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AL Medicaid Alert – Changes to Body Mass Index (BMI) Requirement

View the full alert details on the Alabama Medicaid website here:

Beginning June 9, 2020, PCPs, NPs/ PAs (collaborating with a PCP), PCP groups/ individual PCPs participating with an ACHN, FQHCs, RHCs, Public Health Departments, Teaching Facilities, and OB/GYNs that bill procedure codes 99201-99205, 99211-99215, and 99241-99245 are no longer required to include a BMI diagnosis on each claim billed. Beginning June 9, 2020, a BMI will only be required on an annual basis for claims to pay. EPSDT procedure codes 99382-99385 and 99392-99395 must also include a BMI diagnosis on the claim annually or the claim will be denied.