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Reimbursement Policy Update for July 18, 2023

Reimbursement PolicyRevision
Modifier Guidelines (PDF)

Multiple updates to Level II HCPCS/National Modifiers. Medical Director approved. Notification on 5/16/2023 for effective date 7/18/2023.

Supplies and Equipment (PDF)

Added sections: Supplies and Accessories billing requirements, non-reimbursable equipment and DME rental. Coding section updated. Medical Director approved. Notification on 5/16/2023 for effective date 7/18/2023.

Telehealth (PDF)

Added clarifying language under Billing and Coding referencing IOP’s billing according to their contractual agreement.  No change to policy intent.

7/18/2023

Guidelines for Global Maternity (PDF)

Removed lactation training from FAQ. Updated application section regarding abortion. No change to policy intent.  7/18/2023