State of Vermont [phone] 802-479-1030 Agency of Education 219 North Main Street, Suite 402 [fax] 802-479-1835 Barre, VT 05641 education.vermont.gov

Thursday, May 21, 2015 To all Medicaid Clerks and Coordinators; Spring is here and the end of the school year is quickly upon us. For those of you who do not work over the summer, you enjoy a reprieve from all things Medicaid. For those of you who will toil over the summer months, you will likely see your Field Reps during those months and they will certainly be available to answer questions and check eligibility. A few items of interest: HP once again issued an upgrade to the VT HP Provider Electronic Solutions

(PES) software. Please check with your Field Rep to update to version 2.9 (don’t forget to make a backup of your database before upgrading).

Worksheet A was due Wednesday, May 13th. Please make sure you’ve billed all State Placed Student’s claims through March 31st by Thursday, June 4th, in order to make the June 12th RA.

It is unlikely that we will change any forms, other than to update the formulas in the LOCs. We will have new LOCs out to you by the first week of June.

Starting with all claims with date of service of 10/1/2015 and after, ICD-10 will replace ICD-9 codes. While the Medicaid Provider web site offers information on how to test your ICD-10 claims, AoE recommends Medicaid Clerks and Coordinators don’t worry about testing. The only change for us is the code we enter into the HP System on Hdr 2 and that you pull down from the menu and select 10 for the type of diagnosis code, rather than the 9 you might have selected in the past. As usual, Case Managers and Doctors should be assigning diagnosis, but should you need to find a code based on that diagnosis, we will endeavor to assist. We will post the following list on our website, and also the existing list of codes as found in the Medicaid manual and all the corresponding ICD-10 codes: http://education.vermont.gov/special-ed-finance-and-medicaid/medicaid-resources/ For a complete list of code conversions go to: https://www.aapc.com/icd-10/codes/

Here are some of the most commonly used ICD-9 codes and the new ICD-10 replacement:

ICD 9

ICD 10 Description of Diagnosis

299.00 F84.0 Autistic disorder 300.9 F48.9 Nonpsychotic mental disorder, unspecified 300.9 F99 Mental disorder, not otherwise specified 310.9 F09 Unspecified mental disorder due to known physiological condition 312.9 F91.9 Conduct disorder, unspecified 314.00 F90.9 Attention-deficit hyperactivity disorder, unspecified type 314.01 F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type 314.01 F90.1 Attention-deficit hyperactivity disorder, predominantly hyperactive type 314.01 F90.2 Attention-deficit hyperactivity disorder, combined type 314.01 F90.9 Attention-deficit hyperactivity disorder, unspecified type 315.00 F81.0 Specific reading disorder 315.02 F81.0 Specific reading disorder 315.2 F81.81 Disorder of written expression 315.2 F81.89 Other developmental disorders of scholastic skills 315.31 F80.1 Expressive language disorder 315.39 F80.0 Phonological disorder 315.39 F80.89 Other developmental disorders of speech and language 315.5 F82 Specific developmental disorder of motor function 315.8 F88 Other disorders of psychological development 315.9 F81.9 Developmental disorder of scholastic skills, unspecified 315.9 F89 Unspecified disorder of psychological development 318.0 F71 Moderate intellectual disabilities 319 F79 Unspecified intellectual disabilities

343.9 G80.9 Cerebral palsy, unspecified 369.9 H54.7 Unspecified visual loss 389.7 H91.3 Deaf nonspeaking, not elsewhere classified 389.9 H91.90 Unspecified hearing loss, unspecified ear 741.90 Q05.8 Sacral spina bifida without hydocephalus 758.0 Q90.9 Down syndrome, unspecified 758.89 Q99.8 Other specified chromosome abnormalities 759.89 E78.71 Barth syndrome 759.89 E78.72 Smith-Lemli-Opitz syndrome 759.89 Q87.2 Congenital malformation syndromes predominantly involving limbs 759.89 Q87.3 Congenital malformation syndromes involving early overgrowth 759.89 Q87.5 Other congenital malformation syndromes with other skeletal changes 759.89 Q87.81 Alport syndrome 759.89 Q87.89 Other specified congenital malformation syndromes, not elsewhere classified 759.89 Q89.8 Other specified congenital malformations 783.40 R62.50 Unspecified lack of expected normal physiological development in childhood

Have a great summer, Sheila Manchester Coniff Education Medicaid Unit Administrator