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Medicaid Provider Re-enrollment

Medicaid Provider Re-enrollment Instructions for MI Rehab Option

Data Submission Documents

CSP Electronic Data Interchange (EDI) Registration
Service Data Submission Guidelines (08/24/2010)
837P 5010 Companion Guide (02/27/2012)
ACSIS Data Dictionary (10/01/2008)

NOTE: The "Place of Service Code" table mentioned in the 837 Companion Guide will be available soon. Please test with code "53" until this table is published.

File Format Specifications

Client Profile [dBase]   (10/01/2008)
Client Profile [text]   (09/28/2010)
Medication [dBase]   (10/01/2005)
Medication [text]   (01/14/2010)

Code Tables

Client Profile Codes (10/22/2008)
Payer Source Codes (09/29/2010)
Contract Codes (10/20/2009)
Medication File Drug Codes (05/01/2014)
Medication File Unit Codes
Crosswalk of MI Services to HIPAA Codes/Contract Codes


Community Reports

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