Correction to Zoom Link - Attention: Listening Session for fb88Care Residential Substance Use Disorder (SUD) Providers

Effective July 1, 2023, Acentra Health (formerly Kepro) began reviewing residential SUD admissions for fb88Care members to assess appropriate American Society of Addiction Medicine (ASAM) level of care as one of the tasks associated with fb88Care’s 1115 SUD waiver.

The Department will hold a listening session to hear from impacted providers about the process to date. Please join us on September 22, 2023, from 10AM-11AM through Zoom.

Registration link:  

Durable Medical Equipment (DME) Codes Removed from the Usual, Customary and Reasonable (UCR) Fee Schedule, CR 116322

Effective August 23, 2023, all DME codes have been removed from the UCR Fee Schedule on the Health PAS Online Portal. To access the DME code fees, go to the on the portal.  

If you have questions, please email Provider Services or call 1-866-690-5585. TTY users dial 711. 

Correction: Guidance for Psychiatric Hospitals Seeking Prior Authorization (PA) for Mental Health Intensive Outpatient (IOP) Services

On August 18, 2023, the Office of fb88Care (OMS) notified providers of IOP services regarding the upcoming requirement to submit a PA through the Atrezzo system operated by Acentra Health (formally Kepro) and adhere to the substantive standards set forth in MBM, Chapter II, Section 65, Behavioral Health Services.  &Բ; &

Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840

This is a reminder that the attending provider is required on all UB-04 and 837I claims. fb88Care denies UB-04 and 837I claims submitted without an enrolled attending provider.

The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).