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NPI Referrals Announcements 1215

NPI Referrals Announcements 1215

Publication Date: December 18, 2015

Referrals/NPI numbers no longer requred.

Effective Oct. 1, 2015, providers are no longer required to obtain a referral or NPI number from the LME-MCO in order for Medicaid recipients to receive outpatient services.

Medicaid Clinical Coverage Policy 8C removed the requirement for a referral from the LME-MCO in order for Medicaid recipients to receive outpatient behavioral health services.

Section 5.4 of the document states taht the Medicaid recipient " ... may be self-referred or referred by some other source."