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PROFESSIONAL SERVICES PROVIDER MANUAL

PROFESSIONAL SERVICES . PROVIDER MANUAL . Chapter Five of the Medicaid SERVICES MANUAL Issued February 1, 2012 Claims/authorizations for dates of service on or after October 1, 2015 must use the applicable ICD 10 diagnosis code that reflects the policy intent. References in this MANUAL to ICD 9 diagnosis codes only apply to claims/authorizations with dates of service prior to October 1, 2015. State of Louisiana Bureau of Health SERVICES Financing LOUISIANA MEDICAID PROGRAM ISSUED: 04/13/18. REPLACED: 10/01/15. CHAPTER 5: PROFESSIONAL SERVICES . SECTION: TABLE OF CONTENTS PAGE(S) 9. PROFESSIONAL SERVICES . TABLE OF CONTENTS. SUBJECT SECTION. OVERVIEW SECTION COVERED SERVICES SECTION Abortion Induced Abortion Threatened, Incomplete or Missed Abortion Acute Hospital Pre-Certification Medical Necessity OB Care and Delivery Precert Inquiry Application Physician Billing When Pre-Certification is Not Authorized Retrospective Eligibility Pre-Certification Outpatient Surgery Performed on an Inpatient Basis Adjunct SERVICES Reimbursement Advanced Practice Registered Nurses: Clinical Nurse Specialists, Certified Nurse Practitioners and Nurse Midwives Billing Information Reimbursement Affordable Care Act Primary Care SERVICES Enhanced Reimbursement PROVIDER Eligibility Physicians Physician Assistants Advanced Practice Registered Nurses Effective Date for Enhanced Reimbursement Physicians Phys

PROFESSIONAL SERVICES PROVIDER MANUAL Chapter Five of the Medicaid Services Manual Issued February 1, 2012 Claims/authorizations for dates of service on or after October 1, 2015

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