2023 - 1
Archived December 13, 2023 |
Policy Guidelines (PDF 1492KB) |
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2006 - 1
Archived July 18, 2023 |
Policy Guidelines (PDF 972KB) |
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Archived January 26, 2012 |
Out-of-State High Level Care (HLC) - Special Level of
Care (SPC) Prior Approval Guidelines (PDF 12KB) |
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2011 - 01 (06/01/11)
Archived December 28, 2011 |
Billing Guidelines (UB-04) (PDF 734KB) |
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2010 - 1 (05/31/10)
Archived June 23, 2011 |
Billing Guidelines (UB-04) (PDF 1.19MB) |
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2009 - 2
Archived August 10, 2010 |
Billing Guidelines (UB-04) (PDF 323KB) |
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2009 - 1
Archived December 7, 2009 |
Billing Guidelines (UB-04) (PDF 361KB) |
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2008 - 4
Archived October 22, 2009 |
Billing Guidelines (UB-04) (PDF 188KB) |
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2008 - 3
Archived December 4, 2008 |
Billing Guidelines (UB-04) (PDF 188KB) |
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2008 - 2
Archived June 13, 2008 |
Billing Guidelines (UB-04) (PDF 395KB) |
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2008 - 1
Archived March 7, 2008 |
Billing Guidelines (UB-04) (PDF 197KB) |
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2007 - 1
Archived January 11, 2008 |
Billing Guidelines (UB-04) (PDF 192KB) |
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2004 - 1
Archived June 6, 2007 |
Billing Guidelines (UB-92) (PDF 280KB) |
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