MDHHS Bulletin: Upcoming Supervising Provider Claim Voids

2.3.D. SUPERVISING PROVIDER The supervising physician NPI may be a professional claim editing requirement for physician services rendered by an enrolled non-physician practitioner, such as a physician’s assistant or advanced practice registered nurse. When physician collaboration or supervision is required by State law or Medicaid policy, claims must include the Medicaid-enrolled supervising physician NPI.  

20.4 NURSE PRACTITIONER BILLING AND REIMBURSEMENT Professional claims must include the NPI of the NP in the Rendering Provider field and the supervising or collaborating physician in the Supervising Provider field as applicable.  

MDHHS is allowing providers time to adjust incorrectly billed claims. Providers will have until March 30, 2025, to adjust paid claims and adding the supervising NPI. Adjusted claims should include the claim note “Adjusting to add supervising NPI.” 

Starting in April 2025 until complete, MDHHS will void claims that were incorrectly paid. The impacted claims can be identified by the claim note of “MSA 20-56”.  

Providers with additional questions should contact Provider Support at 1-800-292-2550 or by email at [email protected].