RCPA - Rehabilitation and Community Providers Association


OMAP Ends Temporary Exemption for Late Claims
December 14, 2004

In a Remittance Advice dated November 15 the Office of Medical Assistance Programs (OMAP) permitted non-pharmacy providers who had had problems with claims submission due to HIPAA or PROMISe™ to submit claims that would normally reject since they were beyond the permissible billing period. Claims could be submitted for dates of service beginning August 1, 2003 and later. The temporary exemption for submitting these claims beyond the 180-day (Error Status Code 545) or 365-day (Error Status Code 513) billing period ends on December 31.

Please make every effort to complete any of these outstanding claims submissions before December 31. For further information, please contact Betty Simmonds at PCPA.

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