Language Pathologists
07/31/2009 Replacement Pages for 07/09 Revision of Tribal Facility Services/IHS Billing Manual
07/10/2009 Dental Provider Database Flyer
06/19/2009 Vision Services Training Presented by Alaska Medical Assistance and Rochester Optical
06/16/2009 Behavior Health Billing Manual replacement pages I-31 thru I-44, I53 thru I-58
06/12/2009 ClaimCheck 8.5 is Here! (Training Tool and Flyer)
04/17/2009 National Provider Identifier (NPI) Instructional Document: Guidelines for Professional (837P) Claim Submission
04/17/2009 National Provider Identifier (NPI) Instructions: Guidelines for Professional (CMS-1500) Claim Submission
02/27/2009 Group Enrollment and NPI-Only Date Extension for Professional Claims
01/12/2009 In-State Outpatient Hospital Lab Pricing Methodology Change
01/06/2009 Alaska Medicaid Extension Issued for Electronic Professional NPI-Only Claims: February 2009
12/26/2008 New Medicaid Coverage for Screening and Brief Intervention Services
12/12/2008 Group Enrollment Required for All Individual Providers Billing with an Organizational Type 2 NPI
11/07/2008 ClaimCheck 8.5 Training Tool and Flyer (revised 06/12/2009)
11/03/2008 UB-04 Claim Form Instructions
11/03/2008 CMS-1500 Claim Form Instructions - Set A
11/03/2008 CMS-1500 Claim Form Instructions - Set B
11/03/2008 CMS-1500 Claim Form Instructions - Set C
11/03/2008 ADA Claim Form Instructions
10/17/2008 Alaska Medicaid Extension Issued for Electronic Professional NPI-Only Claims: December 31, 2008
10/17/2008 ClaimCheck Upgrade Includes New Edits
08/22/2008 NPI Only Deadline Notice for Professional Providers
08/15/2008 New Enrollment and Billing Regulations for Independently Practicing Psychologists
08/11/2008 Alaska Medicaid Transportation Guidelines Effective July 25, 2008 - June 30, 2012 Dates of Service (revised 08/23/2012)
08/08/2008 Clarification Regarding Fields 32 and 33 of the CMS-1500
07/03/2008 Date Extension for Submission of NPI Only Claims for Professional Providers
06/06/2008 NPI Only Deadline Notice for Institutional Providers
06/06/2008 NPI Only Deadline Notice for Dental Providers
06/06/2008 Dental Reimbursement Increase Effective July 1, 2008
05/30/2008 Examples of Medicare Crossover Paper Claims
04/14/2008 Billing Requirements for Drugs Administered in Outpatient Clinical Settings
02/15/2008 Single Date of Service Billing
02/07/2008 HCPCS Codes Requiring NDC As Of April 1, 2008
01/22/2008 Qualis Health Inpatient Behavioral Health Prior Authorizations
01/11/2008 Updated NPI Required Effective February 13, 2008
12/21/2007 J CODE NDC Requirement Extension
12/10/2007 Closing Medicaid Prior Authorization Operations
10/18/2007 Billing Reminders for Dental Providers
10/01/2007 Pharmacy Providers: NPI Required Effective October 31, 2007
08/16/2007 Certificate of Medical Necessity Form - Incontinent Supplies
07/16/2007 UB-04 New Claim Form Flyer
07/12/2007 Payment Error Rate Measurement (PERM)
06/29/2007 Recipient Support Services Policy Clarification/Authorization Criteria For High Risk CMI Adults / SED Children
06/28/2007 CMS-1500 New Claim Form Flyer
06/26/2007 CDT New Claim Form Flyer
06/11/2007 Changes to Medicaid Prior Authorization of Medications
05/22/2007 Important Clarification for Paper Claim (Universal Claim Form) Submitters (NPI)
03/20/2007 Letter to Dentists regarding Enhanced Dental Services for Adults - March 20, 2007
03/04/2008 Enhanced Dental Services for Adults Effective April 1, 2007
12/22/2006 Department Addresses for Second Level Provider Appeals as of August 2006
12/29/2006 New Appeal Regulations Effective December 30, 2006
06/14/2006 New Medicare Crossover Process
05/26/2006 Pharmacy Clinical Edits
05/23/2006 Tobacco Cessation Letter sent to Physicians
05/23/2006 Tobacco Cessation Letter sent to Pharmacies
05/23/2006 Tobacco Cessation Letter sent to Mid-level Practitioners
05/23/2006 Tobacco Cessation Prior Authorization Request
02/27/2006 Diagnoses and Procedures Requiring Pre-Certification
02/03/2006 Certificate of Medical Necessity Form
12/21/2005 Prior Authorization Request Form
05/12/2005 Rural Health Clinics and FQHC Providers
05/12/2005 Hospital, Ambulatory Surgical Care and ESRD Providers
01/14/2005 New State Travel Office
12/17/2004 DME - 2005 HCPCS Codes for Incontinence Products
05/27/2004 EVS Notification
02/23/2004 DME Letter Number 01-FY05