Guidebook 6
Medicaid Claiming/Billing Handbook
A printable version of Handbook #6 (updated 9/15/07) (including appendices) is available. The complete Handbook is 135 pages. It has been formatted for double-sided printing.
Please note: Periodically, corrections (updates) will need to be made to the Handbook. The date of those corrections (updates) will be noted next to the Handbook section hyperlink and the actual correction (update) will be noted within the text of the section. Deleted text will have a line drawn through it and corrected (updated) text will be underlined.
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If you wish to view or print specific sections of handbook #6, click on the appropriate topic below (listed in order of appearance).
Handbook #6: Cover
Letter 
(94.01
KB)
Handbook #6: Significant
Changes (34.58
KB)
Handbook #6: Table
of Contents (57.23
KB)
Handbook #6: Process:
Introduction (91.36
KB)
Claiming
Process
(124.77 KB)
Flowchart
of Process (38.14
KB)
Med
Bio No Match/CIN
(66.70
KB)
Adjust/Void
Process (46.45
KB)
Delete
Transaction (34.19
KB)
HIPAA/FERPA (85.83
KB)
Prov
Agrmt/Reassignment (51.49
KB)
Documents
Req Summary (73.51
KB)
Handbook #6 - Services:
Speech
Therapy (49.70
KB) (updated
2/6/07)
Physical
Therapy (36.30
KB)
Occup
Therapy (37.09
KB)
Psych
Counseling (26.95
KB) (updated
2/6/07)
Skilled
Nursing Services (33.85
KB)
Handbook #6 - Evaluations:
Basic
Psychological (23.74
KB) (updated
2/6/07)
Comp
Psychological (25.17
KB) (updated
2/6/07)
Medical (43.40
KB)
Medical
Specialist (21.82
KB)
Audiological (44.72
KB)
Handbook #6 - Special
Trans. (26.31
KB) (updated
2/6/07)
Handbook #6 - Targeted
Case Mgmt (102.41
KB)
Handbook #6 - Charts:
Claiming
Fees
(55.96B)
Claiming
Frequency (48.10
KB)
Documentation
Charts (33.15)
(updated 2/6/07)
Handbook #6 - Appendices:
Appendix
A - General Definitions/Memos (103.77
KB) (updated
2/6/07)
Appendix
B - Skilled
Nursing (225.52
KB)
Appendix C - Sample Forms:
Provider
Agreement (51.49
KB)
Statement
of Reassignment (51.49
KB)
Consent
for Release of Information (17.18
KB)
Monthly
Service Report Form (31.71
KB)
Annual/Monthly
Service Report Form (209.02
KB)
Certification
of UDO and Accessibility (Speech) (16.53
KB) (updated
2/6/07)
Ongoing
Service Coordination Notes (58.27
KB)
Sample
Daily Log (Nursing) (30.34
KB)
Skills
Checklist (Nursing) (50.75
KB)
Individualized
Health Care Plan (Nursing)
(14.39 KB)
Appendix
D - Medicaid
Reports
(203.03)
Appendix
E - Error Messages (100.17
KB)