Each year agencies and individual providers who bill Medicaid must be recertified by Medicaid to receive payments. Failure to recertify may cause claims to be denied regardless of the date of service, beginning with the decertification date in the notice.
Helps providers to check eligibility, obtain prior authorization and access electronic Explanation of Benefits (EOBs) statements.
This change is being made to streamline the current billing and claiming process and to reduce the time burden on Early Intervention providers.
Providers no longer required to enter EOB/Remittance Data for Excellus Claims.
Clarification on enrollment in Medicaid as an OPRA provider.