Members also have access to compliance and billing support. PDF. The Department of Community Health (DCH) administers Medicaid reimbursement and associated policy for mental health treatment and services through partnership with The Department of Behavioral Health and Developmental Disabilities (DBHDD). An official website of the State of Georgia. Additionally, contraceptive injections of medroxyprogesterone acetate also known as Depo-Provera are limited to one injection every three months. Physical, Occupational, and Speech Therapy Services (PDF) CP.MP.49: June 30, 2021: . Members: 800-498-2071 Clinical policies help identify whether services are medically necessary based on information found in generally accepted standards of medical practice; peer-reviewed medical literature; government agency/program approval status; evidence-based guidelines and positions of leading national health professional organizations; views of physicians practicing in relevant clinical areas affected by the policy; and other available clinical information. You may access the InterQualSmartSheet(s) for Adult and Pediatric procedures, durable medical equipment and imaging procedures by logging into the secure provider portal or by calling Peach State Health Plan. Reimbursement rates have been recalculated effective July 1, 2020 through June 30, 2021. %PDF-1.7 NC Medicaid Contact Center Georgia Medicaid offers benefits on a Fee-for-Service (FFS) basis or through managed care plans. If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. Local, state, and federal government websites often end in .gov. Get Contracted by following the link below. Enrollment Forms Guidance on therapy services covered through Georgia Medicaid and other important compliance issues such as enrollment, billing, audits, and managed care. The Initial Reimbursement Rate Sheets for FYE June 30, 2022, are located below. Under managed care, Georgia pays a fee to a managed care plan for each person enrolled in the plan. Background Speech language pathology services include the diagnosis and treatment of speech and language disorders. Therefore, when crisis intervention services are billed with modifier U1, U2, U3, U4 or U5 and modifier U6, U7 or GT are not also appended, the crisis intervention services (H2011) will be recommended for denial. Additionally, the following implantable contraceptive devices and procedures should be reported with modifier FP (Service provided as part of Medicaid family planning program): According to Georgia Medicaid guidelines, hearing aid devices, items and services are not covered for patients 21 years of age or older. This change is estimated to increase E&D Waiver expenditures for SFY 2022 as follows: The Georgia General Assembly passed legislation to increase Elderly and Disabled Waiver rates by 10% effective July 1, 2021. These reimbursement policies apply to our Georgia Medicaid plans. WellCare Health Plans is committed to continuously improving its claims review and payment processes. Hand pulling book from library archive shelf. Resources for Audiologists Medicaid Toolkit: What Audiologists Need to Know CPT codes are copyright 1995-2022American Medical Association. Section 1902(a)(30)(A) of the Social Security Act requires that such payments be consistent with efficiency, economy, and quality of care, and are sufficient to provide access equivalent to the general population. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Community providers of behavioral health services can be accessed by contacting The Georgia Crisis and Access Line (GCAL) at 800-715-4225 or via the web by visiting www.mygcal.com. Additionally, monaural hearing aids, when billed, must be reported with modifier RT or LT and are limited to one unit per side in a three-year period. 2200 Research Blvd., Rockville, MD 20850 Medical and Dental Fee Schedules | State Board of Workers' Compensation Reimbursement Policies | Georgia - Medicaid | CareSource Acthar Gel) (PDF), Ribavirin (Copegus, Moderiba, Rebetol, Ribasphere) (PDF), Rifabutin (Mycobutin), Rifabutin/Omeprazole/Amoxicillin (Talicia) (PDF), Risperidone Long-Acting Injection (Risperdal Consta) (PDF), Rituximab (Rituxan), Rituxan/Hyaluronidase (Rituxan Hycela) (PDF), Sapropterin Dihydrochloride (Kuvan) (PDF), Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors (PDF), Sucroferric Oxyhydroxide (Velphoro) (PDF), Tezacaftor/Ivacaftor; Ivacaftor (Symdeko) (PDF), Timothy grass pollen allergen extract (Grastek) (PDF), Tobramycin (Bethkis, Kitabis Pak, TOBI, TOBI Podhaler) (PDF), Tofacitinib (Xeljanz, Xeljanz Poor girl.XR) (PDF), Topical Diclofenac (Solaraze, Flector) (PDF), Trastuzumab/Biosimilars, Trastuzumab-Hyaluronidase (PDF), Treprostinil (Orenitram, Remodulin, Tyvaso) (PDF), Triamcinolone ER Injection (Zilretta) (PDF), triptorelin pamoate (Trelstar, Triptodur) (PDF), Valproate Sodium for Intravenous Injection (Depacon) (PDF), vincristine sulfate liposome injection (Marqibo) (PDF), Voretigene neparvovec-rzyl (Luxturna) (PDF), Age Limit for Tazarotene (Tazorac, Arazlo) (PDF), Benzodiazepine Use in Pediatric Seizure Disorders (PDF), Buprenorphine-Naloxone (Bunavail, Cassipa, Suboxone, Zubsolv) (PDF), Dasabuvir Ombitasvir Paritaprevir Ritonavir (Viekira XR, Viekira Pak)(PDF), Dasabuvir/Ombitasvir/Paritaprevir/Ritonavir (Viekira XR, Viekira Pak) (PDF), Epinephrine Injection Device - Quantity Limit Override (PDF), Factor IX Complex Human (Bebulin, Profilnine) (PDF), Factor VIII/von Willebrand Factor Complex (Human - Alphanate, Humate-P, Wilate) (PDF), Human Growth Hormone (Somapacitan, Somatropin) (PDF), euprolide acetate (Eligard, Lupaneta Pack, Lupron Depot, Lupron Depot-Ped) (PDF), Levofloxacin (Levaquin) in Pediatric Community Acquired Pneumonia(PDF), Methoxy polyethylene glycol-epoetin beta (Mircera) (PDF), Olanzapine Long-Acting Injection (Zyprexa Relprevv) (PDF), Pediatric Benzodiazepine Use in Chemotherapy Induced Nausea and Vomiting CINV(PDF), Psychotropic Medication Continuity of Care (COC)(PDF), Request for Medically Necessary Drug Not on the PDL (PDF), Sofosbuvir/Velpatasvir/Voxilaprevir (Vosevi) (PDF), Topical Steroid Use For Eosinophilic Esophagitis (PDF), Topical Tretinoin in Adult Acne Vulgaris (PDF), Hydroxyprogesterone Caproate (Makena) (PDF), Lost, Stolen, Spilled or Broken Medications(PDF), Maximum Allowable Cost (MAC) Requirement(PDF), Cost to Charge Adjustments on Clean ClaimReviews (PDF), Distinct Procedure Modifiers Policy (PDF), E&M Bundling with Labs and Radiology (PDF), E&M Services Billed with Treatment Room Revenue Codes (PDF), Hospital Visit Codes Billed with Labs (PDF), Leveling of Care: Evaluation and Management Overcoding (PDF), Leveling of Emergency Room Services (PDF), Modifier to Procedure Code Validation (PDF), Multiple Diagnostic Cardiovascular Procedure Payment Reduction (MDCR) (PDF), Multiple Procedure Reduction: Ophthalmology (PDF), Non-obstectrical Pelvic and Transvaginal Ultrasounds (PDF), Not Medically Necessary Inpatient Service (PDF), Polymerase Chain Reaction Respiratory Viral Panel Testing (PDF), Problem Oriented Visits with Preventative Services (PDF), Problem Oriented Visits with Surgical Procedures (PDF), Unbundling Adjustments on Clean Claim Reviews (PDF), Leveling Professional Fees for Emergency Room Services (PDF), Multiple Procedure Payment Reduction: Therapeutic Services (PDF), Reporting the Global Maternity Package (PDF), Problem Oriented Visits with Preventative Services(PDF), Fluticasone/Vilanterol (Breo Ellipta) (PDF). "@$E"Y[d$dvox`sX#@Q 1$Nw A 3 0 obj FY 2021 revised rates inclusive of 18.37% Growth and Quality Incentive. hbbd```b`` Georgia Medicaid Coverage of Therapy Services Non-Member: 800-638-8255, Site Help | AZ Topic Index | Privacy Statement | Terms of Use Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. The increase will affect all services provided through the Waiver Program. American Speech-Language-Hearing Association How you know. How you know. DCH also administers Medicaid-reimbursed behavioral health services for children and eligible adults in Georgia through four (4) Care Management Organizations (CMOs). Join us and watch your business grow. In addition, Peach State Health Planmay from time to time employ a vendor that applies payment policies to specific services; in such circumstances, the vendors guidelines may also be used to determine whether a service has been correctly coded. All rights reserved. CPT is a registered trademark of the American Medical Association. Certified Home Health Agency Rates Primary: (404) 657-5468. The Initial Reimbursement rates for FYE June 30, 2021, are located below. b. SFY 2023 Hospital Provider Fee Memorandum - Posted 06/15/22. Please enable it in order to use the full functionality of our website. NHP Rate Sheet Archive | Georgia Department of Community Health It is our intent to make claim payment policies that are simple to understand and in alignment with State Medicaid Manuals. The payment rate for out-of-state enrolled hospitals will not exceed 65% of covered charges. InterQual is a nationally recognized evidence-based decision support tool. Call Us. Principal Appropriate Utilization Group, LLC 881 Piedmont Avenue Atlanta, GA 30309 (404) 728-1974; FAX (404) 728-1975 [email protected] Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. Learn moreabout how we provide comprehensive support for members. Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Ground Ambulance (Public/Private) Providers, Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC), Medicaid Sign-Up Portal (Georgia Gateway). Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars. Therapy Comply does not claim copyright over US Federal and State materials. Fee Schedules - Georgia Find clinical tools and information about working with CareSource. PDF Attachment 4.19 - B State Georgia POLICY AND METHODS FOR ESTABLISHING American Speech-Language-Hearing Association, Medicaid Toolkit: What Audiologists Need to Know, Federal Public Health Emergency Updates for 2022, Certain Health Care Providers May Be Subject to New COVID Vaccination Requirements, Reimbursement of Telepractice Services: Considerations for Audiologists and SLPs, ASHA's Coding, Reimbursement,& Advocacy Modules, State Children's Health Insurance Program, ASHA Reimbursement Products & Web Seminars, Health Insurance Portability & Accountability Act (HIPAA), Interprofessional Education / Interprofessional Practice, State Advocates for Reimbursement (STARs) Network (one of the. 04/01/2023. 455 0 obj <> endobj Speech Therapy and Audiology Fee Schedule - Jan. 5, 2022 - PDF. PDF. According to Georgia Medicaid guidelines, the insertion of an implantable contraceptive device and the implantable contraceptive reported as part of a Medicaid family planning program is limited to once in a three-year period. 4a, Col 004, lines 002,005,006,008,009,015: 37) Before sharing sensitive or personal information, make sure youre on an official state website. Not already Contracted to Sell for CareSource? Please locate the pdf file where the Provider's Name would fall. If you have a question about a specific matter, you should contact a professional advisor directly. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. According to Georgia Medicaid guidelines, childrens intervention services must be reported with modifier HA (Child/adolescent program) and are allowed only for Medicaid eligible members less than 21 years of age. aJY $,0V #hE2!FF!&`B+4fC&%@ c cTh % They include, but are not limited to claims processing guidelines referenced by the Centers for Medicare and Medicaid Services (CMS), Publication 100-04, Claims Processing Manual for physicians/non-physician practitioners, the CMS National Correct Coding Initiative policy manual (procedure-to-procedure coding combination edits and medically unlikely edits), Current Procedural Technology guidance published by the American Medical Association (AMA) for reporting medical procedures and services, health plan clinical policies based on the appropriateness of health care and medical necessity, and at times state-specific claims reimbursement guidance. Press Tab or Shift+Tab to navigate through menu. endobj They include but are not limited to policies relating to evolving medical technologies and procedures, as well as pharmacy policies. According to Georgia Medicaid guidelines, the telehealth originating site facility fee must be reported with modifier EP (EPSDT program) and modifier GT (Via interactive audio or video telecommunication systems) when billed in a school setting. https://suicidepreventionlifeline.org/, Local and regional calls are routed from the National Suicide Prevention Lifeline to DBHDDs Georgia Crisis and Access Line (GCAL) 1-800-715-4225 https://dbhdd.georgia.gov/access-services, Voices for Georgias Children has given permission and provided the following video on Suicide Prevention: https://vimeo.com/270156589, http://georgiavoices.org/videos/suicide-prevention-psas-2/. Copyright CareSource 2023. How you know. As Georgia's Behavioral Health Authority, DBHDD provides services through a network of community providers. Other policies (e.g., clinical policies) or contract terms may further determine whether a technology, procedure or treatment that is not addressed in the Payment Policy Manual is payable by Peach State Health Plan. The information contained in this web site is intended as general information only. These rates are inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs. We believe that this will enable you and your billing staff to better understand our claims payment process given the widespread use of these policies. 0 Maximum Units are specific to crisis intervention services (H2011) provided in a Skilled nursing facility or a Nursing facility, as they are limited to 144 units per year when billed with the following modifier combinations: According to Georgia Medicaid guidelines, crisis intervention services should be reported with modifier U6 (In-Clinic), U7 (Out-of-Clinic), or telehealth (GT) modifier. Please locate the pdf file where the Provider's Name would fall. Wellcare uses cookies. Outpatient - Site of Service - Maximum Allowable Payment. FY 2021 revised rates inclusive of 18.37% Growth and Quality Incentive Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Please enable Cookies and reload the page. 1 0 obj <> Therefore, the EPSDT service will be recommended for denial when outside of the required age recommendation: According to Georgia Medicaid guidelines, developmental and/or autism screenings are allowed for patients nine months, 18 months and 30 months of age. Frequently Asked Questions About Medicaid endstream endobj 456 0 obj <>/Metadata 27 0 R/Pages 453 0 R/StructTreeRoot 49 0 R/Type/Catalog/ViewerPreferences 472 0 R>> endobj 457 0 obj <>/MediaBox[0 0 612 792]/Parent 453 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 458 0 obj <>stream Georgia Families Medicaid; Georgia Families PeachCare for Kids . For out-of-state enrolled hospitals, payments are made at the statewide average percentage of charges paid to Georgia hospitals that are reimbursed at 85.6% of costs and are not subject to cost settlement. Provider Fee Payment | Georgia Department of Community Health According to Georgia Medicaid guidelines, certain provider administered drugs must be reported with the National Drug Code (NDC) that corresponds directly to the drug related procedure code. They are used to help identify whether health care services are correctly coded for reimbursement. An official website of the State of Georgia. nursing services, nutrition services, occupational therapy, orthotic and prosthetic training, physical therapy and speech-language pathology. Division of Health Benefits. 1997- American Speech-Language-Hearing Association. Reimbursement rates have been recalculated effective July 1, 2020 through June 30, 2021. Orthotic and Prosthetic Fee Schedule - PDF. 2 0 obj SFY 2022 State Funds Federal Funds Total Funds Rate In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. Speech Therapy and Audiology Fee Schedule - Jan. 5, 2022 - PDF Effective January 24, 2021 a significant enhancement to our physician reimbursement policies that promote correct coding. Family Planning Services have two main components, frequency limitations and modifier requirements. Policies in the Peach State Health PlanClinical Policy Manual may have either a Peach State Health Planor a Centene heading. The NDC serves as a universal product identifier for drugs. Each payment rule is sourced by a generally accepted coding principle. The Reimbursement Rates Sheets for FYE June 30, 2021, are located below. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Medicaid reimbursement rates and associated policy of this program are found here: Provider Manuals. The Lifeline supports people who call for themselves or someone they care about. PDF 2022 Medicare Fee Schedule for Speech-Language Pathologists These rates are inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs. According to Georgia Medicaid guidelines, the children's intervention services reported with certain modifiers are limited to the assigned units for that modifier or modifier combination that are included in the Policies and Procedures Manual for Children's Intervention Services. All Contacts. stream <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Each payment rule is sourced by a generally accepted coding principle. reimbursement rate is 85.6% of costs. Twitter page for Georgia Medicaid; Linkedin page for Georgia Medicaid; YouTube page for Georgia Medicaid; How can we help? Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. In turn, the plan pays providers for all of the Medicaid services a beneficiary may require that are included in the plans contract with the state. endstream endobj startxref After dialing 1-800-273-TALK (1-800-273-8255), the caller is routed to their nearest crisis center to receive immediate counseling and local mental health referrals. According to Georgia Medicaid guidelines, EPSDT services should only be billed as frequently as allowed in the Georgia Medicaid Manual, any services above and beyond this frequency will be recommended for denial. They are routinely updated to promote accurate coding and policy clarification. Provider Fee Payment. In general, Georgia set provider payments under fee-for-service. First Published . Online Form. %PDF-1.7 % Reimbursement policies are designed to assist you when submitting claims to CareSource. <> %%EOF Age Requirements. Diaphragm fitting, condoms and contraceptive injection of medroxyprogesterone acetate must be submitted with modifier FP (Service provided as part of Medicaid family planning program). Local, state, and federal government websites often end in .gov. Speech Therapy and Language Disorder Rehabilitation GEORGIA MEDICAID MM-0714 Effective Date: 10/01/2020 Outpatient Speech Therapy and Language Disorder Rehabilitation B. Physical Therapy Speech Therapy Occupational Therapy Home Health Aide Cost Report Reference / Formula; Build-Up (All Agencies Statewide) 35) Total Allowable Costs (All Agencies Statewide) Sch. Health care claims payment policies are guidelines used to assist in administering payment rules based on generally accepted principles of correct coding. These rates are inclusive of 13.37% Growth, Joint Commission & AHCA quality incentives and audited 2018 GL/PL Insurance Costs. All rights reserved. PDF 74.88 KB - January 05, 2022 Division/Office. This area of the Billing and Reimbursement site provides information on the major aspects of Medicaid related to audiology and speech-language pathology services, including audiology and speech-language pathology requirements and information for school based professionals. The three segments identify the labeler, the product, and the commercial package size. The Department also received approval for quality incentives related to the Joint Commission and American Health Care Association (AHCA) Accreditation effective August 14, 2020. You do not have JavaScript Enabled on this browser. According to Georgia Medicaid guidelines, children's intervention services must be reported with modifier HA (Child/adolescent . . Policies in the Peach State Health PlanPayment Policy Manual may have either a Peach State Health Planor a Centene heading. Local, state, and federal government websites often end in .gov. Additional information on available services and policy requirements can be obtained by visiting https://dbhdd.georgia.gov/community-provider-manuals. Answers to frequently asked questions about Medicaid and audiology and speech-language pathology services. Monday to Friday, 08:00 a.m. - 05:00 p.m. All in Eastern Time Zone. Press Enter or Space to expand a menu item, and Tab to navigate through the items. Community providers of behavioral health services can be accessed by contacting The Georgia Crisis and Access Line (GCAL) at 800-715-4225 or via the web by visiting www.mygcal.com . Press Enter on an item's link to navigate to that page. These proprietary policies are not a guarantee of payment. Webinar: Medicare Advantage Compliance and Therapy Services, Webinar: Scheduling to Increase Revenue and Reduce Cancellations, Webinar: The Business of Providing PT/OT to Medicare Patients Recorded September 22, 2022, Webinar: Medicare Documentation and Billing Physical and Occupational Therapy September 8, 2022, Webinar: Remote Therapeutic Monitoring July 20, 2022, Webinar: HIPAA Recognized Security Practices, Webinar: Creating a PT/OT Bonus Plan for Your Practice, Webinar: Medicare PT/OT Services and NCCI, Webinar: Defending Your Therapy Practice from Medicare Audits, Webinar: Advising PT/OT Patients about Cannabis: Medical Marijuana and CBD, Webinar: HIPAA Risk Assessments and Mitigation, Webinar: Effective Compliance and Billing Audits for Therapy Practices, Webinar: Financial and Productivity Benchmarking for Outpatient Physical and Hand Therapy, Webinar: Adult Scoliosis Recognition and Physical Therapy Interventions, Webinar: 2022 Billing and Coding Updated for PT/OT, Webinar: 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Medicaid Coverage of Therapy Services, Maryland Workers Compensation Fee Schedules, Massachusetts OT Supervision and Delegation, Massachusetts Covid-19 Resources for Therapy Providers, Massachusetts Medicaid Coverage of Therapy Services, Massachusetts Medicaid Therapy Fee Schedules, Massachusetts Medicaid Outpatient Therapy, Massachusetts Medicaid Provider Enrollment, Massachusetts Workers Compensation Fee Schedules, Michigan Covid-19 Resources for Therapy Providers, Michigan Medicaid Coverage of Therapy Services, Michigan Workers Compensation Fee Schedules, Minnesota Covid-19 Resources for Therapy Providers, Minnesota Medicaid Coverage of Therapy Services, Minnesota Workers Compensation Fee Schedules, Mississippi Covid-19 Resources for Therapy Providers, Mississippi Medicaid Coverage of Therapy Services, Mississippi Medicaid Therapy Fee Schedules, Mississippi Workers Compensation Fee Schedules, Missouri Covid-19 Resources for Therapy Providers, Missouri Medicaid Coverage of Therapy Services, Missouri Workers Compensation Fee Schedules, Montana Covid-19 Resources for Therapy Providers, Montana Medicaid Coverage of Therapy Services, Montana Workers Compensation Fee Schedules, Nebraska Covid-19 Resources for Therapy Providers, Nebraska Medicaid Coverage of Therapy Services, Nebraska Workers Compensation Fee Schedules, Nevada Covid-19 Resources for Therapy Providers, Nevada Medicaid Coverage of Therapy Services, Nevada Workers Compensation Fee Schedules, New Hampshire Covid-19 Resources for Therapy Providers, New Hampshire Medicaid Coverage of Therapy Services, New Hampshire Medicaid Therapy Fee Schedules, New Hampshire Medicaid Outpatient Therapy, New Hampshire Medicaid Provider Enrollment, New Hampshire Workers Compensation Fee Schedules, Use of a Computer to Prepare Patient Records, New Jersey OT Identification and Notification, New Jersey Covid-19 Resources for Therapy Providers, New Jersey Medicaid Coverage of Therapy Services, New Jersey Medicaid Therapy Fee Schedules, New Jersey Workers Compensation Fee Schedules, New Mexico Covid-19 Resources for Therapy Providers, New Mexico Medicaid Coverage of Therapy Services, New Mexico Workers Compensation Fee Schedules, New York Covid-19 Resources for Therapy Providers, New York Medicaid Coverage of Therapy Services, New York Workers Compensation Fee Schedules, North Carolina PT Continuing Education Activities, North Carolina PT General Scope of Practice, North Carolina PT Additional PT Practices, North Carolina PT Additional PTA Practices, North Carolina PT Supervision and Delegation, North Carolina PT Supervision and Documentation, North Carolina PT Identification and Notification, North Carolina PT Licensure by Endorsement, North Carolina OT Identification and Notification, North Carolina Covid-19 Resources for Therapy Providers, North Carolina Medicaid Coverage of Therapy Services, North Carolina Medicaid Outpatient Therapy, North Carolina Medicaid Provider Enrollment, North Carolina Pediatric 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Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention, Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Measure 130: Documentation of Current Medications in the Medical Record, Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan, Measure 181: Elder Maltreatment Screen and Follow-Up Plan, Measure 182: Functional Outcome Assessment, Measure 217: Functional Status Change for Patients with Knee Impairments, Measure 218: Functional Status Change for Patients with Hip Impairments, Measure 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments, Measure 220: Functional Status Change for Patients with Low Back Impairments, Measure 221: Functional Status Change for Patients with Shoulder Impairments, Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments, Measure 223: Functional Status Change for Patients with General Orthopedic Impairments, Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention, Measure 281: Dementia Cognitive Assessment, Measure 282: Dementia: Functional Status Assessment, Measure 288: Dementia: Education and Support of Caregivers for Patients with Dementia, Measure 318: Falls Screening for Future Fall Risk, Measure 478: Functional Status Change for Patients with Neck Impairments, Measure 131: Pain Assessment and Follow-Up, Medicare Enrollment of Occupational Therapists, Medicare Enrollment of Physical Therapists, Medicare Coverage of Specific Modalities and Procedures, National Coverage Determinations for Therapy Services, Medicare Therapy Limitations and Noncovered Services, Medicare Documentation for Therapy Services, Levels of Appeals and Time Limits for Filing, Medicare Therapy Bill Type and Revenue Codes, Medicare Skilled Nursing Facilities Therapy Services, Medicare Home Health Conditions for Coverage, Security Rule - Administrative Safeguards, When Patient Authorization is Not Required, Early Intervention Referrals and Screening, Common Physical and Occupational Therapy Codes, NCCI Medically Unlikely Edits Therapy Services, NCCI Practitioner Edits Therapy Services Q3 2022, NCCI Practitioner Edits Therapy Services Q4 2022, NCCI Practitioner Edits Therapy Services Q1 2023, NCCI Hospital Edits Therapy Services Q3 2022, NCCI Hospital Edits Therapy Services Q4 2022, NCCI Hospital Edits Therapy Services Q1 2023, End of Covid-19 Emergency Period - Medicare Therapy Waivers, Medicare Certification and Recertification Plan of Care FAQs, Multiple Procedure Payment Reduction (MPPR), Medicare Total Time Rule v. AMA 8-Minute Rule, Medicare Documentation Requirements for Therapy Services, Medicare Documentation Requirements for Therapy Practices, New Section: Medicare Therapy Limitations and Noncovered Services, Medicare Telehealth Services During Covid-19 Emergency Period, New Section: Outpatient Rehabilitation Facilities.