Document Actions
Provider Manuals
last modified
10/01/2008 - 01:47 PM
Provider manuals and other documents containing information for processing Medicaid billing requests are found here.
- Carrier Codes: Listing of Third Party Carriers and Carrier Codes
- CMS 1500 08/05 Supplement (03/2008): Provider Manual with billing instructions for the CMS1500 08/05 claim form.
- DME Restrictions: Current DME Codes with each restriction, allowable modifier and unit limitation
- E & M Rates (2007): List of RBRVS rates
- EOB Codes Crosswalk: Vermont Medicaid non-compliant EOB codes cross-walked to HIPAA-compliant adjustment reason codes.
- Fee Schedules: Fee Schedule of CPT/HCPCS Codes
- Fee Schedule with Procedure Codes
- J Codes
- Lab Supplement: Discontinued. This information is now contained in the CMS1500 Supplement.
- Ladies First: Ladies First Active Providers List
- OPPS Revenue Codes Requiring HCPCS/CPT: Effective 11/01/2007, preliminary HCPCS/CPT List
- PA Supplement: The Prior Authorization Supplement contatins billing and policy information. Please refer to the Fee Schedule for the procedure codes that require prior authorization.
- PAC 9 & 8: PAC 9 & 8 code listing is with CPT Codes/Fee Schedules.
- Provider Manual (03/2008): Base Provider Manual containing information related to policy and eligibility
- Transportation Procedure Manual (08/01/2008): Provider Manual with information related to the Medicaid transportation service
- UB 04 (03/2008): Provider Manual with billing instructions for the UB04 claim form
- X12N Guides: Web site where the HIPAA X12N Implementation Guides can be found and downloaded
