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Elizabeth M. Whitehorn, Director
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April 11, 2012 Care Coordination Stakeholder Videoconference
MMAI Stakeholders Webinar April 18, 2013
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Two Updates in Relation to the Capitated Model of the Medicare-Medicaid Financial Alignment Initiative
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Comment letters received on Proposed 1115 Waiver Demonstration Project
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RY 2020 DSH MPA MHVA Determination
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Directed Payment Calculations 01/01/2021 - 03/31/2021
Directed Payment Calculations 10/01/2022 Through 12/31/2022
Directed Payment Calculations 10/01/2021 - 12/31/2021
Directed Payment Calculations 01/01/2022 - 03/31/2022
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Directed Payment Calculations 04/01/2022 Through 06/30/2022
Directed Payment Calculations 07/01/2020 - 09/30/2020
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Directed Payment Calculations 10/01/2020 – 12/31/2020
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Directed Payment Calculations 07/01/2022 Through 09/30/2022
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Tamper-Resistant Rx Pads
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 16, 2016
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: June 15, 2016
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 14, 2016
Archived D and T Advisory Board Meeting Agendas and Minutes
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Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 4, 2009
Drugs and Therapeutics (D & T) Committee Meeting Results* for: March 4, 2009
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 9, 2011
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 9, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 14, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 14, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 19, 2014 (revised April 7, 2014)
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 18, 2015
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 18, 2015
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 19, 2014
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 20, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 20, 2013
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 24, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 24, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results* for: March 26, 2008
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: May 18, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: May 18, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: June 2, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results June 2, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results June 6, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for June 11, 2014
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: June 17, 2009
Drugs and Therapeutics (D & T) Committee Meeting Results June 17, 2009
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: June 19, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: June 19, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: June 25, 2008
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 14, 2011
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 14, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 15, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 15, 2010
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 16, 2015
Drugs and Therapeutics (D&T) Committee Meeting Results for: September 16, 2015
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 17, 2014
Drugs and Therapeutics (D & T) Committee September 17, 2014
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 18, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 18, 2013
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 23, 2009
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 24, 2008
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 24, 2008
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 2, 2009
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 2, 2009
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 3, 2008
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 03, 2008
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 4, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 4, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 8, 2010
Drugs and Therapeutics Committee Meeting Results Meeting Results for: December 12, 2007
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 14, 2011
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 14, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 16, 2015
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 19, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 19, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 23, 2009
D and T Agenda 2015
D and T Meeting Results 2015
Drugs and Therapeutics (D&T) Committee Meeting Results for: June 10, 2015
D and T Agenda 2008
D and T Agenda 2009
D and T Agenda 2010
D and T Agenda 2011
D and T Agenda 2012
D and T Agenda 2013
D and T Agenda 2014
Drugs and Therapeutics (D&T) Committee Meeting Results for: June 15, 2016
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 14, 2016
D and T Meeting Results 2007
D and T Meeting Results 2008
D and T Meeting Results 2009
D and T Meeting Results 2010
D and T Meeting Results 2011
D and T Meeting Results 2012
D and T Meeting Results 2013
D and T Meeting Results 2014
Migraine prophylaxis considerations An educational update for providers
Pediatric Specialty Beds Criteria
Drugs and Therapeutics (D&T) Committee Meeting Results for: March 16, 2016
Drugs and Therapeutics (D&T) Committee Meeting Results for: December 16, 2015
Resources for Managing Vitamin D Therapy
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340B Dispensing Fee Add-On
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Adjustments were over-recouped.
Ambulance Rate Changes
SMART Act Ambulance Services
Ambulance Rate Changes Update – Second Batch
Claims for (SASS) were processed incorrectly.
Co-payment Deducted Twice for Reimbursement Amount
Copayments Were Being Applied Incorrectly
Copayments Being Taken on Services Rendered to Pregnant Women
D17 Quantity Billed Requires Prior Approval
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Claims Rejecting Incorrectly for G61
In-Home Nursing Services Home Health Claims on Hold
Liletta and Mirena Products Resolution
MEDI Affecting Medicare Crossovers
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Non-Emergency Transportation Claims Suspended, D04, Pricing Problem
Overpayment of Transportation Claims
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Expansion of Telehealth Services – Payment of the Q3014
340B Dispensing Fee Add-On for Provider Type 52
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Rebilled Non-Emergency Transportation Claims Denying G55, 180 Day Timely Filing
Recoupment of Affordable Care Act (ACA) Primary Care Increased Payments
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SMART Act Ambulance Services
T4521 - Inappropriately Requiring Prior Approval
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Billing Liletta and Mirena Products - J7302
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RY 2024 DSH MPA MHVA Determination
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