Aug 22, 2024 | Medicaid
The Department of Vermont Health Access (DVHA) has created a “Psychotherapy and Other Psychiatric Services Supplement” to the General Provider Manual and the Medicaid General Billing and and Forms Manual. Information for psychotherapy providers was consolidated into this new supplemental manual in order to increase accessibility and clarity for providers; none of the information in the supplement is new and there are no new requirements.
This supplement describes processes to be followed by enrolled Vermont Medicaid providers who are serving Vermont Medicaid members with psychotherapy and other psychiatric services. The new document can be located at: https://dvha.vermont.gov/providers/manuals.
Please contact the Provider Services Unit at Gainwell Technologies at 1-800-925-1706 with any additional questions.
Aug 22, 2024 | Insurance & Reimbursement, Medicaid, News
DVHA has come up a final solution to the issue of providers getting no—or delayed—reimbursement due to the Change Healthcare cybersecurity incident earlier this year. You can read about what DVHA is going to do here: https://humanservices.vermont.gov/sites/ahsnew/files/documents/24-029-F-GCR-Change-Healthcare-Response.pdf
In short, DVHA (Vermont Medicaid) made payments to impacted providers based on
historical average claims. For the period February 21, 2024, through
June 30, 2024, Medicaid providers were eligible to receive payment “in amounts representative of up to 7 days of claims payments for Medicaid services” that were not otherwise paid because of the Change Healthcare cybersecurity incident. You can find more information about the payment provisions at the link sent by DVHA: https://humanservices.vermont.gov/sites/ahsnew/files/documents/24-029-Att-4.19-Introduction-draft.pdf
Mar 19, 2023 | Insurance & Reimbursement, News
A number of changes to Medicare were passed in late 2022, including an expansion of the providers who can be reimbursed, an extension of telehealth waivers, and a new conversion factor. You can see an easy-to-read summary of these changes written by APA staff here.
Mar 19, 2023 | Insurance & Reimbursement, News
Psychologists now have a mechanism to provide and report interprofessional consultations (through telephone, electronic medical records, etc.) for diagnosis and treatment. The new CPT® codes are 99446–99449 and 99451. We caution you to check with your insurer to see if they reimburse for these codes before billing. You can read more about these new codes on the APA website.
