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​MA Bulletins Relating to Program Integrity

Providers are required to comply with all Medical Assistance bulletins that are available on the DHS Web site and can be accessed on the Bulletin Search page. Some bulletins that specifically deal with regulatory compliance and other issues related to Program Integrity are listed here for your convenience.

Ambulance Providers

  • MA Bulletin 26-15-01 - Non-Payment of Unloaded Ground or Air Ambulance Mileage
  • MA Bulletin 26-15-01 - Non-Payment of Unloaded Ground or Air Ambulance Mileage (Fee Schedule)
  • MA Bulletin 03-10-43, 26-10-01 - Payment for Non-Emergency Transportation Services

Behavioral Health Providers

  • MA Bulletin 29-02-03, 33-02-03, 41-0202 - Documentation and Medical Record-Keeping Requirements
  • MA Bulletin 01-02-07, 29-02-04, 33-02-04, 41-02-03, 48-02-02, 49-02-04, 50-02-02 - Documentation Requirements for Prescribers

Dental Providers

  • MA Bulletin 27-06-01 (references MAB 03-92-03) - Dental Behavior Management Fee Increase
  • MA Bulletin 03-92-03 - Dental Management Fee Guidelines
  • MA Bulletin 03-87-02, 27-87-01 - Palliative Emergency Treatment

DME Providers

  • MA Bulletin 05-16-04, 24-16-18, 25-16-03, 31-16-21 - Face-to-Face Encounter Requirements for Prescribing of Home Health Services Including Durable Medical Equipment and Medical Supplies
  • MA Bulletin 24-11-01, 25-11-01 - Change in Billing of Repairs and Replacements for Durable Medical Equipment

Hospice Providers

  • MA Bulletin 06-15-02, 09-15-40, 31-15-41 - Hospice Two-Tiered Routine Home Care and Service Intensity Add-On Payments
  • MA Bulletin 01-02-04, 17-02-02, 37-02-01  - BPI Retrospective Review of Hospice Services

Hospital Providers

  • MA Bulletin 01-17-03 - Hospital Responsibilities Related to the Uncompensated Care Program and Charity Care Plans
  • MA Bulletin 01-16-19, 14-16-17, 27-16-17, 31-16-20 - Observation Services
  • MA Bulletin 01-06-13, 31-06-24, 1141-06-01 - Medical Assistance Payment for Services of Teaching Physicians in Hospitals, Clinics and Emergency Rooms
  • MA Bulletin 11-92-11, 12-92-11, 13-92-07, 53-92-05 - Inpatient Hospital Services Retrospective Review Findings
  • MA Bulletin 11-90-08, 12-90-03, 13-90-02 - Inpatient Hospital Services Retrospective Review Findings

Pharmacy Providers

  • MA Bulletin 19-02-08 - Misrepresentation of Prescriber on the Drug Claim

Practitioners

  • MA Bulletin 05-16-04, 24-16-18, 25-16-03, 31-16-21 - Face to Face Encounter Requirements for Prescribing of Home Health Services Including Durable Medical Equipment and Medical Supplies
  • MA Bulletin 01-16-19, 14-16-17, 27-16-17, 31-16-20 - Observation Services
  • MA Bulletin 01-06-13, 31-06-24, 1141-06-01- Medical Assistance Payment for Services of Teaching Physicians in Hospitals, Clinics and Emergency Rooms
  • MA Bulletin 01-91-01, 03-91-01, 04-91-01, 10-91-01, 11-91-01, 44-91-01, 49-91-01 - Billing Procedures – Multiple Surgical, Surgical/Obstetrical and Anesthesia Procedures

School Based Access Program Providers

  • MA Bulletin 35-18-01 - School-Based ACCESS Program Provider Handbook

All Providers

  • MA Bulletin 99-11-05 - Provider Screening of Employees and Contractors for Exclusion from Participation in Federal Health Care Programs and the Effect of Exclusion on Participation
  • MA Bulletin 99-11-05 - Provider Screening of Employees and Contractors for Exclusion from Participation in Federal Health Care Programs and the Effect of Exclusion on Participation (FAQs)
  • MA Bulletin 99-10-03 - Policy clarification Regarding Written Prescriptions, Orders and Requests
  • MA Bulletin 99-07-13 - Updated Regarding False Claims Provisions of Deficit Reduction Act of 2005 - Employee Education About False Claims Recovery
  • MA Bulletin 99-02-13 - The Bureau of Program Integrity and the Medical Assistance Provider Self-Audit Protocol
  • MA Bulletin 99-01-06 - Office of Medical Assistance Programs (OMAP) Fraud and Abuse Hotline
  • MA Bulletin 99-99-06 - Payment in Full