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Document Tag: Policy

  • MA-2420 NOTICE AND HEARINGS PROCESS

    DHB ADMINISTRATIVE LETTER NO: 03-22, HEARINGS AND APPEALS – REMOTE HEARINGS DHB ADMINISTRATIVE LETTER NO: 02-23, MEDICAID PROCEDURES FOR COVID-19 – CHANGE TO DUALLY ELIGIBLE PROCEDURES DHB ADMINISTRATIVE LETTER NO: 05-23, UNITED STATES POSTAL SERVICES (USPS) NATIONAL CHANGE OF ADDRESS (NCOA) AND UNITED STATES POSTAL SERVICES RETURNED MAIL DHB ADMINISTRATIVE LETTER NO: 06-23, CONTINUOUS COVERAGE…

  • MA-2410 MEDICARE ENROLLMENT & BUY-IN

    I. INTRODUCTION II. WHO IS ENTITLED TO MEDICARE? III. POLICY PRINCIPLES IV. OVERVIEW OF MEDICARE COVERAGE V. OVERVIEW OF MEDICARE BUY-IN VI. EFFECTIVE DATE OF BUY-IN COVERAGE VII. RECIPIENT ENROLLMENT IN BUY-IN VIII. COUNTY RESPONSIBILITY TO ASSIST WITH MEDICARE APPLICATION IX. CHARGEBACKS FOR COUNTY ERRORS X. PROCEDURES FOR ALIENS XI. INFORMATIONAL MATERIALS SENT TO COUNTIES…

  • MA-2395 Medicaid Procedures for Requesting Corrections – DSS Support Unit

    BACKGROUND REQUIREMENTS PROCEDURES FINANCIAL RESPONSIBILITY Medicaid Procedures for Requesting Corrections – DSS Support Unit

  • MA-2400 THIRD PARTY RECOVERY

    I. POLICY RULES II. PROCEDURES III. TYPES OF THIRD PARTY RESOURCES IV. INTERVIEW QUESTIONS FOR DETERMINING TYPES OF THIRD PARTY RESOURCES V. MEDICAID AS PAYER OF LAST RESORT OR AS PRIMARY PAYER VI. THIRD PARTY RECOVERY NON COMPLIANCE Additions/Terminations/Changes to Third Party Insurance Listserv (August 10, 2020)

  • MA-2400 Additions/Terminations/Changes to Third Party Insurance Listserv (August 10, 2020)

    POLICY RULES PROCEDURES TYPES OF THIRD PARTY RESOURCES INTERVIEW QUESTIONS FOR DETERMINING TYPES OF THIRD PARTY RESOURCES MEDICAID AS PAYER OF LAST RESORT OR AS PRIMARY PAYER THIRD PARTY RECOVERY NON COMPLIANCE Additions/Terminations/Changes to Third Party Insurance Listserv (August 10, 2020)

  • MA-2380 MEDICAID IDENTIFICATION CARD

    I. INTRODUCTION II. PROCEDURES

  • MA-2395 CORRECTIVE ACTION AND RESPONSIBILITY FOR ERRORS

    I. BACKGROUND II. REQUIREMENTS III. PROCEDURES IV. FINANCIAL RESPONSIBILITY Medicaid Procedures for Requesting Corrections – DSS Support Unit

  • MA-2375 CHILD SUPPORT

    I. INTRODUCTION II. REQUIREMENTS FOR REFERRING CHILDREN TO THE CHILD SUPPORT ENFORCEMENT AGENCY III. CARETAKER RESPONSIBILITIES WHERE COOPERATION IS REQUIRED IV. DETERMINING GOOD CAUSE FOR NOT COOPERATING WITH CHILD SUPPORT ENFORCEMENT V. MAKING A REFERRAL TO IV-D VI. AUTOMATED REFERRAL PROCESS VII. PENALTY FOR FAILURE TO COOPERATE VIII. REPORTING CHANGES TO IV-D

  • MA-2355 MAABD/MQB PROGRAM TRANSFERS

    I. POLICY RULES II. TRANSFERS FROM M-QB TO M-AABD III. TRANSFERS FROM M-AABD TO MQB-Q or B

  • MA-2360 MEDICAID DEDUCTIBLE

    I. POLICY RULE II. COMPUTING A DEDUCTIBLE III. HOW TO MEET A DEDUCTIBLE IV. ALLOWABLE CHARGES V. THIRD PARTY RESPONSIBILITY VI. DOCUMENTATION AND VERIFICATION VII. AUTHORIZATION AND REPORTING OF DEDUCTIBLE BALANCE VIII. APPLYING DRG POLICY DHB Administrative Letter 09-23, Retroactive Applicants/Beneficiaries – Medical Expenses