Provider Publications

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Oral Surgery Provider Publications

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Update Number	Update Topics and Release Date
2014
2014-62	Changes to the 1500 Health Insurance Claim Form and Completion Instructions, 10/14/14
2013
2013-01	Policy Clarification and Revised Claim Submission Instructions Regarding Maximum Daily Reimbursement Limits, 1/7/13
2011
2011-72	Implementation of the HIPAA Accredited Standards Committee X12 Version 5010 Electronic 278 Health Care Services Review — Request for Review and Response Transaction, 11/7/11
2011-22	Photographs Mailed to ForwardHealth as Additional Supporting Clinical Documentation for Prior Authorization Requests Will No Longer Be Returned to Providers, 4/11/11
2008
2008-216	Provider-Administered Drugs for Members Enrolled in Managed Care Organizations Now Reimbursed by Fee-for-Service, 12/1/08
2008-206	Dental Services Covered Under the BadgerCare Plus Core Plan for Childless Adults, 12/1/08
2008-197	Enddating a Prior Authorization Request, 11/1/08
2008-195	Medicaid and BadgerCare Plus Reimburses Dentists Separately for Professional Visits to Extended Care Facilities, 11/1/08
2008-187	Correction to Prior Authorization Status Table, 10/1/08
2008-180	Fall 2008 Preferred Drug List Review, 9/1/08
2008-179	BadgerCare Plus Benchmark Plan Covers Dental Surgical Extractions
2008-169	Dentists Can Indicate if They Limit Their Practice in the Provider Directory for Members, 9/1/08
2008-126	National Drug Codes Required on Claims for Physician-Administered Drugs, 7/1/08
2008-123	Submitting Paper Attachments with Electronic Claims, 7/1/08
2008-107	ForwardHealth Announces Changes to Paper and Electronic Claims Submission for Dentists and Oral Surgeons, 7/1/08
2008-68	Changes to Prior Authorization for Dental Services, 6/1/08
2008-40	Brand Medically Necessary Prior Authorization Requirements, 6/1/08
2008-29	Drug Coverage for Members Enrolled in the BadgerCare Plus Benchmark Plan, 4/1/08
2008-25	Spring 2008 Preferred Drug List Review, 3/1/08
2008-22	Reminder: Tamper-Resistant Prescription Pad Requirement Effective April 1, 2008, 3/1/08
2008-18	Limited Supply of Free Tamper-Resistant Prescription Pads Now Available, 2/1/08
2008-07	Pharmacy Consolidation for Wisconsin Medicaid and BadgerCare Plus Managed Care Members, 1/1/08
2007
2007-109	Dental Services Under BadgerCare Plus, 12/1/07
2007-82	Specialized Medical Vehicle Services Under BadgerCare Plus, 11/1/07
2007-77	Winter 2007 Preferred Drug List Review, 11/1/07
2007-67	Tamper-Resistant Prescription Pad Requirement Delayed, 10/1/07
2007-66	Fall 2007 Preferred Drug List Review, 9/1/07
2007-65	Tamper-Resistant Prescription Pad Requirement, 9/1/07
2007-64	Diagnosis Code Restrictions and Quantity Limits for Altabax^™, Bactroban^®, and Mupirocin, 9/1/07
2007-43	Revised Prior Authorization / Preferred Drug List for Hypoglycemics for Adjunct Therapy Form, 6/1/07
2007-28	Spring 2007 Preferred Drug List Review, 3/1/07
2007-14	Emergency Medication Dispensing, 2/1/07
2006
2006-100	Revised Criteria and Forms for the Prior Authorization / Preferred Drug List, 12/1/06
2006-92	Changes Effective January 1, 2007, for Specialized Medical Vehicle Services Providers and Prescribers, 11/1/06
2006-88	Changes to Dental Prior Authorization Attachments, 11/1/06
2006-86	Fall 2006 Preferred Drug List Revision, 10/1/06
2006-85	100-Day Supply Drug Policy and Drug Utilization Review Alert, 10/1/06
2006-76	Fall 2006 Preferred Drug List Review, 9/1/06
2006-72	Wisconsin Medicaid Allows Dose Consolidation and Tablet Splitting, 8/1/06
2006-70	Wisconsin Medicaid Adopting Documentation Guidelines for Evaluation and Management Visits, 8/1/06
2006-53	Quantity Limits Apply to Triptans and Pharmaceutical Care Code Expansion, 6/1/06
2006-32	Spring 2006 Preferred Drug List Review, 3/1/06
2006-10	Procedure Code Changes for Oral Surgery Services, 1/1/06
2005
2005-60	Wisconsin Medicaid Enters Multi-State Preferred Drug List and Supplemental Rebate Program, 9/1/05
2005-32	Expanded Preferred Drug List Information for Prescribers, 6/1/05
2005-24	Expanded Brand Medically Necessary Prior Authorization Criteria, 4/1/05
2005-18	New Preferred Drug List Information for Prescribers, 3/1/05
2005-02	CDT-2005 Procedure Code Updates for Dental Services, 1/1/05
2004
2004-92	Preferred Drug List Information for Prescribers, 12/1/04
2004-84	How to Submit Multiple-Page Paper Dental Claims, 11/1/04
2004-83	Changes to Anesthesia Coverage for Pediatric Dentists and Oral Surgeons, 11/1/04
2004-77	Prescriber Information on the Wisconsin Medicaid Preferred Drug List, 9/1/04
2004-63	Prescriber Information on Prior Authorization Requirements for Brand Medically Necessary Drugs, 8/1/04
2004-28	Revised Certification of Emergency for Non-U.S. Citizens Form, 4/1/04
2003
2003-116	Effective dates for claims submission and prior authorization changes as a result of HIPAA for oral surgery services, 8/1/03
2003-108	Effective dates for claims submission and prior authorization changes as a result of HIPAA for dental services, 8/1/03
2003-59	Changes to local codes, paper claims, and prior authorization for oral surgery services as a result of HIPAA, 7/1/03
2003-50	Changes to local codes, paper claims, and prior authorization for dental services as a result of HIPAA, 7/1/03
2003-20	Prior authorization is no longer required for any root canals for recipients under age 21, 3/1/03
2002
2002-63	Introducing the new Prior Authorization Dental Attachment 2 (PA/DA2), 11/1/02
2002-03	Accessing Wisconsin Medicaid eligibility information, 1/1/02
2001
2001-36	Clarification on billing more than six details on the paper HCFA 1500 claim form, 10/1/01
2001-34	Prior authorization information for dentists, 9/1/01
2001-15	Prior authorization requirement change for dentists, 6/1/01
2001-14	Deadlines extended for dentists, 5/1/01
2001-08	Wisconsin Medicaid assists dentists in correcting billing errors, 3/1/01
2000
2000-37	Wisconsin Medicaid improves service for dental providers, 9/1/00
2000-36	When to mount dental X-rays for prior authorization, 9/1/00
2000-03	Dental oral surgery (CPT) maximum fees increased, 1/1/00
2000-02	Dental maximum fees increased and coverage expanded, 1/13/00
1999
99-37	Introducing the Medicaid dental consultants: Dr. Kukla, DDS, and Dr. Henkel, DDS, 8/6/99
99-34	Dentists have more options to access recipient eligibility information, 8/1/99
99-23	Dental billing for recipients with commercial health or dental insurance clarified, 7/1/99
1996
96-28	Community services deficit reduction benefit expansion, 7/31/96
1995
95-17	Prescriptions for specialized medical vehicle (SMV) trips, 5/26/95
95-04	Enhanced procedure code review during claims processing, 2/10/95

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