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Clinic Manual Archive

Below are the previous versions of the Clinic Manual.

Version Manual Document Change Notes

2022 - 1

Archived February 6, 2023

Policy Guidelines (PDF 1.29MB)  

2007 - 2 (6/07)

Archived October 26, 2022

Policy Guidelines (PDF 866KB)  

2013 - 1 (6/28/13)

Archived October 13, 2015

Billing Guidelines (PDF 1.3MB)  

2011 - 1 (6/1/11)

Archived July 1, 2013

Billing Guidelines (PDF 1.02MB)  

2009 - 1 (10/01/09)

Archived June 20, 2011

Billing Guidelines (PDF 156KB)  

2008 - 3 (11/11/08)

Archived October 29, 2009

Billing Guidelines (PDF 274KB)  

2008 - 2 (7/07/08)

Archived December 4, 2008

Billing Guidelines (PDF 146KB)  

2008 - 1 (1/25/08)

Archived July 24, 2008

Billing Guidelines (PDF 144KB)  

2005 - 1 (7/05)

Archived February 20, 2008

Billing Guidelines (PDF 191KB)  

2007 - 1 (5/07)

Archived June 29, 2007

Policy Guidelines (PDF 281KB) In the previous version, in the policy section for Dental services on page 34, there was a list of criteria a provider must follow when billing for dental services. The second bullet stated, "When billing: Entering the group Medicaid ID number in the Medicaid Group Identification Number field." This was incorrect. There are no rate based Institutional providers who enter or have a Group Identification number. This statement has been deleted.
151-11:09:03 AM