Patients learn of updates at their enrollment anniversary dates, or you may share information with them.

Yes, only paid claims can receive an overpayment or underpayment.

No, MCCS staff cannot add any information to the TAD. You can only make changes via DHHS Form 181, CRCF 01 and IPC change forms.

No signature is required for terminations.

An authorized SNF 181 along with a separate Medicare-to-Medicaid bed hold billing 181 is required.

The PO boxes and physical address are included in the Provider manual as well as on the mailing envelope.

NOTE: Late change forms should be sent overnight or faxed, with all attachments, to (803) 870-9020. Forms should not be faxed unless they are sent past the deadline. Faxed corrections should be received no later than the third working day of each month for Nursing Home providers and the 17th day of the month for OSS providers.

No. MCCS staff cannot make corrections to the DHHS Form 181 or CRCF 01 form.

MCCS can send a copy of the TAD when requested.

Yes. Once corrections are made, Medicaid claims should be re-billed using the CRCF-01 form for OSS and the DHHS 181 for NFs. Coinsurance claims can be submitted at any time of the month once corrections are made.

No changes will be made regarding beneficiaries’ income, IPC/CRCF status, etc., for the current billing month if change forms are not received by MCCS. However, changes can be made during the next month’s billing process.