The Department of Health and Hospitals (LDH) will provide maintenance of all documentation changes to this Guide using the Change Control Table as shown below. Change Control Table Author of Sections Description Reason Date Change Changed Andrea Version 1.0 10/11/15 Hollins/ Kerri Capello Kerri Capello Appendix G Updated Provider Types LDH Provider Types & Provider 10/13/15 & Provider Specialties Specialties missing from grid Kerri Capello Appendix J Removed paragraph to file 10/13/15 Isn’t applicable under LTC CSoC File layout Kerri Capello Appendix E 10/14/15 Removed the word Reporting denied claims in Interim. encounter is not included in CSoC contract. Denied claims will be reported in the monthly claims report for this contract. Jacques Kado Appendix J Updated the LTC Provided additional clarification 10/21/15 LBHP/CSoC PIHP Segment Layout Andrea Appendix L Added the Lookup Magellan requested the table be 10/29/15 Hollins Taxonomy Table added Andrea Section 7 Removed Codes Codes are not covered services 10/29/15 – Hollins H0018, T2048, S5145, and H2013 Andrea NOTE: Appendices have been 11/18/15 Version 2 Hollins/ updated with new letters starting Tamara with Appendix C. Will be noted Manuel in the below entries. Andrea Section 2 Reporting Interest Explanation of how interest is to 11/2/15 Hollins Payment be reported Tamara Appendix C Blank Not Utilized in Version 1 11/18/15 – Manuel Tamara Appendix D System Generated Changed Appendix letter to 11/18/15 “C”. Manuel Reports
The Department of Health and Hospitals (LDH) will provide maintenance of all documentation changes to this Guide using the Change Control Table as shown below. Change Control Table Author of Change Sections Changed Description Reason Date Andrea Hollins/ Kerri Capello Version 1.0 10/11/15 Kerri Capello Appendix G Updated Provider Types & Provider Specialties LDH Provider Types & Provider Specialties missing from grid 10/13/15 Kerri Capello Appendix J Removed paragraph under LTC CSoC File layout Isn’t applicable to file 10/13/15 Kerri Capello Appendix E Removed the word Interim. Reporting denied claims in encounter is not included in CSoC contract. Denied claims will be reported in the monthly claims report for this contract. 10/14/15 Jacques Kado Appendix J Updated the LTC LBHP/CSoC PIHP Segment Layout Provided additional clarification 10/21/15 Andrea Hollins Appendix L Added the Lookup Taxonomy Table Magellan requested the table be added 10/29/15 Andrea Hollins Section 7 Removed Codes – H0018, T2048, S5145, and H2013 Codes are not covered services 10/29/15 Andrea Hollins/ Tamara Manuel Version 2 NOTE: Appendices have been updated with new letters starting with Appendix C. Will be noted in the below entries. 11/18/15 Andrea Hollins Section 2 Reporting Interest Payment Explanation of how interest is to be reported 11/2/15 Tamara Manuel Appendix C Blank – Not Utilized in Version 1 11/18/15 Tamara Manuel Appendix D System Generated Reports Changed Appendix letter to “C”. 11/18/15
PIHP_CSoC_SystemsCompanionGuide-Sept2018_V12.docx