Remittance Advice Alerts/PROMISe Banner Pages
Subject: MA Program Fee Schedule Updates for Certain Family Planning Services
Banner Date: December 2, 2016
Cycles: 23, 24, 25, 26, 27
Provider 01/183; 08/082; 08/083; 28/280; 31/ All and 33/335

Subject: MA Program Fee Schedule Updates for Certain Family Planning Services
 
Effective with dates of service on and after December 1, 2016, the Department of Human Services (the Department) will pay inpatient hospitals (Provider Type 01 and Specialty 010) for LARC intrauterine devices and contraceptive implants in addition to maternity APR DRG. Hospitals must submit their claims for the LARC device on an 837I for Outpatient, Internet Outpatient Claim, or paper UB04 using the applicable LARC procedure code-modifier combinations identified in the attachment to MA Bulletin 01-16-33 et al; titled: “MA Program Fee Schedule Updates for Certain Family Planning Services” effective December 1, 2016.
 
The Department has also updated the MA Program fees for certain family planning and family planning related services, effective for dates of service on and after December 1, 2016.
 
Providers may view the on-line version of the MA Program Fee Schedule which has a separate link for the updated Family Planning Services Fees. This link can be found at: www.dhs.pa.gov/publications/forproviders/schedules/mafeeschedules
 
Providers who billed the updated family planning fees between the dates of service of December 1, 2016 through December 15, 2016 and were paid incorrectly may submit claim adjustments to correct their claims.
 
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