Special Initiatives

Children's System Transformation

Billing

​Children's HCBS Billing - Webinar - Sept 5, 2019

  • Covers billing rules and tips for HCBS once the services are carved in to Medicaid Managed Care on Oct 1, 2019.

CFTSS: OLP, PSR and CPST Billing and UM Office Hour - Webinar Nov 15, 2018

  • Includes brief presentation and then office hour style Q&A opportunity as a follow up to Billing Update and Utilization Management trainings earlier in the fall.
  • FAQ document from this training

​CFTSS Billing Update: OLP, PSR, CPST - Webinar Nov 6, 2018

  • Reviews updates to billing manual, components of transitional manual and clarifies commonly asked billing questions in order to supplement July 2018 In Person Billing Training. 
  • FAQ document from this training

Billing for Children's System Transformation - In-person training - July 2018

  • Reviews Revenue Cycle Management (RCM), Medicaid provider enrollment and the billing manual including rules for new Children and Family Treatment and Support Services: OLP, PSR and CPST as well as how to submit a clean claim.
  • FAQ document from this training

Principles of Revenue Cycle Management and Utilization Management - In-person training- Dec 6, 2017

  • Covered foundational principles and best practices for RCM and UM.

Documents/Guidance

Billing Tool

  • ​Shows how to complete a clean claim via an interactive UB-04.

Billing Manual: Children's Health and Behavioral Health Services - Children's Medicaid System Transformation Billing and Coding Manual

Technical Billing Specifications for CFTSS and Children's HCBS

  • Summarizes the technical specifications that need to be incorporated into your billing process in order to meet billing requirements.

Guidance on Recent Changes to Children's Service Rates

Children and Family Treatment and Support Rates for

Children's HCBS Rates

MCTAC RCM Best Practices Tool

  • ​Maps out key Revenue Cycle Management practices at various stages in service provision.

MCTAC Top Denial Reason Cheat Sheet

  • ​Compilation of the most common denial reasons (with codes) and advice on how to resolve denials.

    MCTAC Billing and RCM Tips for Working with MMCPs

      • ​One-pager with key tips/best practices for working with Medicaid Managed Care Plans.
      back to Special Initiatives