| Fee Schedules |
| WH Fee Schedule (3/1/2010) |
Excel Spreadsheet |
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| DMA Fee Schedule: http://www.dhhs.state.nc.us/dma/fee/fee.htm |
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| Procedures / Instructional Aides |
| WH Explanation of Benefits Code Descriptions w/crosswalk to HIPPA codes (REV 12/09) |
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PDF |
| Explanation of Benefits Guide |
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PDF |
| Western Highlands Fee Collection Policy (09/27/07) |
Word File |
PDF |
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Instructions for Completing CMS1500 (02/16/07)
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PDF |
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DMA Memorandum Re: Rounding (01/24/04)
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Word File |
PDF |
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NC DMA HIPAA Code Conversion
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PDF |
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Direct Data Entry Instructions/Users Manual (3/1/2010)
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PDF |
| Claims & Reimbursement Training Seminar (May 2009) |
Slideshow |
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| Provider Funding Request Protocol |
Word File |
PDF |
| Communication Bulletins |
Bulletin #83 - 06/26/2008
Provisionally Licensed and Non-Licensed Substance Abuse Counseling Professionals |
Word File |
PDF |
Bulletin #76 - 02/11/08
National Provider Identification (NPI) Implementation Transition Assistance |
Word File |
PDF |
Bulletin #67 - 10/15/07
Claim Submission Requirements |
Word File |
PDF |
Bulletin #60 - 04/24/07
National Provider Identifier (NPI) Deadline Lifted
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Word File |
PDF |
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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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Word File |
PDF |
Bulletin #55 - 03/05/07
Western Highlands Network IPRS Timely Filing Limits
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Word File |
PDF |
Bulletin #54 - 02/19/07
National Provider Identifier (NPI)
What is NPI, How to Register, and How to Bill
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Word File |
PDF |
WHN NPI Collection Form
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Excel Spreadsheet |
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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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Word File |
PDF |
Bulletin #51 - 01/02/07
Standardized Children in Residential Placement Room and Board Authorization/Reimbursement |
Word File |
PDF |
Standardized State Authorization of Room & Board Letter (06/08/07)
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Word File |
PDF |
Standardized Parent Letter of Notification
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PDF |
Standardized DSS Letter of Notification
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PDF |
Bulletin #50 - 12/08/06
Lifting of 60-day Timely Filing Edit |
Word File |
PDF |
Bulletin #49 - 12/05/06
Electronic Claims Submission
Effective July 1, 2007 |
Word File |
PDF |
Bulletin #48 - 11/07/06
Request to Change Contract Maximum |
Word File |
PDF |
Request to Change Contract Maximum Form
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Word File |
PDF |
Bulletin #47 - 08/17/06
Western Highlands Network IPRS Timely Filing Limits |
Word File |
PDF |
Bulletin #46 - 07/20/06
Guidelines for Medical/Psychiatric Consultation |
Word File |
PDF |
Bulletin #38 - 06/06/06
Clarification of Service Authorizations for Individuals with Out of County Medicaid
(see also: Service Authorization page) |
Word File |
PDF |
Bulletin #37 - 06/02/06
Room and Board Reimbursement Rates for Child Mental Health Residential Providers |
Word File |
PDF |
Bulletin #36 - 06/02/06
Purchase of Services Agreements (Contracts) for IPRS Funded Services for Fiscal Year 2007 |
Word File |
PDF |
Bulletin #35 - 05/05/06
CAP-MR/DD Waiver Equipment and Supply Reimbursement Effective July 1, 2006 |
Word File |
PDF |
CAP-MR/DD Supply/Equipment Receipt and Authorization Confirmation Form
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Word File |
PDF |
Bulletin #34 - 04/25/06
Level III and IV Residential Rates |
Word File |
PDF |
Bulletin #30 - 03/30/06
Enhanced Benefits Reimbursement |
Word File |
PDF |
Bulletin #23 - 02/27/06
Claim Submission Requirements for State Funded Services
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Word File |
PDF |
Deadlines for Submitting Claims for IPRS Reimbursement
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PDF |
Bulletin #22 - 02/22/06
Therapeutic Leave for ADMRI Residential Services |
Word File |
PDF |
Bulletin #21 - 12/29/05
CPT 2006 Code Review |
Word File |
PDF |
Bulletin #21 Addendum (01/17/2006)
CPT 2006 Code Changes
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Word File |
PDF |
Bulletin #20 -12/28/05
Authorization and Reimbursement for CMSED Residential Treatment Room and Board.
Related Documents: |
Word File |
PDF |
Co-pay Letter to Parents
SSI Letter to Parents
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Word File
Word File
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PDF
PDF
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Bulletin #17 - 11/01/05
Authorization & Reimbursement for Residential Treatment Room & Board |
Word File |
PDF |
Bulletin #16 - 09/30/05
DD Targeted Case Management Billing |
Word File |
PDF |
Bulletin #15 - 09/30/05
Recoupment, Reimbursement, Direct Enrollment Updates |
Word File |
PDF |
Bulletin #14 - 09/21/05
Rate Adjustments and Benefit Design Changes Respite and Room & Board |
Word File |
PDF |
Bulletin #13 - 07/21/05
Consumers With Private Insurance: A Clarification of the Coordination of Benefits Policy of 01/13/05 |
Word File |
PDF |
Bulletin #12 - Updated 04/02/08
Reimbursement Business Practice Modifications and Medicaid Direct Enrolled Provider Registration |
Word File |
PDF |
Bulletin #11 - 06/02/05
Western Highlands Payment Cycles - FY 2006 |
Word File |
PDF |
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 |
Word File |
PDF |
Bulletin #8 - 01/14/05
Issues Related to Claims and Reimbursement |
Word File |
PDF |
Bulletin #7 - 01/12/05
Updates on important issues |
Word File |
PDF |
Bulletin #6 - 12/10/04
Updates on important issues |
Word File |
PDF |
Bulletin #4 - 11/17/04
Re: Language Translation and Interpretation |
Word File |
PDF |
Bulletin #2 - 10/14/04
Clarifications |
Word File |
PDF |
Bulletin #1 - 09/23/04
Clarifications |
Word File |
PDF |
