01, 080, 081, 082, 084, 088, 090, 092, 093, 100, 191, 192, 290, 291, 316, 318, 322, 325, 326, 334, 339, 341, 344, 345, 349, 359, 523, 553, 560 Provider Letter 2017-10 serves to inform providers on the prior authorization for CPT code 95951 and medical review for CPT code 95957, effective June 15, 2017.45 – RBMS Therapeutic Foster Care Beginning May 1, 2017, therapeutic foster care (TFC) agencies submitting claims for payment to OHCA will be required to include the rendering providers assigned to their Oklahoma Medicaid Group ID on the claims.
The rendering service provider receives payment for Medicaid-compensable health care services on behalf of the stated group (in this case, the TFC agency).
Exempted from this directive are positions not funded through funds appropriated by the legislature, as well as positions that have a direct impact on public safety.If you have questions, please call the OHCA Provider Helpline at 1-800-522-0114 and select option 6.Provider Letter 2017-07 serves to inform providers on the transition to a fully electronic prior authorization submission process, effective July 1, 2017 .So, how does a provider bill out for an annual Well Woman Exam for a patient covered by Medicare? Multiple sexual partners (five or more in a lifetime) c.Let’s discuss the components of the annual exam first. History of a sexually transmitted disease (including HIV infection) d.Please note: OHCA does not make direct payments to the rendering provider.