Part 2 - Multipurpose Senior Services Program (MSS)



Appeal Form Completion (appeal form) (Revision Date May 29, 2020) | (792KB)
CIF Completion (cif co) (Revision Date May 29, 2020) | (813KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date May 29, 2020) | (138KB)
Correct Coding Initiative: National (correct) (Revision Date Jul 16, 2020) | (101KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date May 29, 2020) | (99KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date May 29, 2020) | (86KB)
HCPCS Introduction (hcpcs) (Revision Date May 29, 2020) | (79KB)
Multipurpose Senior Services Program (MSSP) (multi sen) (Revision Date May 29, 2020) | (152KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date May 29, 2020) | (137KB)
Physician-Administered Drugs: NDC (physician ndc) (Revision Date Jul 16, 2020) | (136KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date May 29, 2020) | (141KB)
Sign Language Interpretation (sign) (Revision Date May 29, 2020) | (200KB)
UB-04 Completion: Outpatient Services (ub comp op) (Revision Date May 29, 2020) | (330KB)
UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date May 29, 2020) | (160KB)
UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date May 29, 2020) | (130KB)


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