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Elizabeth M. Whitehorn, Director

Provider Notice issued 06/24/15

Conversion from International Classifications of Disease (ICD)-9 to ICD-10 Electronic Data Interchange (EDI) Vendor Programming Delay

 

To:​ Long Term Care Facilities (Nursing Facilities, Intermediate Care Facilities for Individuals with Intellectual Disabilities, Specialized Mental Health Rehabilitation Facilities and Supportive Living Providers)​
​Date: ​June 24, 2015
​Re: Conversion from International Classifications of Disease (ICD)-9 to ICD-10 Electronic Data Interchange (EDI) Vendor Programming Delay ​

This Notice updates information provided in a recent Notice dated 06/17/2015 regarding the requirement that the federally-mandated conversion from ICD-9 to ICD-10 codes be implemented no later than 10/01/2015. 

Facilities must update current resident’s ICD-9 codes to ICD-10 codes during the three month time period 07/01/2015 through 09/30/2015 using the Medicaid Electronic Data Interchange (MEDI).  MEDI must be used for this update of current residents even if the facility normally uses one of the EDI vendors (formerly referred to as REV).  Although providers were previously informed they could continue to use EDI vendors for new admissions once the current resident’s ICD-9 codes were updated to ICD-10 codes, the EDI vendors may not complete all programming required to allow new admissions to be processed with both the ICD-9 and ICD-10 code during this three month period.. 

Providers can determine if their EDI vendor has completed this programming by completing an inquiry on the “Admissions” screen for two fields labeled as ICD-9 and ICD-10.  If those two fields are not present in EDI, the provider should use MEDI to submit the admissions during the three month time period 07/01/2015 through 09/30/2015.  Submission of a new admission through EDI prior to the programming not being completed may result in an unsuccessful transaction.

Since providers must already register with MEDI to update the codes for current residents and MEDI is a free service this should not cause any undue hardship.

Questions regarding this Notice may be directed to the Bureau of Long Term Care at 217-782-0545.

                                                

 

Felicia F. Norwood, Director

Healthcare and Family Services