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December 1, 2006
 
 
MEDICAID INFORMATIONAL LETTER #2006-43
 
Dear School Based Service Providers:
 
We are informing providers of School Based Services of a rate increase in three of the procedure codes that should have been in effect July 1, 2006.  The procedure codes are:
 
96101  from $57.93 to $59.32
96102  from $40.72 to $41.70
96103  from $25.38 to $25.99
 
Providers of School Based Services can bill using these new amounts and can adjust claims previously billed beginning with date of service July 1, 2006 in order to get the higher reimbursement amount.
 
If you need to adjust previously billed claims, please follow these instructions:
 
For Electronic Claims:
When your claim is submitted via PES or other vendor software, previously paid claims can be voided and replaced electronically.  The voided claim and the new claim will appear on the same Remittance Advice.  Refer to your PES manual for instructions.
 
For Paper Claims:
Complete an Adjustment Request Form asking EDS to void the original claim.
 
If you have any questions please contact Gynna Loper, Senior Financial Specialist, Division of Medicaid, Office of Reimbursement Policy at 208-364-1994.
 
Thank you for your continued participation in the Idaho Medicaid program.
 
Sincerely,
 
 
Gynna V. Loper
Senior Financial Specialist
 
GL/jar