Learn more on DMAP's EDI 5010 page.


Are you ready for ICD-10?

Learn the steps to ICD-10 readiness

Visit the CMS Web site for more information

See also:

Home Health rulebook history

Ancillary Services Criteria

Tools for providers

 

DMAP administrative rules and supplemental information for:

Home Health Services program

Receive Home Health Services program updates by e-mail

Rulebook

January 1, 2012 (pdf) (current administrative rules; see below for archived rules)

You need the latest version of the free Adobe Reader to view these documents. If you do not already have Adobe Reader 6.0 or higher on your computer, you can download it now.

Supplemental information

Home Health Services Supplemental Information (pdf) - Updated 1/7/11 - Includes information about prior authorization, revenue center codes, billing rates, billing instructions, and billing forms.

Rates and copayment chart

Effective Jan. 1, 2012
Effective Aug. 1, 2011
Effective Jan. 1, 2010
Effective Jan. 1, 2008
Effective June 19, 2004

Forms

EDMS Coversheet (pdf) - Use this form whenever you fax documentation for prior authorization requests, provider enrollment requests, or claims to DMAP.

DHS Prior Authorization Request Form - Use this form to submit faxed PA requests to DMAP. Click here for instructions. You can also submit the same information using the Provider Web Portal. Read the handbook or view the tutorial for more information about submitting PA requests on the Web.

Who to call for help

Provider Services 800-336-6016 or e-mail us
Address and telephone contacts