February 26: We are currently polling the states and territories to determine precisely which Medicaid programs allow for automatic crossover. April 22: The HBMA and MGMA report that crossover claims are not accepted by New York, North Carolina, Louisiana, Nevada, South Carolina, Georgia, Kentucky, and Texas. We are working with our subject matter experts to address the problem. June 23: We have learned that New York Medicaid does not accept crossover claims however they are on track to begin accepting them by December 2009. New Jersey Medicaid accepted them but recently changed their policy concerning box 17B on the 1500 form in such a way that Medicare compliant claims for services delivered to patients who were referred by another physician can only be billed to NJ Medicaid with a paper claim. South Carolina Medicaid is unable to accept any automatic crossover from Medicare. We are gathering more information on New Jersey and South Carolina and working to resolve the problems with those states. We would like to hear from practitioners in other states that are having problems with automatic crossover from Medicare to their state Medicaid programs. June 29: We have determined that NJ Medicaid will accept automatic crossover from Medicare as long as the rendering physician's NPI is not placed in block 17; that block should be left blank if the patient was not referred. September 23: We are working with the NJ and SC Medicaid programs and hope to have the problems resolved. NY is currently testing its crossover process and hopes to meet deadlines for accepting automatic crossover. October 9: The September New York Medicaid Update Vol 25 Number 11 makes it official. New York Medicaid will be accepting crossover claims effective December 3, 2009. October 16: We believe that New Jersey is fixed but would like to hear from any practices that are not seeing automatic crossover from Medicare to Medicaid in New Jersey. Our technical staff met with SC Medicaid and we believe that we have found a process by which physician claims can be automatically crossed over. Part A claim automatic crossover will require a complex and expensive change to the SC Medicaid claims processing software. October 29: Effective December 3, 2009, New York Medicaid will begin receiving Medicare crossover claims directly from Medicare's Coordinator of Benefits Contractor, (COBC), Group Health Inc., (GHI), regardless of the claim's date of service. GHI, in its role as the COBC, will be sending crossover claims to New York Medicaid for all of New York State. Please note that claims submitted by pharmacies for payment of the Part B drug coinsurance and deductible are excluded from the crossover system.
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