Provider & Practitioner Manual - Summary of Changes

The following summarizes the updates and changes to the 2009 Keystone Mercy Provider Manual, Effective May 31, 2009:

• Addition of MedTox (Lead Screening) Telephone and Program Information: Pages 5 & 61
• Change in Credentialing/Recredentialing Provider Appeal Language: Page 123
• Childhood Immunization Guidelines Updated: Appendix II.6,   Pages 203 - 205
• Detained Newborns and Other Newborn Admissions: Page 44
• EPSDT Periodicity Schedule Updated: Appendix II.5,   Pages 199 - 202
• EPSDT Guidance Updated: Pages 49 - 62
• Keystone Mercy 2009 Services Payable above Capitation (PCPs) Revised: Appendix V, Page 210
• Laboratories and Phlebotomy Sites: Appendix II.4, Pages 190 -198
• Member Benefits and Co-Pay Guide Updated: Page 22
• NPI Guidance Revised: Pages 3 & 4
• Home Phlebotomy: Page 48
• Provider Change Form Updated: Appendix IV
• Provider Reference Guide: Appendix II.9
• Provider Demographic Changes: Fax Number Change, Page 90
• Present on Admission/Preventable Serious Adverse Events (POA/PSAE): Pages 71 - 73
• Quest Laboratory Exclusive Arrangement: Appendix II.4