Resources & Training
*The files below are in PDF format (
).
).
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Resource Guides
- Medicaid Redetermination Provider FAQ's (April 2023)
- Medicaid Resource Guide - (Sep 2023)
- Provider Quick Reference Guide
- Web Portal Quick Reference Guide
- ALF Quick Reference Guide (Feb 2023)
- 2023 Prior Authorization Guide (Effective 01/01/23)
- MCG AutoAuth Quick Reference Guide (MFL Legacy Portal)
- MCG AutoAuth Quick Reference Guide (Availity Portal)
- Gold Card Provider Notice
- ECHO Health Provider Portal Resource Guide
- 2024 HEDIS Resource Guides
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Provider Trainings
- Provider Orientation 2023 - August 2023
- 2023 Annual PCP Substance Abuse Training
- Skilled Nursing Facility Training Deck (Updated March 2023)
- EFT Registration Instructions
- Medical Foster Care Services
- Medical Foster Care Services Reference Document
- Early Intervention Services
- Early Intervention Services/Targeted Case Management Reference Document
- Electronic Visit Verification (EVV)
- Provider Tip Sheets
-
Provider Billing Guidelines
- Ambulance & Transportation Services (Updated Jan 2023)
- Anesthesia
- Coordination of Benefits (COB)
- Crossover Claims
- Doula Services *Revision*
- Electronic Payment/Remittance Advice Services
- Hospice
- Hospitals (MMA/Marketplace)
- Itemized Claim Reviews
- Laboratory Services
- Non-Par Provider Billing Guide
- Nursing Facilities
- Telemedicine Coverage & Reimbursement
- Well Child Visits
- Continuing Medical Education
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Provider Communications 2023
November 2023
October 2023
- Blast Fax - Pregnancy Incentive Reminder
- Blast Fax - EVV Reminder
- Blast Fax - Medicaid Renewals Reminder
- Blast Fax - New Century Oncology Comm
- Blast Fax - Taxonomy Requirements Reminder
- Blast Fax - Medicare Exit (Jan 2024)
September 2023
August 2023
- Blast Fax - Emergency Communication - Tropical Storm Idalia (082723)
- Blast Fax - Pharmacy Update July 2023 (082723)
July 2023
- Blast Fax - Avalon Provider Letter
- Blast Fax - Missed Services Reminder
- Blast Fax - Provider Refund EOP and 835 Enhancements
- Blast Fax - Progeny Marketplace Update
June 2023
- Blast Fax - CGM Products LOB Clarification
- Blast Fax - Progeny Marketplace Communication (06/15/23)
- Blast Fax - Appeals Address Update (Eff: 07/15/23)
May 2023
- Blast Fax - EMR Notifications (Centauri)
- Blast Fax - End of PHE - Telehealth (05/11/23)
- Blast Fax - End of PHE - Marketplace (05/11/23)
- Marketplace Grace Period Update - Eff 08/01/23
- Blast Fax - Taxonomy Code Requirement (Eff 05/01/23)
April 2023
- Availity Essentials Update (Apr 2023)
- Psych Hub Getting Started (April 2023)
- Blast Fax - Pharmacy Updates Q2 (April 2023)
- Blast Fax - Provider Newsletter Q2 (April 2023)
- Blast Fax -MP Dental Services Reminder
- Blast Fax - Medicaid Redetermination (Apr 2023)
March 2023
February 2023
- Taxonomy Code Requirements - 020623
- 2023 Provider Updates
- Blast Fax - MCR Fee Schedule Reduction
- Advanced Imaging Prior Auth Reminder
- Blast Fax - 2023 Annual Substance Use Disorder Training
- Q1 2023 Provider Updates (030323)
- ALF Update - PHM Transition (Eff 030123)
- Blast Fax - Q2 2023 PA Code Matrix Updates
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Provider Communications 2022
December 2022
- Blast Fax - You Matter to Molina Reminder (121922)
- Blast Fax - NCCI Policy Edit (December 2022)
- Blast Fax - 2023 Q1 Codification Updates (December 2022)
- Blast Fax - Clinical Code Updates (121922)
- Blast Fax - Q4 2022 Codificaton Updates
- Blast Fax - Capitated Providers Echo Transition (120622)
- Blast Fax - Sepsis Guidelines Reminder (120922)
- Blast Fax - ProviderNet Sunset Notice (120922)
- Blast Fax - EOP Refund Reporting (120922)
November 2022- Provider Alert - Hurricane Ian/TS Nicole Grace Period UPDATE (113022)
- Blast Fax - Statewide Pregnancy Notification Form (111522)
- Hurricane Ian Grace Period (111122)
- Provider Bulletin - Subtropical Storm Nicole (110722)
October 2022- Pyx Health Program (102822)
- Change in Claims Submission Process Address (102822)
- Pediatric RSV Awareness (102822)
- Availty - Checking Claim Appeals on Legacy Portal (101122)
- Q4 Pharmacy Updates Communication 100122
- Hurricane Ian Provisional Provider Enrollment
September 2022- Pregnancy Notification Incentive Reminder (091822)
- ***Hurricane Ian*** Provider Bulletin (092722)
- EVV Reminder (092022)
- Claims Address Reminder (092022)
August 2022:- Blast Fax - Interoperability (080122)
- ECHO Communication 2nd Notice
- ProviderNet Outage - UPDATED (082522)
- MCG MCR Provider Notice (Eff 090122) - (081922)
- Missed Services Reminder (HHA/HDM/ADC) - (081622)
- Network Participation Reminder (081022)
- Q3 Newsletter Fax Blast (081222)
July 2022:- Progeny Provider Notice (Effective 090122)
- ECHO/Change Healthcare Update (Effective 083022)
- Medicare Updated PA Guide Communication (070622)
- Healthmap Provider Communication (070122)
- Provider Portal Reminder (071922)
June 2022:May 2022:- Availity Core Features (Reminder)
- Availity Functionality Roadmap
- Blast Fax - Taxonomy Code Requirement
April 2022:- EFT Reminder (April 2022)
- Blast Fax - Advanced Imaging Update (April 2022)
- Blast Fax - MCC vs MFL ID Number Billing Reminder
- Blast Fax - HEDIS Tip Sheets 2022
- Blast Fax -Referral and OP Services Reminder
- COVID At Home Tests - (April 2022)
- Blast Fax - Lunch N' Learn Flyer - April 2022
March 2022:- Blast Fax - Nursing Facility Update (030422)
- Blast Fax - CE Lunch N' Learn Flyer (Breaking the Stigma of Substance Abuse)
- Provider Alert - HHAeXchange V.5 Update (March 2022)
February 2022:- Updates for 02/01/22/Tip Sheets (02/02/22)
- Medication Assisted Treatment Reminder (Feb 2022)
- POD Updates Reminder (02/03/22)
- New MCG Auto Authorization (Marketplace Eff: 02/16/22)
- CVS Benefit Tool Check (02/15/22)
- Secure Messaging on Availity (02/15/22)
- OB Authorizations Update (02/22/22)
January 2022:
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Provider Communications 2021
December 2021:
November 2021:- Beacon Termination 2022
- HN1 Therapy Update (Effective 01/01/22)
- Crossover Claims Tips Sheet
- New Expanded Benefits Update (Effective 12/01/21)
- Enhanced Nursing Facility Rates (Effective 10/01/21 - 12/31/21)
- Genetic Testing Code 81220 (Authorization Update)
- COVID-19 Vaccination Booster Info
- ED Leveling Clarification Memo (11/2021)
October 2021:- Hospital Discharge Reports Communication (10/04/21)
- Pharmaceutical Updates (Effective 10/01/21)
- Breast Cancer Awareness (10/22/21)
September 2021:- Medication Assisted Treatment Update (090221)
- Specialty Plan (MCC) Transition Reminder (091021)
- Specialty Plan BH Authorizations (091521)
- MFL Pregnancy Notification Reminder (091621)
- Jackson West MC ANNOUNCEMENT (091721)
- Improve Getting Needed Care Tip Sheet (092721)
- Discontinuation of Pharmacy Services for MCC Providers (092921)
August 2021:- Claims Pre-Payment Process Update - Eff: 09/01/21
- Claims Pre-Payment Process Update FAQs - Eff: 09/01/21
July 2021:
June 2021:- ED Leveling Billing Update (MP) - 06/30/21
- Nursing Facility Billing & Reimbursement Training Deck - 06/03/21
- EVV Claims Update (Denials - Eff: 06/21/21)
- New Provider Online Directory - (062821)
- State Medicaid Registration Requirements Reminder (060821)
- End of COVID-19 Flexibilities - (062921)
- C-Section Reimbursement Update - (062921)
May 2021:
April 2021:
March 2021:
February 2021- PDN Missed Services Update - 02/01/21
- Interim Hospital Claims Process Update - Eff: 02/01/21 (Revised: 03/10/21)
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Provider Communications 2020
November 2020
October 2020
August 2020
June 2020