This is due to the dual processing requirement by CMS and HMO's. The dual processing requirement would have to be rescinded because RI has met the requirements. RI will be able to accept applications in both 5010 and 4010 format; however, they will require review of the application and approval from the Director before an acceptance is given. The new process was not as extensive as it needed to be. O I plan to open the new 5010 formats for 4010 only in January. This should solve problems for the medical assistance program providers, the Department of Health and Human Services, and Rhode Island Medicaid providers. O If you need a review of your 5010 code to verify eligibility for 1/1/2012, click here.
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FEBRUARY 2012 Volume 229 RHODE ISLAND MEDICAL ASSISTANCE PROGRAM PROVIDER UPDATE ALL PROVIDERS Quick Response to obtain Recipient Eligibility & Other Valuable WEB Reimplementation OF X12 5010 RI has
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