Provider Bulletin Issued 08/23/2019

Provider Bulletin
Chapter 100
19-01
 
Date:    August 23, 2019
 
To:       All Medical Assistance Program Providers
 
Re:      Chapter 100 – Handbook for Providers of Medical Services, General Policy and Procedures
            Elimination of Title XIX Copayments Effective September 1, 2019
 
 
As a result of Public Act 101-209, the Department of Healthcare and Family Services is eliminating the copayment obligations for all adult participants covered under Title XIX (19) of the Social Security Act effective with dates of service on and after September 1, 2019. Title XIX children under the age of 19 are already exempt from copayment requirements.
 
The Department will stop deducting copayments on claims with dates of service on and after September 1, 2019. Providers should not assess copayments for adult participants covered under the following Medical Programs for dates of service on and after September 1, 2019.
 
·         Affordable Care Act (ACA) Adults
·         Seniors and Persons with Disabilities (formerly Aid to the Aged, Blind or Disabled)
·         Health Benefits for Workers with Disabilities
·         Family Care
 
Chapter 100 policy and General Appendix 5, Cost-Sharing for Participants, have been updated to reflect the zero-copayment obligation for these categories of assistance.
 
Providers are reminded that children covered under All Kids Share, Premium Level 1 and Premium Level 2 and adults covered under Veterans Care are still responsible for their applicable copayments. There are no changes to premium requirements for All Kids Premium Levels 1 and 2.
 
Questions regarding practitioner copayments may be directed to the Bureau of Professional and Ancillary Services at 877-782-5565. Questions regarding institutional provider copayments may be directed to the Bureau of Hospital and Provider Services at the same toll-free line.
 
Instructions for updating Chapter 100, Handbook for Providers of Medical Services
 
Topic 102.3 – The Family Health Plans
Remove page HFS 102 (2) and replace with revised page HFS 102 (2).
 
Topics 114.1 – Copayments and 114.1.1 – Collection of Copayments
Remove pages HFS 114 (1), 114 (2), and 114 (3) and replace with revised pages HFS 114 (1), HFS 114 (2), and HFS 114 (3).

General Appendix 5
Remove General Appendix 5 (1) Cost Sharing for Participants and replace with revised page HFS General Appendix 5 (1) updated September 2019.
 

Notices

 

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