Provider News

Notice to Providers - New Compliance Hotline

Monday, December 3, 2018

 
In celebration of the 2018 national Corporate Compliance & Ethics Week theme—“Awareness, Recognition, Reinforcement”—FirstCare is delighted to offer providers a confidential and toll-free Compliance Hotline, dedicated to prevention, detection, and resolution of potential instances that do not comply with Federal and State laws. FirstCare implemented this tool to empower our providers to report violations related to Fraud, Waste, and Abuse and HIPAA Privacy and Security. Reports may be made anonymously to allow confidentiality. The hotline is available 24 hours a day, 7 days a week and is accessible by telephone and via website.

To learn more about FirstCare’s Compliance Hotline, click on PDF link below. 
 

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Change to Medical Paper Claim Submission: CMS-1500 Form Box 33 (Billing Provider Address)

Tuesday, November 20, 2018

 
Effective February 25, 2019, FirstCare Health Plans will no longer accept P.O. Box addresses in Box 33 (Billing Provider Address) of the CMS-1500 Form. This change is being implemented in order to align with the National Uniform Claim Committee (NUCC) requirements, as adopted by the Centers for Medicare and Medicaid Services (CMS). In accordance, providers are required to, submit the billing provider’s name, physical street address or physical location, and a telephone number in Box 33..

For more details, click on the attached PDF. 
 

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Medicaid—Delayed Implementation for Required Taxonomy Code of Rendering Provider on Professional Claims Submitted to MCOs

Thursday, November 15, 2018

 
This is an update to an article titled, “Texas Medicaid: Professional Claims Submitted to MCOs Must Include Rendering Provider Taxonomy Code, Effective September 1, 2018,” which was published on this website on July 16, 2018.

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