INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
Subject: Kidney center services medicaid provider guide (MPG).
Effective Date: July 1, 2012.
Specific changes to the guide include:
|•||Update the kidney center services fee schedule.|
|•||Add procedure code Q2047 injection, Peginesatide, 0.1mg with prior authorization (PA) required.|
|•||Clarify the requirements to be met prior to submitting a PA request for Omontys.|
|•||Effective retroactive to May 9, 2012, add revenue code 300, laboratory.|
|•||Effective for dates of service on and after September 4, 2012, require institutional providers to identify attending providers on claims submitted for payment.|