NEW YORK STATE MEDICAID PROGRAM - …

NEW york STATE MEDICAID PROGRAM COMPREHENSIVE MEDICAID CASE MANAGEMENT (CMCM) BILLING GUIDELINES CMCM Billing Guidelines Version 2004 1 Page 1 of 48 TABLE OF CONTENTS Section I - Purpose Statement .. 2 Section II Claims Submission .. 3 Electronic 3 Paper Claims .. 7 Billing Instructions for CMCM 10 Section III Remittance Advice .. 25 Electronic Remittance Advice .. 25 Paper Remittance Advice .. 26 CMCM Billing Guidelines Version 2004 1 Page 2 of 48 Section I - Purpose Statement The purpose of this document is to assist the provider community in understanding and complying with the New york STATE MEDICAID (NYS MEDICAID ) requirements and expectations for: Billing and submitting claims.

• 278 - Prior Approval/Prior Authorization/Service Authorization Request and Response • 837 - Dental, Professional, and Institutional Claims Paper Claims CMCM providers who choose to submit their claims on paper forms must use the CMS standard UB-92 claim form. A link to this form appears at the end of this subsection.

Loading..

Tags:

  York, Programs, States, Medicaid, Prior, New york state medicaid program

Information

Related search queries