To: In-state and Bordering Hospital Providers

 Hospitals with psychiatric and rehabilitation subparts are now required to enroll with a separate NPI (National Provider Identifier) in order to process crossover claims.

To enroll, an application for each subpart must be submitted to EDS’s Provider Enrollment Department. This step is necessary to register the separate NPIs in the Medicaid system.

To request an enrollment application, you may contact EDS' Provider Enrollment Department at 1-888-223-3630 or visit Alabama Medicaid's website at www.medicaid.alabama.gov (Billing/Forms – Billing-Related/Provider Enrollment Forms/Hospital Subpart Enroll-ment Application) to download a copy of the Provider Enrollment Application for Providers in Alabama and bordering states.

This enrollment policy for psychiatric and rehabilitation subparts only applies to Medicare/Medicaid crossover claims. It does not apply for straight Medicaid claims.

For questions concerning this policy change, you may contact the Alabama Medicaid Agency, System Support Unit at (334)242-5627.

For unpaid crossover claims that are now beyond the one-year filing limitation, you will have until July 1, 2009 to request an administrative review. In your request, indicate these claims are for the psychiatric or rehab subparts and enclose the paper claim form.

Mail to:

System Support/Administrative Review Unit

Alabama Medicaid Agency

P.O. Box 5624

Montgomery, AL 36103-5624

The time filing limitation will be overridden for those claims received on or before July 1, 2009.