May 27, 2020

State of Alabama
Press Release: Medicaid

ACHN Attribution Report Modifications

PDF Version

TO:  Attribution Providers


Under the ACHN program, the Medicaid Agency provides a listing of attributed recipients to providers each quarter after the attribution process via the Quarterly Attribution Report (CLM-0700-Q). This report lists new attributions, continuing attributions and terminated attributions. Modifications have been made to the attribution process to include the Termination Reason Code to both the PDF and CSV versions of the report. These codes indicate the reason an attribution was terminated for a provider.

In addition, new columns were added to the CSV version of the report to include Provider NPI, Provider MCD, and Provider Name at the beginning of each row. 

The termination reason code and descriptions are noted in the following table:

Termination Reason
Code

Description

1

RECIPIENT HAS BEEN ATTRIBUTED
TO A NEW PROVIDER

2

RECIPIENT NO LONGER ASSIGNED TO
AN ACHN NETWORK

3

RECIPIENT NOT MET MONTHS OF
ELIGIBILITY REQUIRED

4

RECIPIENT HAD NO CLAIMS IN THE
EVALUATION PERIOD

5

RECIPIENT HAS BEEN REKEYED.
THIS ID IS NO LONGER ACTIVE


The addition of the termination reason codes (TERM) will be included in the May 2020 run of the attribution process. Reports will be available to providers during the first week of June 2020.


A sample of the revised PDF and CSV report layouts are provided on the following page. 


If
you have questions, please visit the Medicaid website at www.medicaid.alabama.gov, or call the Medicaid Fiscal Agent at 1-800-688-7989.

You may also contact the Medicaid Agency's Network Provider Assistance Unit at 334-353-5907 or 334-353-4257.

CLM-0700 -- Quarterly Attribution Report (PDF) displays the New 'Term' Field and Termination Reason Codes.



The following CSV version of the report shows the 'Provider NPI, Provider MCD, and Provider Name, and Term Reason' columns are present on each row.

Note: CSV example has been split for easier viewing.



New column for 'TERM Reason' is present on the report:




The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2020 American Medical Association and © 2020 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.

 



  • For more information, visit http://medicaid.alabama.gov
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