On 11/1/2024, the Bureau of Early Intervention sent a listserv communication to billing providers that utilize the EI-Hub Service Logging component. The communication included key setup instructions, information about the claiming process, tips on addressing billing rejections and links to additional training resources. Follow the link for more details
On October 25, 2024, a system update was implemented to address the issue of therapists' profiles being incorrectly marked as 'inactive' after manual updates. This fix prevents the issue from recurring; however, if a profile was updated prior to this date, it may still be marked as inactive. If you find that you have inactive therapist that needs to be corrected, please submit a Web-to-Case form with the subject line "Inactive Therapist Checkbox" to ensure prompt attention from PCG. To review the full communication, please follow the link.
The article outlines the importance of maintaining Medicaid enrollment through recertification and revalidation. The article also outlines the necessary steps to maintain each type of enrollment. Follow the link for more information.
A helpful grid outlining when a corrected claim, void, resubmittal/adjustment are done is now available for reference. Please follow the link for additional details.
PCG has found that there has been an increase in incorrect use of Medicaid delay reason codes. It is the responsibility of the providers to utilize the appropriate delay reason codes. Delay reason codes are used on claims billed beyond Medicaid’s 90-day initial filing limit or when resubmitting claims with updated information within the 60-day resubmission window of claims denied or rejected. Please follow the link for additional details and guidance.