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• Read more about Add-on Rates for Providers Predominantly Delivering Family Planning Services

Effective July 1, 2022, the Department has implemented new add-on rates in MIHMS for certain Family Planning Services delivered by eligible providers, per fb88 P.L. 2021, ch. 738 An Act To Protect the Reproductive Rights and Freedoms of fb88 People. In alignment with this statute, only providers engaged primarily in the delivery of sexual and reproductive health care services, as described in ) are eligible to bill for these add-on rates.  

• Read more about Primary Care Plus (PCPlus) Providers - Screening, Brief Intervention and Referral to Treatment (SBIRT) Peer Sharing Webinar

fb88Care, in collaboration with the fb88 Substance Use Disorder (SUD) Learning Community and Co-Occurring Collaborative Serving fb88 (CCSME), is hosting a SBIRT Peer Sharing webinar for our Primary Care Plus (PCPlus) providers. This webinar is facilitated by Eric Haram, LADC, faculty from the ME SUD Learning Community. This is an opportunity for PCPlus providers to: 

• Read more about Section 60 Medical Supplies and Durable Medical Equipment (DME), Billing Guidance and Corrections

Reimbursement Methodology Changes 

• Read more about 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.  Effective April 1, 2023, fb88Care will deny 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).

• Read more about Notice of Privacy Practices

fb88 Department of Health and Human Services

fb88Care Services

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

• Read more about Notice of Privacy Practices

fb88 Department of Health and Human Services

Riverview Psychiatric Center

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

• Read more about fb88 Center for Disease Control and Prevention (CDC) Webinar on PrEP (Pre-Exposure Prophylaxis) and nPEP (non-occupational Post Exposure Prophylaxis)

Please save the date for the fb88 Center for Disease Control and Prevention (CDC) webinar on PrEP (Pre-Exposure Prophylaxis) and nPEP (non-occupational Post Exposure Prophylaxis) in fb88 on April 19, 2023, from 12-1:30 PM.

This session will feature presentations from PrEP207.org and a panel discussion on efforts to help individuals access PrEP and nPEP in fb88. The intended audience for this webinar is non-clinical HIV prevention and care partners in fb88.

• Read more about Denials for JCode/NDC Combination, CR 115839

fb88Care has identified some pharmacy claim lines that denied in error for JCode/NDC missing or invalid due to a delay in the January 1, 2023, quarterly update from the Centers for Medicare & Medicaid Services (CMS). The Claims Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) are as follows. 

• Read more about 2023 Indian Health Services (IHS) Rate Update, CR 115822

Effective March 7, 2023, fb88Care increased the rate for IHS providers to $654.00 retroactively to January 1, 2023. We will adjust claims billed between January 1, 2023, and March 7, 2023, and you do not need to take action.     

Please contact your Provider Relations Specialist with questions.    

• Read more about Vision Service Codes 92250 and 92341, CR 112321

fb88Care identified a claims issue where vision service codes 92250 and 92341 processed with fb88Care as the primary payor even though the member had an active primary vision insurance carrier that the provider did not bill first.