Licensed Addictions Therapist (LAT)
Licensed Clinical Social Worker (LCSW)
Licensed Marriage and Family Therapist (LMFT)
Licensed Professional Counselor (LPC)It is essential that LMHPs review and understand the provider responsibilities as outlined in the following:
The Medicaid Provider Agreement
The Medicaid Provider Certification
The CMS-1500 Provider Manual
Chapter 1-5 - Provider Responsibilities
Chapter 6 - Billing
Chapter 8 & 9 - Electronic Data Interchange (EDI) and Wyoming Specific HIPAA 5010 Electronic Specifications
Chapter 10 - Medicaid Covered Services
AppendicesThe CMS-1500 Provider Manual will reflect the change after July 1, and a specific set of services that may be provided by LMHPs has been added to the Psychiatric & Mental Health Services Section (10.15.18) in Chapter 10.Review the following web pages for specific information.
The Senate Enrolled 49Â (General information regarding change)
CMS Re-Enrollment (Provides the CMS Rule, frequently asked questions, enrollment/re-enrollment requirements (providers to re-enroll every 5 years), general enrollment information, bulletins)
Provider Enrollment (To begin enrollment)Licensed mental health professionals who rendered services prior to July 1, 2014 enrollment may submit claims with dates of service between March 11, and the July 1 enrollment with their enrollment packet, and request a retroactive enrollment date that coincides with the earliest date of service between the March 11 and July 1, 2014 dates. Lisa Brockman, RN
Division of Healthcare Financing-Medicaid
Wyoming Department of Health
6101 Yellowstone Rd., Suite 210
Cheyenne, WY Â 82002
(307)777-7326-Phone
(307)777-6964-Fax
(307)777-7531-Front Desk
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