June 2007Medicare Bulletin - Idaho Insert
Posted June 6, 2007
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Table of Contents
- Idaho Health Professional Shortage Areas (HPSAs)
- Idaho Mental Health Professional Shortage Areas
- NPI: Get It. Share It. Use It
TopNPI: Get It. Share It. Use It
When NPI Stage 2 was implemented on October 2, 2006, providers were encouraged to submit both the NPI and Medicare legacy identifier (PIN or OSCAR) on their claims. However, during this timeframe providers were not penalized for invalid NPI/legacy ID combinations.
Effective May 11, 2007, CIGNA Government Services Part B will begin editing the NPI/legacy ID combinations for validity against the NPI crosswalk file. Where a match cannot be located on the crosswalk, claims will be returned to the provider or rejected.
When the claim is returned, verify that the correct NPI was submitted. If correct, you will need to verify that your legacy identifier (OSCAR/PIN) number corresponds with the NPI on file with National Plan and Provider Enumeration System (NPPES). NPPES may be contacted online at https://nppes.cms.hhs.gov.
More information and education on the NPI may be found at the CMS NPI page, http://www.cms.hhs.gov/NationalProvIdentStand on the CMS Web site. Providers can apply for an NPI online at https://nppes.cms.hhs.gov.
If your NPPES information is correct and you have included ALL Medicare legacy identifiers (OSCAR) in NPPES, but you are experiencing problems with your claims that contain a valid NPI, you may need to submit a Medicare enrollment application (i.e., the CMS-855).
Mental Health Professional Shortage Areas
Designated Geographic Areas
Effective July 1, 2004
Idaho
| County | Area Name/Parts | Rural/Urban |
| Ada | Mental Hlth Region IV Ada |
Rural |
| Adams | Catchment Area # 3 Adams |
Rural |
| Bannock | Mental Hlth Region VI Bannock |
Rural |
| Bear Lake | Mental Hlth Region VI Bear Lake |
Rural |
| Benewah | Mental Hlth Region I Benewah |
Urban |
| Bingham | Mental Hlth Region VI Bingham |
Rural |
| Blaine | Mental Hlth Region V Blaine |
Rural |
| Boise | Mental Hlth Region IV Boise |
Rural |
| Bonner | Mental Hlth Region I Bonner |
Urban |
| Bonneville | Mental Hlth Region VII Bonneville |
Rural |
| Boundary | Mental Hlth Region I Boundary |
Urban |
| Butte | Mental Hlth Region VII Butte |
Rural |
| Camas | Mental Hlth Region V Camas |
Rural |
| Canyon | Catchment Area # 3 Canyon |
Rural |
| Caribou | Mental Hlth Region VI Caribou |
Rural |
| Cassia | Mental Hlth Region V Cassia |
Rural |
| Clark | Mental Hlth Region VII Clark |
Rural |
| Clearwater | Mental Hlth Region II Clearwater |
Rural |
| Custer | Mental Hlth Region VII Custer |
Rural |
| Elmore | Mental Hlth Region IV Elmore |
Rural |
| Franklin | Mental Hlth Region VI Franklin |
Rural |
| Fremont | Mental Hlth Region VII Fremont |
Rural |
| Gem | Catchment Area # 3 Gem |
Rural |
| Gooding | Mental Hlth Region V Gooding |
Rural |
| Idaho | Mental Hlth Region II Idaho |
Rural |
| Jefferson | Mental Hlth Region VII Jefferson |
Rural |
| Jerome | Mental Hlth Region V Jerome |
Rural |
| Kootenai | Mental Hlth Region I Kootenai |
Urban |
| Latah | Mental Hlth Region II Latah |
Rural |
| Lemhi | Mental Hlth Region VII Lemhi |
Rural |
| Lewis | Mental Hlth Region II Lewis |
Rural |
| Lincoln | Mental Hlth Region V Lincoln |
Rural |
| Madison | Mental Hlth Region VII Madison |
Rural |
| Minidoka | Mental Hlth Region V Minidoka |
Rural |
| Nez Perce | Mental Hlth Region II Nez Perce |
Rural |
| Oneida | Mental Hlth REgion VI Oneida |
Rural |
| Owyhee | Catchment Area #3 Owyhee |
Rural |
| Payette | Catchment Area # 3 Payette |
Rural |
| Power | Mental Hlth Region VI Power |
Rural |
| Shoshone | Mental Hlth Region I Shoshone |
Urban |
| Teton | Mental Hlth Region VII Teton |
Rural |
| Twin Falls | Mental Hlth Region V Twin Falls |
Rural |
| Valley | Mental Hlth Region IV Valley |
Rural |
| Washington | Catchment Area # 3 Washington |
Rural |
Idaho Health Professional Shortage Areas (HPSAs)
Designated Geographic Areas
|
1 Classified as HPSA, effective 5/1/04
2 No longer classified as a HPSA, effective April 12, 2005
3 No longer classified as a HPSA, effective January 7, 2004
4 Classified as a HPSA, effective September 8, 2005
5 Classified as a HPSA, effective November 18, 2005
6 No longer classified as a HPSA, effective July 5, 2006
