Provider News

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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Medicaid—Eff. 09/01/18, Professional & Institutional Managed Care Claims Must Include Rendering Provider NPI

Thursday, July 12, 2018

 
After a delay to allow providers additional time to secure their National Provider Identifier (NPI), the rendering provider NPI requirement will become effective September 1, 2018. To access the clarification on that guidance, click here or on the PDF link below. 
 

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Medicaid—Neonatal Level of Care Designation

Wednesday, July 11, 2018

 
Effective for dates of admission on or after September 1, 2018, hospitals enrolled in Texas Medicaid may be reimbursed for inpatient neonatal services only if the hospitals have received a neonatal level of care designation from the Department of State Health Services in accordance with 25 Texas Administrative Code §§133.181 -133.190. To access the clarification on that guidance, click here or on the PDF link below. 
 

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