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."