For questions regarding Pharmacy POS claims, please contact Magellan; Technical assistance: 800.272.9679 or Clinical assistance: 800.273.4962. DC APR-DRG Pricing Calculator Eff 10/1/2020 DCI20031, DC EAPG Never Pay List Eff 10/1/2020 DCO20035, DC EAPG Never Pay List Eff 10/1/2019 DCO19018, DC EAPG Grouper Settings Eff 10/1/2019 DCO19019, DC EAPG Relative Weights Eff 10/1/2019 DCO19021, DC EAPG IP Only List Eff 10/1/2019 DCO19020, CMS Approves DHCF 1915c HCBS Waiver Appendix K Emergency Preparedness Response Plan, DC Medicaid Coding for Telemedicine and Coronavirus (COVID-19), ICD-10-CM Official Coding Guidelines Coding encounters related to COVID-19 Coronavirus Outbreak, DC 2017 Fee Schedule Pricing Update Eff 1/1/2017, DC EAPG Information on EAPGs Eff 10/1/2019 DCO19006, DC Specialty Hosp DRG Pricing Calculator Eff 10-1-2019 DCS19014, DC Nursing Facility Cost Report Instructions, DC EAPG Never Pay List Eff 01/01/2018 DCO17059, Conduent EDI Gateway Pharmacy Registration, Compiled Behavioral Health Transformation Demonstration Program Rates, Consent For Sterilization - English - HHS 687, DC Specialty Hosp FAQ Eff 10/1/2020 DCS20016, DC EAPG Information on EAPGs Eff 10/1/2020 DCO20029, DC Specialty Hosp DRG Pricing Calculator Eff 10-1-2020 DCS20015, DC EAPG Never Pay List Eff 10/1/2018 DCO18021, DC Medicaid Beneficiary Disclosure and Commitment to Take Hepatitis C Medications, Conflict-Free Case Management Self-Attestation Form, DC EAPG Grouper Settings Eff 10/1/2018 DCO18022, DC EAPG Information on EAPGs Eff 10/1/2018 DCO18006, DC Specialty Hosp FAQ Eff 10/1/2018 DCS18006, DC Specialty Hosp DRG Pricing Calculator Eff 10-1-2018 DCS18028, ICD-10 Emergency Codes Listing - October 2020, DC EAPG Grouper Settings Eff 10/1/2020 DCO20031, FQHCs Payment Methodology Frequently Asked Questions, DC EAPG Relative Weights Eff 10/1/2020 DCO20032, DC EAPG IP Only List Eff 10/1/2020 DCO20033, Provider Conduent EDI Gateway Authorization Form for Billing Agents and Clearinghouses, Hospice Election and Physician Certification, Revised Behavioral Health Transformation Demonstration Program Rates, DC APR-DRG Pricing Calculator Eff 10/1/2018 DCI18018, DC EAPG Relative Weights Eff 10/1/2018 DCO18023, DC EAPG IP Only List Eff 10/1/2018 DCO18024, DC Specialty Hosp FAQ Eff 10/1/2019 DCS19004, Consent For Sterilization - Spanish - HHS 687-1, Level 1 Pre-Admission Screen/Resident Review (PASRR) for SMI, ID, or Related Conditions, DC APR-DRG Pricing Calculator Eff 10/1/2019 DCI19016, DC EAPG Never Pay List Eff 01/01/2021 DCO21001. Benefit enrollment/disenrollment. DC Specialty Hosp DRG Pricing Calculator Eff 10-1-2020 DCS20015 DC APR-DRG FAQ Eff 10/1/2018 DCI18004 DC EAPG Never Pay List Eff 10/1/2018 DCO18021 DC Medicaid Beneficiary Disclosure and Commitment to Take All electronic billers are required to receive ERA. 837 Claim Welcome to the Conduent EDI Solutions, Inc. Home Page for District of Columbia Medicaid. The Centers for Medicare & Medicaid Services (CMS) standard Electronic Data Interchange (EDI) enrollment form must be completed prior to submitting Electronic Media Claims (EMCs) or other EDI transactions to Medicare. BASIC AND EDI SEMINAR PACKET Revised 8/14/2020 B-PRL-TRN-006.X 2 DHCS I 1 edi Cal De,ntal Dear Medi-Cal Dental Provider and Staff: Welcome! If the provider’s practice determines that it has received overpayments or improper payments, the provider is required to make arrangements to return Learn more about DC Healthy Families Program, DC Healthcare Alliance Program, and Maryland EDI Support The EDI Support Unit offers assistance to providers who submit District of Columbia Medicaid claims electronically. Please complete Step 1 on-line prior to submitting the form in Step 2. 837 Institutional. Connect With Us. Department SCDHHS will provide an electronic response indicating that we have received your file and which were rejected and why. of Labor, Worker's Compensation, Montana DC Council Laws, Regulations and Courts Open Government Official Documents and Records Tickets and Fines Visitors Arts and Culture Media and Communications … DXC has concluded the sale of our U.S. State and Local Health and Human Services business to Veritas Capital. Electronic Transactions Available for District of Columbia. Medicaid program funds that were improperly paid or overpaid must be returned. Monday to Friday, 8:15 am to 4:45 pm. The complete updated Medicaid National Correct Coding Initiative (NCCI) edit files are posted here at the beginning of each calendar quarter. Nebraska Medicaid supports all HIPAA-mandated electronic healthcare transactions, including: Claims (dental, professional and institutional) Claims acknowledgement. • EDI enrollment processing timeframe is approximately 10 business days. © 2017 Conduent Business Services, LLC. The EDI specifications for MassHealth electronic claims are based on the following documents: An Implementation Guide is provided for each transaction. The IHCP allows a family member or close associate of a Medicaid member to officially enroll as a driver, so the driver's mileage can be reimbursed. D.C. Medicaid Provider Inquiry Unit is available to assist you with information regarding billing, recipient eligibility or claims status. DC Medicaid 837 and 835 EDI Enrollment Instructions: • Enrollment with DC Medicaid is a two-step process. EDI is an easy, efficient, paperless system that transmits information to and from the dental practice District of Columbia. MedStar Family Choice – DC Medicaid Provider Frequently Asked Questions American Society of Addiction Medicine Patient Placement Criteria ADHD Resources ADHD Resources from the American Academy of Pediatrics Office Hours. Washington, DC Conduent EDI Provider Enrollment Form Please return to: Conduent Technical Support/Enrollment PO Box 34734 Washington DC 20043-4761 Fax to: (202) 906-8399 (866) 407-2005 (phone) / (202) 906-8399 This assistance includes: Enrolling providers in electronic claims submission Providing technical Contact your practice management software vendor or EDI software vendor. It is accompanied by a MassHealth Companion Guide and the appropriate billing instructions to guide providers on the submission of transactions to MassHealth. Department of Public Health and Human Services, New Mexico Human Electronic Data Interchange (EDI) Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. You agree to take all necessary steps to ensure that your employees and agents abide by the You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Choose the undergraduate program that's right for you! EDI enrollment with Novitas Solutions is required for Electronic Remittance Advice (ERA). Conduent EDI Solutions, Inc. accepts HIPAA-mandated transactions. AmeriHealth Caritas DC/Alliance Attn: Claims Processing Department P.O. As long as you have the capability to send EDI Dominican College offers dozens of fully-accredited major, minor and certificate degree programs for undergraduates. D.C. Medicaid Provider Inquiry Unit is available to assist you with information regarding billing, recipient eligibility or claims status. Box 7354 London, KY 40742 Electronic (EDI) Claims AmeriHealth Caritas DC participates with Emdeon. • To check status of EDI enrollment, please contact Medicaid Provider Service Center at 1-888-289-0709 or edig.ops-mcaid@bcbssc.com . www.dc-medicaid.com Provider Conduent EDI Gateway Authorization Form for Billing Agents and Clearinghouses Section A. The EDI Department must receive and process the profile request before trading partners may begin testing. Client eligibility inquiry. For additional information, please visit: https://www.dc-medicaid.com/dcwebportal/home. Claim status inquiry. How to Enroll in Medicare Electronic Data Interchange. Conduent EDI Solutions, Inc. and Conduent EDI Solutions, Inc. Agile Star are trademarks of Conduent Business Services, LLC in the United States and/or other countries. Provider Services. Remittance advice. Electronic billers will be enrolled for ERA based upon the selections made on their EDI Enrollment form . To contact them, call 1.202.906.8319 (inside of DC Metro) or 866.752.9233 (Outside DC Metro). Only one TPP needs to be completed for each trading partner, even if the trading partner represents multiple providers. Medicaid Providers EOB Information. Conduent ® Medicaid Suite (CMdS): Moving Medicaid Forward A modular, innovative and outcomes-driven one stop solution for State Medicaid agencies to move to a service-based MMIS. provider for the District of Columbia Medicaid program. Standard Application - Use this application if you are applying to become a new and/or re-enrolling individual physician (including dentist), non-physician practitioner, group, facility or institutional (i.e. Provider Information. Health care services review (authorization requests) Premium/capitation payments. You may also contact Change Healthcare at 1-877-363-3666 or visit www.changehealthcare.com for information on contracting for direct submission to Change Healthcare. Phone: (202) 442-5988. hospital, clinic, dialysis, DME etc.) Medicaid Enterprise Systems are going through an historic paradigm shift and gearing to pivot to the next generation Medicaid systems, capabilities, and technologies. 441 4th Street, NW, 900S, Washington, DC 20001. MedStar Family Choice is a provider sponsored Managed Care Organization serving the District of Columbia (DC) and Maryland. We encourage you to use the following tools and resources to help you get started with electronic transactions. Electronic Data Interchange (EDI) Electronic claims are processed faster and more accurately than those received by mail. To contact them, call 1.202.906.8319 (inside of DC Metro) or 866.752.9233 (Outside DC Metro). Fax: (202) … Inform your vendor of AmeriHealth Caritas DC's EDI Payer ID# 77002. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Washington, DC Xerox EDI Provider Enrollment Form Please return to: Xerox State Healthcare, LLC Technical Support/Enrollment PO Box 34734 Washington DC 20043-4761 Fax to: (202) 906-8399 (866) 407-2005 (phone) / (202 District of Columbia. Services Department, https://www.dc-medicaid.com/dcwebportal/home. Medi-Cal Dental EDI service is an optional method of data submission available to all participating Medi-Cal Dental providers. Alaska Medicaid DHSS Companion Guide 2 May 2019 005010 2.2 Disclosure Statement The Alaska Department of Health and Social Services (DHSS) Division of Healthcare Services mission is: Quality health care will be All rights reserved. The new company, Gainwell Technologies, provides Medicaid Provider services for various states.