Frequently Asked Questions

When do I contact the Department for Medicaid Services?

You need to contact the Department for Medicaid Services if you have questions about:

• Policy questions.
• Program coverage.
• Appeals.

How do I check recipient eligibility?

You can check recipient eligibility by:

• Obtaining a copy of the recipients Medicaid card.
• Contacting the 24 hour Automated Voice Response line at 1-800-807-1301.

What functions does Automated Voice Response have for me?

The Automated Voice Response systems offers you:

• 24 hour availability.
• Check write information. (Check amount for the previous three pay cycles)
• Verify recipient eligibility by MAID number or name.
• Verify claim status within one year.
• Third party insurance information.
• KenPac / Lockin information.
• Service of limiations for Dentist or Vision providers.
• Managed Care information.
• PRO information.

How does ICD-10 Implementation affect me?

The Centers for Medicare & Medicaid Services (CMS) has posted on its website 11 new frequently asked questions (FAQ) about the ICD-10 Implementation.

To access these FAQs, please visit the CMS ICD-10 web page at, http://www.cms.gov/ICD10/, select the Medicare Fee-for-Service Provider Resources link on the left side of the page, scroll down the page to the “Related Links Inside CMS” section and select “ICD-10 FAQs”.

Please check the ICD-10 FAQ section regularly for newly posted or updated ICD-10 FAQs.