Non-Institutional Providers

Independent healthcare providers are a significant part of our health care system. Without them, many patients wouldn’t receive the individual care that they need.

Welcome to the Non-Institutional Providers (NIP) Resources web page. This site is designed to assist Non-Institutional Providers with HFS billing and payment for services, as well as provide answers to frequently asked questions that may arise concerning billing and claims processing. 

Please note that information posted on these links may become outdated based upon changes in policy or programs. Updated information will be posted  as it becomes available.

If you have additional questions, please contact a billing consultant 1-877-782-5565.

• VFC Provider Notice Dated August 12, 2019
• Webinar  (Password is Chip2019)

• Questions and Answers (pdf)
• Co-payment Chart (pdf)

• FAQs for Non-Emergency Ground Ambulance Transition from MCO to FFS (pdf)
  
• MCO Participant Needing Non-Emergency Ambulance Transport Flow Chart (pdf)
  
• Timely Filing Override Submittal Instructions (pdf)
• HFS 1624, Override Request Form (pdf)
• Questions and Answers (pdf)

• PowerPoint Presentation 
  

• PowerPoint Presentation

• Billing Guidelines for Changes to Maternity Care Reimbursement
• Archived Presentations
• Vaccinations for Children Effective 10/01/2016 through 08/31/2019
• Claims Processing System Issues
  
• Fee Schedules
• Medical Electronic Data Interchange
• Medical Forms
• Medical Forms Request
• Medical Prior Approval Criteria
• Provider Enrollment
• Provider Handbooks
• Provider Releases