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UB04 / NPI Conversion - State Status

 
 
 

QuickCare is diligently contacting the states to inquire as to which ones will be ready for the UB04 or the NPI as of the May 23, 2007 deadline. The information provided below is as of May 1, 2007. Please forward any updated information you may have on the UB04 and/or NPI conversion to billing@quickcare.com.

 
STATE
UB04 STATUS
NPI STATUS
LAST CHECKED
Alabama Medicaid
Postponing until New Medicaid Claim Processing System is utilized.  (May 2007 Bulletin)
Postponing until New Medicaid Claim Processing System is utilized.  (May 2007 Bulletin)
7/31/07

Arkansas Medicaid

Does not accept paper claims, electronic only

May 21, 2007 Dual or NPI OnlyOctober 15, 2007 NPI Only

7/31/07
Arizona – AHCCCS
Specs Received. 

Utilizing Contingency Plan. 
Legacy Only, Dual submission, or NPI Only until 1/1/2008

7/31/07
Arizona - SPSI Mercy Care
Specs ready.  Does not accept paper claims, electronic only

Utilizing Contingency Plan. 
Legacy Only or Dual submission until further notice.  NPI Only not required at this time

7/31/07

California Medi-Cal – EDS

Custom Claim Form.   New form with NPI not available until 7/1/07. Still do not have new forms.

Utilizing Contingency Plan. 
Dual submission begins May 23, 2007. NPI only Nov 26, 2007

7/31/07
California Medi-Cal - Cal Optima
Custom Claim Form.   New form with NPI not available until 7/1/07.  Still do not have new forms.

Utilizing Contingency Plan. 
Dual submission begins May 23, 2007. NPI only Dec 31, 2007

7/31/07
California Medi-Cal - PHC
Custom Claim Form.   New form with NPI not available until 7/1/07.  Still do not have new forms.

Utilizing Contingency Plan. 
Accepting Legacy Only. Prefers Dual submission. No NPI Only until further notice

7/31/07
California Medi-Cal - Alliance
Custom Claim Form.   New form with NPI not available until 7/1/07.  Still do not have new forms.

Utilizing Contingency Plan. Able to accept Legacy Only, Dual, and/or NPI Only May 23, 2007. 

7/31/07
Colorado Medicaid
Postponed until further notice

Utilizing Contingency Plan.
Will accept Legacy and Dual until further notice.

7/31/07

Florida Medicaid

Custom Claim Form.  7/1/07 changes to the form.

Utilizing Contingency Plan. 
Postponing the NPI requirement until October 1, 2007.  Assuming this means Dual until then. Dual test file was transmitted and accepted.

7/31/07
Georgia Medicaid

Basic UB04 Claim instructions received.  UB04 usage has been postponed until Sept 1, 2007.  Dual UB04/UB92 submission until Sept 30, 2007.  UB04 only on Oct 1, 2007

Dual submission tested and passed Will honor the Contingency Plan. Looks like they want Dual submission until May 23, 2008 at this time

7/31/07
Iowa Medicaid
Specs ready.  UB04 May 23, 2007

Utilizing Contingency Plan. Will accept Legacy, Dual and NPI through May 23, 2008

7/31/07
Idaho Medicaid
Specs ready.  UB04 May 29, 2007

Utilizing Contingency Plan. Will accept Legacy, Dual and NPI through May 23, 2008

7/31/07
Illinois Medicaid
Manual TAD, no programming
Manual TAD, no programming
Indiana Medicaid
Will accept both UB92 and UB04 until further notice

Utilizing Contingency Plan.
Will accept Legacy, Dual and NPI
until further notice

7/31/07
Kansas Medicaid
UB04 May 23, 2007

Utilizing Contingency Plan.
Will accept Dual and NPI until
5/2008 or sooner.
If possible to submit the NPI only,
must submit the NPI only

7/31/07
Kentucky Medicaid 
UB04 May 23, 2007

Utilizing Contingency Plan. Will accept Legacy, Dual and NPI through May 23, 2008

7/31/07
Louisiana Medicaid
Specs ready.  Not mandatory until Nov 5, 2007.

Utilizing Contingency Plan. Will accept Legacy and Dual until further notice.

7/31/07
Massachusetts Medicaid
Custom Claim Form.  NPI changes required.

Utilizing Contingency Plan. NPI Only Sept 30, 2007

7/31/07
Maryland Medicaid
Postponed until July 30, 2007
Postponed until June 30, 2007
7/31/07
Michigan Medicaid
UB04 May 23, 2007

Utilizing Contingency Plan.
Dual May 23, 2007
NPI only October 1, 2007

7/31/07
North Carolina DHS
UB04 May 23, 2007

Utilizing Contingency Plan.  Requesting Dual until further notice.

7/31/07
North Carolina Medicaid (Domcare)
UB04 May 23, 2007

Utilizing Contingency Plan. 
Requesting Dual until further notice.

7/31/07
New Hampshire Medicaid
UB04 June 22, 2007

Utilizing Contingency Plan. 
Requesting Dual until further notice.

7/31/07
New Jersey Medicaid
Custom Claim Form.  No changes yet.

Utilizing Contingency Plan. 
Will accept Legacy and Dual until further notice.

7/31/07
New Mexico Medicaid
UB04 May 4, 2007
NPI only May 17, 2007
7/31/07
New York Medicaid
UB04 May 23, 2007
Postponed until further notice
7/31/07
Ohio Medicaid
Specs ready. Does not accept paper claims, electronic only

Utilizing Contingency Plan. Dual submission until Dec 31, 2007

7/31/07
Oklahoma Medicaid
Per state, specs are not available yet

Utilizing Contingency Plan.
Dual submission until May 23, 2008

7/31/07
Oregon Medicaid
Manual TAD, no programming

Manual TAD, no programming

Pennsylvania Medicaid
UB04 May 23, 2007

Utilizing Contingency Plan.
Legacy May 23, 2007 – May 31, 2007. Dual May 23, 2007 – May 23, 2008
NPI Only June 1, 2007 on

7/31/07
Tennessee Medicaid
UB04 May 23, 2007

Utilizing Contingency Plan.
Should be ready for NPI only May 23, 2007

7/31/07
Texas Medicaid (THMP)
Custom Claim Form.   New Claim form as of 7/30/07 to accommodate NPI

Utilizing Contingency Plan
Legacy, Dual, NPI Only as of July 30, 2007
NPI Only compliance date has not been determined yet.
QuickCare is working directly with TMHP in testing

7/31/07
Utah Medicaid
UB04 May 23, 2007 (only a draft copy available)

Utilizing Contingency Plan. 
Legacy, Dual or NPI only until further notice

7/31/07
Virginia Medicaid
UB04 June 1, 2007

Utilizing Contingency Plan.
Dual or NPI only until further notice

7/31/07
Washington Medicaid
Manual TAD, no programming
Manual TAD, no programming
Wisconsin Medicaid
Will accept both UB92 and UB04 until further notice
Postponed until further notice.  No change on the website
7/31/07
West VA Medicaid
UB04 can be submitted as of May 23, 2007.  Requested UB92 for paper be utilized for now.

Utilizing Contingency Plan
Request Legacy or NPI only be submitted. 
NPI only is available as of May 23, 2007

7/31/07
     
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