Medicare Medicaid


Information for psychiatrists who serve patients through Medicare, the federal health insurance program for the elderly and disabled; and Medicaid, the federally supported state-run health insurance programs for the poor.

Medicare and Medicaid Explained

2010 Medicare News From HSF

  • Commercial Insurers Policies on Payment for Consultation Codes for 2010 [posted 01/25/2010]   The list of insurers’ consultation code policies has been developed from reports the Office of Healthcare Systems and Financing has been receiving from the field.  We cannot guarantee its accuracy.   The list will be changing as we receive more information.

2009 Medicare News from HSF


CMS Notices: : 

CMS Extends Deadline for 2010 Medicare Participation or Nonparticipation [posted 11/18/2009]

CMS announces payment, policy changes for physicians services to Medicare beneficiaries in 2010 [update posted 11/13/2009]

Scam Alert targeting physician offices [posted 6/18/2009]

Fact Sheet:  CMS Form 1500 At a Glance  [pdf document]

The CMS Form 1500 Web-based tutorial can be accessed by clicking on the following link http://cms.meridianksi.com/kc/main/kc_frame.asp?kc_ident=kc0001&loc=1

Posted 04/16/2009:
Letter from CMS’s National Correct Coding Initiative (CCI) re inappropriate use of the Advance Beneficiary Notice (ABN) for claims denials based on CCI Medically Unlikely Edits (MUEs) rather than medical necessity.

Posted 04/15/09:
New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6139.pdf

Posted 02/20/2009:
Internet-based Medicare Enrollment

Tips for Enrolling in Medicare

Posted 11/03/2008:
Announcement:  About Medicare Participation for Calendar year 2009

Posted 9/17/2008:
Reporting Responsibilities for Individual Physicians Enrolled in the Medicare Program

Reporting Responsibilities for Physician Group Practices Enrolled in the Medicare Program