The manual is a ready reference for information and procedural material needed for the prompt and accurate filing of claims for services furnished to Medicaid recipients.ĭescription: The Centers for Medicare and Medicaid Services (CMS) entered into a Memorandum of Agreement (MOA) with the Indian Health Services (IHS) to allow states to claim 100 percent federal medical assistance for payments made by the state for services rendered to Medicaid eligible American Indians and Alaska Natives through an IHS owned or leased facility or a tribal "638" facility. The school district agrees to follow a prescribed methodology of invoice claiming which must meet specific requirements including entering into interagency agreements with LDH and participating in approved uniform Centers for Medicare and Medicaid Services (CMS) time-studies.ĭescription: This provider manual chapter specifies the requirements for reimbursement for services provided through an approved waiver of the Title XIX regulations.ĭescription: Sets forth the conditions and requirements an ASC must meet in order to qualify for reimbursement under the Louisiana Medicaid program. Administrative functions include such activities as outreach and assisting children in accessing Medicaid covered services. The reimbursement is contingent upon availability of state and federal matching funds. The MAC Program is a Medicaid program in which school districts can be reimbursed for medically related administrative functions which the school district staff performs on behalf of Medicaid eligible and potentially eligible students. Schools have a unique advantage and opportunity to outreach potential and current Medicaid recipients to help them access Medicaid covered services. 46:2721 in the 2001 Legislative Session creating the Medicaid School-Based Administrative Claiming Trust Fund, the Department of Health (LDH), Bureau of Health Service Financing (BHSF) initiated the creation of the Medicaid Administrative Claiming Program (MAC). Each remaining chapter is dedicated to a specific program or service and outlines the policies, procedures, qualifications, services and limitations to that service or program.ĭescription: Pursuant to the Louisiana Legislature’s passage of R.S. The first chapter, "General Information and Administration," contains information applicable to all enrolled providers. The intent of the service provider manual is to present useful information and guidance to providers participating in the Louisiana Medicaid Program.
Mac dental program reimbursement manuals#
Medicaid Provider Manuals and Other Resources Fee Sched ules
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