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Subject: Reprocessing Claims for Private Duty/Pediatric Nursing Shift Nursing Fee Increase
Provider Type: Specific Providers
Banner Date: October 7, 2016
SUBJECT: Reprocessing Claims for Private Duty/Pediatric Nursing Shift Nursing Fee Increase
The Department of Human Services (the Department) reprocessed claims that were paid the old Medical Assistance Fee Schedule (MAFS) rate of $40.00 when the provider submitted claims for the new MAFS rate of $45.00.
The claims found to have paid at the lower MAFS rate were originally processed for dates of service from July 1, 2016 through August 31, 2016.
Claims that have been reprocessed by the Department during this cycle and are identified by ICN prefix 501628005.
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