Tag: prenatal

  • New Requirements for Fee-For-Service Delivery Claims

    New Requirements for Fee-For-Service Delivery Claims

    Effective for dates of services on or after Feb. 1, 2018, fee-for-service delivery claims for recipients who reside in a county not served by an Alabama Medicaid (Medicaid) Maternity Care Program must contain the date of last menstrual period and the date of first prenatal visit. This information is not required for hospital claims. Counties…

  • MEDICAID ALERT: Federal Rule Change for Prenatal Claims

    MEDICAID ALERT: Federal Rule Change for Prenatal Claims

    The passage of the Bipartisan Budget Act of 2018 requires states to “cost avoid” claims for prenatal services when there is a known liable third party. Prior to this change, states were federally required to “pay and chase” claims with a designated prenatal procedure or diagnosis code. The federal “pay and chase” provision enabled providers…