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Vermont Medicaid Provider Manual

Provider Manual #/home 2/1/2019 Green Mountain Care Provider Manual 2 Summary of Updates The Detailed Summary of Provider Manual Changes contains all detailed changes made to this Provider Manual is maintained and available for review at #/manuals Date Section Information Section Number 02/01/2019 Timely Filing 02/01/2019 Timely Filing Reconsideration Requests 12/19/2018 Choices for Care Short-Term Respite Stays 12/4/2018 Telemedicine Services 11/6/2018 Vermont Medicaid Billing 10/29/2018 Promoting Interoperability Program (Formerly Electronic Health Record Incentive Program) 18 10/29/2018 Promoting Interoperability Program/Electronic Health Record Incentive Program Reconsideration Process 10/29/2018 Appeal of Promoting Interoperability Program/EHR Incentive Program Reconsideration 10/17/2018 Radiology 8/21/2018 Telemedicine Services 7/11/2018 Determination Time 7/10/2018 Scope-of-Service Related Encounter Rate Adjustments 05/29/2018 Audiological Services/Hearing Aids 05/29/2018 BICROS/CROS (Contralateral Routing of Sound) 05/23/2018 Rental/Loaned 05/23/2018 Rental Reimbursement Policies 05/23/2018 Durable Medical Equipment (DME), Prosthetics, Orthotics & Medical Supplies 11 05/03/2018 Payment DVHA Primary/Ma

Fee Schedule 9.6 01/19/2016 Supervised Billing for Behavioral Health Services 8.4 12/18/2015 Payment DVHA Primary 10.1 Incident-To Billing For Licensed Physicians 8.3 Supervised Billing For Behavioral Health Services 8.4 12/01/2015 Provider Enrollment, Licensing & Certification 5

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Vermont Medicaid Provider Manual

www.vtmedicaid.com

2021-09-15 Billing and Forms Manual 5 . 5.3.3.1 Allowable Modifiers ..... ..... ..... .... 58

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Vermont Medicaid Durable Medical Equipment (DME) …

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hcpcs code description unit equals limit a4206 syringe with needle, sterile 1 cc or less, each one syringe w/needle 100 per 30 days a4224 supplies for maintenance of insulin infusion catheter, per week 1 per week 4 per calendar

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