Summary
Effective July 1, 2018, MDHHS updated the Medicaid Provider Manual to state that MDHHS does not separately reimburse providers for services related to a beneficiary's terminal illness when the beneficiary is enrolled in a hospice program, because those services are arranged for and reimbursed by, or provided by, the hospice program. Code changes included new coverage of Q5103 and Q5104 effective April 1, 2018, discontinued Q5102 effective March 31, 2018, discontinued R0070 and R0075 for local health departments, child and adolescent health centers, FQHCs, rural health clinics and tribal health centers effective March 31, 2018, and discontinued 0004U and 0015U effective December 31, 2017. Prior authorization applied to Q9991 and Q9992 for physicians, nurse practitioners, medical clinics, local health departments, FQHCs, rural health clinics and tribal health centers, and to B4100, E0242 and E0745 for medical suppliers, both effective July 1, 2018.
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