Provider News

Medicaid—Requirement for Neonatal Level of Care Designation for Hospital Providers Rendering Neonatal Inpatient Services (UPDATE)

Tuesday, September 4, 2018

 
This is an update to an article published on July 11, 2018—“Medicaid—Neonatal Level of Care Designation”.

TThe required start date for the neonatal level of care designation requirement for hospital providers that render neonatal inpatient services is now October 1, 2018. The affected neonatal services are applicable for the Texas Medicaid Program clients. 
 

Medicaid—Delayed Implementation for Required NPI of Rendering Provider on Professional and Institutional Claims Submissions

Thursday, August 23, 2018

 
This is an update to an article published on July 12, 2018—“Medicaid—Eff. 09/01/18, Professional & Institutional Managed Care Claims Must Include Rendering Provider NPI”.

Texas Health and Human Services Commission has delayed implementation of the rendering provider requirement. HHSC will provide additional information in the future regarding the deployment delay. 
 

Medicaid—Taxonomy Code Required on Professional Claims (Eff. 09/01/2018)

Monday, July 16, 2018

 
Effective September 1, 2018, the rendering provider taxonomy code must be included on professional claims submitted to managed care organizations (MCOs). To access the clarification on that guidance, click here or on the PDF link below. 
 

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