| Communication Bulletins |
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Bulletin #101 - 11/13/09
Billing Charge for Medicaid Claims Processed by the LME
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Bulletin #100 - 10/09/09
IPRS Benefit Changes
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Bulletin #99 - 08/17/09
IPRS Benefit Changes
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Bulletin #98 - 07/24/09
Extension of Coverage for Provisionally Licensed Providers
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Bulletin #97 - 06/23/09
Changes in Contractual Agreements
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Bulletin #96 - 06/16/09
Benefit Changes Effective 7/15/09
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Bulletin #95 - 06/09/09
Exceptions for a Paper vs Electronic CCIS Submission
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Bulletin #94 - 05/13/09
Room & Board Contracts
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Bulletin #93 - 05/07/09
Claims Submission Deadlines for Fiscal-Year End
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Bulletin #92 - 02/26/09
Authorization Number Adjudication
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Bulletin #91 - 01/21/09
Community Support Services - Tiered Rates
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Bulletin #90 - 01/16/09
Electronic Data Submission Implementation
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Bulletin #89 - 01/13/09
New IPRS Target Populations
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Bulletin #88 - 12/23/08
WHN Basic Benefit Package Adult/Child MH/SA
Please review WHN Newsletter dated April 3, 2009 for an update.
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Bulletin #87 - 08/22/08
Child Consumers Involved with Juvenile Justice
Juvenile Justice Consult PPT
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Bulletin #86 - 08/20/08
Procedure for Programs Closing or Ending Service Lines |
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Bulletin #85 - 07/18/08
Consumers With Private Insurance |
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Bulletin #84 - 06/30/2008, Updated 02/24/09
Outpatient Commitment (OPC) Policy & Procedures |
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Attachment A - Notice of Commitment Change
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Attachment B - Request For Hearing
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Attachment C - Request For Transportation Order
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Attachment Cb - Request For Transportation Order
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Attachment D - Examination and Recommendation to Determine Necessity for Involuntary Commitment
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Attachment E - Affidavit and Petition for Involuntary Commitment
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Attachment F - Request for Supplemental Hearing
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Bulletin #83 - 06/26/2008
Provisionally Licensed and Non-Licensed Substance Abuse Counseling Professionals |
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Bulletin #82 - 06/04/2008
Revised CDW Reporting Requirements and Family Size and Family Income Data for Active Consumers. |
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Family Size/Income Data Collection Form
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LME Consumer Admission and Discharge Form (6/02/08)
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STR Registration Form (6/02/08)
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Bulletin #81 - 05/05/2008
Monitoring of Qualified Professional (QP) Service Requirements in Community Support Services |
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Bulletin #80 - 05/01/2008
Case Status Determination |
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Bulletin #79 - 04/18/09
Assessment Procedures
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Bulletin #78 - 04/02/2008
60-Day Timely Filing Limit Temporarily Lifted |
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Bulletin #77 - 03/18/2008
Communication with Primary Care Physicians |
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Communication Tool
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Bulletin #76 - 02/11/08
National Provider Identification (NPI) Implementation Transition Assistance |
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Bulletin #75 - 01/25/08
Case Responsible Transfer Procedure
This Bulletin Supersedes#33 |
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Consumer Transfer and Notification Consent Form 01/25/08
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Procedure for the Transition of Consumers 01/25/08
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Bulletin #74 - 01/17/08
Verbal Service Orders |
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Bulletin #73 - 01/11/08
Basic PCP Usage |
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Bulletin #72 - 01/01/2008
Unfunded FY 2007 Services |
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FY 2007 Spreadsheet - submit by January 8, 2008. See above bulletin #72 for instructions.
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Bulletin #71 - 12/14/07
Provider Responsibilities as the First Responder to Consumer Crisis;
Consumer Follow-up and 1st Responder Crisis Response Policy & Procedures |
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Updated Outpatient Commitment (OPC) Policy & Procedures
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Attachment A - Notice of Commitment Change
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Attachment B - Request For Hearing
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Attachment C - Request For Transportation Order
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Attachment Cb - Request For Transportation Order
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Attachment D - Examination and Recommendation to Determine Necessity for Involuntary Commitment
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Attachment E - Affidavit and Petition for Involuntary Commitment
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Attachment F - Request for Supplemental Hearing
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Bulletin #70 - 11/20/07
Community Support Services – Secondary Modifier |
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Bulletin #69 - 10/30/07
PPCR Implementation Reviews |
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Bulletin #68 - 10/29/07
Western Highlands Network Corporate Compliance Policy |
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Bulletin #67 - 10/15/07
Claim Submission Requirements |
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Bulletin #66 - 09/12/07
Community Support Audit Notification |
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Audit Schedule For Providers
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Bulletin #65 - 08/02/07
Community Support Plan of Corrective Action Implementation Reviews |
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Bulletin #64 - 07/06/07
Medicaid Changes Regarding Accessing Services |
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Bulletin #63 - 06/19/07
Outpatient Commitment Policy & Procedures
(This Supersedes Communication Bulletin #45)
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Bulletin #62 - 05/10/07
Release of New State Funded (IPRS) Benefit Package
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Bulletin #61 - 04/24/07
DMA Lapse Dates for Enhanced Benefit Services
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Bulletin #60 - 04/24/07
National Provider Identifier (NPI) Deadline Lifted
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Bulletin #59 - 04/13/07
Full Endorsement
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Bulletin #58 - 03/28/07
Attachment Therapy
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Bulletin #57 - 03/27/07
National Provider Identifier (NPI) Clarification
Notice: Not having a properly registered NPI with Medicaid and/or Western Highlands may result in non-payment for services.
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Bulletin #56 - 03/27/07
ValueOptions Therapeutic Foster Care Authorizations
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Bulletin #55 - 03/05/07
Western Highlands Network IPRS Timely Filing Limits
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Bulletin #54 - 02/19/07
National Provider Identifier (NPI)
What is NPI, How to Register, and How to Bill
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WHN NPI Collection Form
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Excel Spreadsheet |
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Bulletin #53 - 01/18/07
Consumer Follow-up Policy & Procedures
*Refer to Communication Bulletin 71: Consumer Follow-up and 1st Responder Crisis Response Policy & Procedures for updates to this policy. |
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Bulletin #52 - 01/10/07
Children’s Residential Treatment Level II Group (H2020)
Children Residential Treatment Level III and IV (H0019)
Medicaid Reimbursement
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Bulletin #51 - 01/02/07
Standardized Children in Residential Placement Room and Board Authorization/Reimbursement |
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Standardized State Authorization of Room & Board Letter (06/08/07)
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Standardized Parent Letter of Notification
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Standardized DSS Letter of Notification
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Bulletin #50 - 12/08/06
Lifting of 60-day Timely Filing Edit |
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Bulletin #49 - 12/05/06
Electronic Claims Submission
Effective July 1, 2007 |
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Bulletin #48 - 11/07/06
Request to Change Contract Maximum |
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Request to Change Contract Maximum Form
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Bulletin #47 - 08/17/06
Western Highlands Network IPRS Timely Filing Limits |
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Bulletin #46 - 07/20/06
Guidelines for Medical/Psychiatric Consultation |
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Bulletin #45 - 07/20/06
Outpatient Commitment Policy & Procedures
Historical use only, policy no longer applies. Please refer to Communication Bulletin #63 |
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Bulletin #44 - 07/06/06
Consumer Demographic Registration Update
(see also: Registration and Access page)
This Bulletin Supersedes Communication Bulletin #42
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Consumer Demographic Info
Form is no longer valid, posted for historical use only.
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Access Screening
Form is no longer valid, posted for historical use only.
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Bulletin #43 - 06/29/06
Mobile Crisis Management (MCM) in the Hospital Emergency Room (ER) |
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Bulletin #42 - 06/15/06
Historical use only, policy no longer applies. Please refer to Communication Bulletin #44.
Notification of New Consumer Demographic Registration Form Requirements |
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Bulletin #41 - 06/12/06
14-Day Limit on Pended Service Authorization Requests
(see also: Service Authorization page) |
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Bulletin #40 - 06/15/06
Policy & Procedure for WHN Authorizations for Initial Mobile Crisis Management (MCM)
(see also: Emergency Services page) |
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Mobile Crisis Team Referral Form (06/15/06)
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Bulletin #39 - 06/06/06
General Procedures for use of Diagnostic Assessment
(see also: Registration and Access page) |
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Bulletin #38 - 06/06/06
Clarification of Service Authorizations for Individuals with Out of County Medicaid
(see also: Service Authorization page) |
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Bulletin #37 - 06/02/06
Room and Board Reimbursement Rates for Child Mental Health Residential Providers
(see also: Reimbursement and Claims page) |
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Bulletin #36 - 06/02/06
Purchase of Services Agreements (Contracts) for IPRS Funded Services for Fiscal Year 2007 |
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Bulletin #35 - 05/05/06
CAP-MR/DD Waiver Equipment and Supply Reimbursement Effective July 1, 2006 |
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CAP-MR/DD Supply/Equipment Receipt and Authorization Confirmation Form
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Bulletin #34 - 04/25/06
Level III and IV Residential Rates |
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Bulletin #33 - 04/17/06
Case Responsible Transfer Procedure
Please refer to Communication Bullletin #75 for an update to this Communication. |
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Bulletin #32 - 03/31/06
Provider Appeals Policy
(see also: Grievances and Appeals page) |
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Bulletin #31 - 03/30/06
Medicaid Authorization Process during transition to state-wide vendor
(see also: Service Authorization page) |
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Bulletin #30 - 03/30/06
Enhanced Benefits Reimbursement |
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Bulletin #29 - 03/21/06
Conditional Endorsement and Service Authorizations |
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Bulletin #28 - 03/09/06
Community Support Continuation Crosswalk |
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Bulletin #27 - 03/08/06
Medicaid & IPRS Letter of Notification Protocol
(see also: Service Authorization page) |
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Bulletin #26 - 03/07/06
Provider Responsibilities as the First Responder to Consumer Crisis
(see also: Emergency Services page)
* Refer to Communication Bulletin 71: Consumer Follow-up and 1st Responder Crisis Response Policy & Procedures for updates to this policy. |
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Bulletin #25 - 03/03/06
Western Highlands Definition of Assertive Outreach |
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Bulletin #24 - 03/03/06
Summary of forms that have been updated on this website as of 03/03/06, including Service Authorization, Utilization Review, LOC Standard Care Guidelines, Access Grid, and more. |
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Bulletin #23 - 02/27/06
Claim Submission Requirements for State Funded Services
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Deadlines for Submitting Claims for IPRS Reimbursement
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Bulletin #22 - 02/22/06
Therapeutic Leave for ADMRI Residential Services |
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Bulletin #21 - 12/29/05
CPT 2006 Code Review |
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Bulletin #21 Addendum (01/17/2006)
CPT 2006 Code Changes
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Bulletin #20 -12/28/05
Authorization and Reimbursement for CMSED Residential Treatment Room and Board.
Related Documents: |
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Co-pay Letter to Parents
SSI Letter to Parents
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PDF
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Bulletin #19 - 11/20/05
Service Authorization Request - Access Screening and Emergency Service |
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Bulletin #18 - 11/18/05
Changes to IPRS Target Population Form |
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Bulletin #17 - 11/01/05
Authorization & Reimbursement for Residential Treatment Room & Board |
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Bulletin #16 - 09/30/05
DD Targeted Case Management Billing |
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Bulletin #15 - 09/30/05
Recoupment, Reimbursement, Direct Enrollment Updates |
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Bulletin #14 - 09/21/05
Rate Adjustments and Benefit Design Changes Respite and Room & Board |
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Bulletin #13 - 07/21/05
Consumers With Private Insurance: A Clarification of the Coordination of Benefits Policy of 01/13/05
(see also: Reimbursement and Claims page) |
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Bulletin #12 - Updated 04/02/08
Reimbursement Business Practice Modifications and Medicaid Direct Enrolled Provider Registration |
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Bulletin #11 - 06/02/05
Western Highlands Payment Cycles - FY 2006 |
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Bulletin #10 - 05/05/05
Western Highlands Claims/Authorization Table |
Excel Spreadsheet |
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Bulletin #9 - 01/14/05
Coordination of Benefits Policy
(see also: Reimbursement and Claims page) |
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Bulletin #8 - 01/14/05
Issues Related to Claims and Reimbursement |
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Bulletin #7 - 01/12/05
Updates on important issues |
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Bulletin #6 - 12/10/04
Updates on important issues |
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Bulletin #5 - 10/28/04
Re: Direct Provider Access |
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Bulletin #4 - 11/17/04
Re: Language Translation and Interpretation |
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Bulletin #3 - 10/27/04
Re: Service Authorization Requests |
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Bulletin #2 - 10/14/04
Clarifications |
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Bulletin #1 - 09/23/04
Clarifications |
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