Monthly Archives: September 2013

Medicaid ICD-10 Implementation Project September 2013 Update

Please share this information with Clinical, Coding, Billing, and IT Staff The United States Department of Health and Human Services requires that all HIPAA covered entities use the International Classification of Diseases, 10th Revision (ICD-10) codes beginning October 1, 2014. This bulletin provides information regarding the Nebraska Medicaid ICD-10 Implementation Project. ICD-10 Readiness One of the frequently heard comments from Medicaid providers

Read more
Consumer Protection from Fraud in the Health Insurance Marketplace

Steps have been initiated to prevent and respond to individuals attempting to take advantage of the public during health care implementation.  These measures include: Reporting fraud mechanism: A new feature of the Marketplace Call Center (1-800-318-2596, TTY 1-855-889-4325) will now enable individuals to report fraud simply by calling the 1800 number. Call Center operators have been trained to take a fraud complaint, and refer them to FTC’s Consumer

Read more
Collection of media coverage from the statewide press conferences on Health Insurance Marketplace Open Enrollment

Associated Press: Nebraska groups promote new insurance marketplace LJS: Agencies get ready to help Nebraskans find health insurance NTV:  Local Agencies to Navigate Nebraskans through Affordable Care Act KETV:  Nebraska groups promote new insurance marketplace Grand Island Independent: Affordable Care Act marketplace opens Oct. 1

Read more
CMS Proposes a Medicare PPS for FQHCs

CMS Proposes a Medicare Prospective Payment System for Federally Qualified Health Centers Health Centers will Transition to a New Medicare Payment System and Higher Medicare Reimbursements Later today, the Centers for Medicare & Medicaid Services (CMS) will issue a proposed rule to establish a Medicare prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs), as outlined in the Affordable Care Act.  The proposed, updated

Read more
Seasonal Influenza Vaccine 2013/2014 Update

THE INFORMATION IN THIS BULLETIN SUPERCEDES PREVIOUS INFLUENZA VACCINE PROVIDER BULLETINS Routine annual influenza vaccination is recommended for all persons aged 6 months or older by the Advisory Committee on Immunization Practices (ACIP) 2013-14 recommendations. It is expected the adult influenza immunizations will be given with the most cost effective, standard vaccine. However, preservative free and nasal vaccines may be given to adults who have

Read more
Enhanced Payments to Primary Care Providers

Eligible primary care providers will begin to receive enhanced payments in October. Providers with an attestation form accepted by Nebraska Medicaid prior to June 1, 2013 will receive a one-time payment in October for the increased amount on all eligible services provided and claims adjudicated between January 1, 2013 and September 22, 2013. The October payment will include adjustments to each qualifying claim to pay at the Enhanced Primary Care

Read more
OneWorld Medicaid Database Training

The OneWorld Medicaid Database Training has been tentatively scheduled to take place in late October.  Details TBA.

Read more
O & E Reporting Categories for Health Centers

TRAINING: Number of health center O/E workers trained as certified application counselors (CACs) and have successfully completed all required federal and state training. –        This includes all O/E assistance workers (staff, contractors, volunteers) who will be providing O/E assistance as CACs.   ASSISTANCE: Number of individuals assisted in any part of the enrollment process by a CAC, e.g., individuals or families assisted to set

Read more
NACHC TeleForum Call next Thursday, Sept. 26 at 1pm CDT

All health center advocates are invited to join NACHC Federal Affairs staff for a free TeleForum call on Sept. 26 to learn what to expect from Congress this fall and how you can help to advance NACHC's advocacy strategy. To sign up to receive the call, click here.

Read more
Nebraska Medicaid Enhanced Primary Care Payments

1-1-2013 to 12-31-2014 ****CMS has approved Nebraska Medicaid’s State Plan Amendment regarding paying primary care physicians an enhanced fee.***** See new Frequently Asked Questions Attestation Form (updated 06-04-13) Enhanced Primary Care Provider fee schedule Information about the Enhanced Primary Care Payments Effective January 1, 2013, certain physicians who provide eligible primary care services to Medicaid clients are eligible to be paid

Read more