Effective August 5, 2023, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will update the guidelines for submitting the same services within an authorization request.

Providers will not be able to submit an authorization request under the following conditions:

• The same procedure code on multiple lines, even if the dates of service are not overlapping
• The same procedure code on multiple lines, even if submitted with a modifier
• The same revenue center code (RCC) on multiple lines without a different procedure code or with no procedure code

Providers will be able to submit an authorization request under the following conditions:

• The same procedure code using a date range
• Separate dates of service under different authorization requests.

For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

• Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682

Effective June 24, 2023, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will enhance the bill processing of durable medical equipment (DME) supplies and accessories.

A separate DEEOIC Durable Medical Equipment (DME) supplies and accessories authorization is not required for the following conditions:

• A rental authorization is approved and on file for the related DME, and service dates are within the rental period.
• A purchase authorization is approved and on file for the related DME, and service dates are within three (3) years of the purchase period.

Providers will not need to submit a correction to an existing DME authorization for the associated supplies or accessories if an approved authorization is on file.

In addition, new utilization limits are added to restrict certain DME codes for DEEOIC.

For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

• Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682

Please click here for DEEOIC FAQs regarding myMatrixx and new DEEOIC program pharmacy benefits.

Effective April 1, 2023, DEEOIC will implement process improvements for General Medical (GM), Transplant, and Transportation (Medical Travel) authorization requests.

Providers will be able to view the line status of an Authorization Request, including the new status of "Processed - Awaiting Decision," when the authorization line is under DEEOIC review. The status will be updated when a decision has been made by DEEOIC.

There is no change to the process of submitting authorization requests via the online Medical Bill Processing Portal or via the authorization request forms.

Please note that if any changes are necessary for an existing General Medical, Transplant, or Transportation authorization, the provider can submit a new Authorization Request.

For additional information, contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

• Division of Energy Employees' Occupational Illness Compensation
  (DEEOIC) 1-866-272-2682

Effective December 17, 2022, DEEOIC will implement an update to procedure code Authorization and Billing for Home Health (HH) services for reimbursement using hourly and 15-minute incremented procedure codes. In addition, some per-diem Home Health procedure codes will be retired.

Key impacts:

• Providers will not be required to submit new or corrected authorization requests for authorizations submitted prior to 12/17/22 with retired codes
• Authorization requests submitted prior to 12/17/22 with retired per-diem codes will continue to be processed.
• Providers will be able to submit corrections to update units/amount and dates for service lines with retired procedure codes in Approved status after 12/17/22. However, providers will be unable to add new service lines to the same authorization using a retired code.
• If the approved authorization on file contains retired code(s), Providers should use the code(s) when billing. For example, if an authorization is approved on 12/16/22 for 6 months of per-diem home health services, then the provider should continue to use the per-diem codes for billing through the end of the approved date span.
• Providers will receive an RTP reason stating that the “Requested Procedure Code is expired or invalid” if a Home Health authorization request with retired codes is received after 12/17/22.

Please refer to DEEOIC Bulletin No.23-03 for more details.

For additional information, you may contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

• Division of Energy Employees' Occupational Illness Compensation (DEEOIC) 1-866-272-2682

Effective October 1, 2022, DEEOIC will implement process improvements for submitting Durable Medical Equipment (DME) and for Rehabilitative Therapies (Rehab) authorization requests.

Improvements include:

• Providers will be able to submit corrections to approved Rehab request authorizations.
• Providers will be able to view the line status of an Authorization Request, including the new status of “Processed - Awaiting Decision” when the authorization line is under DEEOIC review. The status will be updated when a decision has been made by DEEOIC.

Please note that if any changes are necessary for DME authorization, then the provider can submit a new Authorization Request.

For additional information, you may contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

• Division of Energy Employees' Occupational Illness Compensation (DEEOIC) 1-866-272-2682