AGING AND DISABILITY SERVICES ADMINISTRATION
2006 NH "Dear Administrator" Letters
May 22, 2006
ADSA NH #2006-013
Update to change in policy regarding Third Party Liability Payments on Behalf of Medicaid Residents
Dear Nursing Facility/Home Administrator:
This letter is an update to Dear Administrator Letter #2006-012 and is informational only. Additional letters related to this subject will be sent regularly until this process is completed. Enclosed is an updated list of frequently asked questions (FAQ’s) and responses. We expect that many people will have similar questions, so we will continue to add questions to this list. This format should help to answer many of the questions that you have. If you have any questions about the general process that you would like to have added to the FAQ list, please e-mail your question to Bonnie Hawkins at hawkibm@dshs.wa.gov, or call her at (360) 725-2512.
For your information, the first group of insurance carriers that changed on April 1, 2006 affected approximately 300 Medicaid clients. When this process is completed the end of this year, the policy change will affect approximately 3,000 Medicaid clients.
Recently Susan Pemberton and Cyndy Mills mailed an updated copy of the Cost Avoidance Suggestions and Helpful Hints to your Medicaid biller. This updated packet will assist you in determining the best way to proceed in this endeavor. If you have not received the revised packet, would like an additional copy or have specific questions on billing particular carriers, please call toll free (800) 562-6136. For patients with the last name beginning with letters A through G call Cyndy Mills at Ext. 51936 or for patients with the last name beginning with letters H through Z call Susan Pemberton at Ext. 51164.
The letter that was included with the packet indicates the insurance carrier types that will be changed to the new procedures effective September 1, 2006. These carriers are:
- AARP
- Blue Cross
- Blue Shield
- Blue Cross/Blue Shield
- Regence
- United Healthcare
- All county insurance
Sincerely,
Tom Kearns, Chief
Office of Rates Management
Aging and Disability Services Administration
Andy Renggli, Chief
Coordination of Benefits Office
Health and Recovery Services Administration
