Over the next several months, you will be receiving a great deal of information regarding the transition from Pinnacle to TrailBlazer as the new Medicare Part B Contracted Carrier for New Mexico. There will be changes and action will be needed on your part.
Your EFT agreement, Form CMS-588, MUST be submitted to TrailBlazer prior to the cutover date that is scheduled at this time for March 3, 2008. If you do not supply this form to TrailBlazer, your checks will automatically revert to a paper check mailed by first class mail.Existing EDI enrollment forms will be transferred to TrailBlazer from Pinnacle but any provider who wishes to establish EDI capability with any contractor must complete the standard CMS EDI enrollment form and submit it before production claims can be accepted from that provider.LCDs regarding this transition are being released later this week, probably Friday, to the J4 MAC website. There will be very subtle changes all the way to brand new policies contained in the LCDs.
Everyone should read EVERY policy. This is very important!! The LCDs have been consolidated from approximately 800 to approximately 140.The most important thing that you can do for yourself and your practice is to enroll on the J4MAC list serves. The following link will take you to the site where you can accomplish getting enrolled: http://www.trailblazerhealth.com/Tools/ListServ.aspx?DomainID=4
Sign up for both the general J4 MAC implementation list and the list that is specific to New Mexico Part B. These two lists will keep you thoroughly informed of any and all information that you will require to make this transition smooth and painless.Learn to navigate the J4 MAC website at www.trailblazerhealth.com/j4 as that will be your best tool as this transition proceeds. A great deal of information is already on this website and much more will be coming.There WILL be many changes and you will want to be informed!! The NMCA has signed up for the pertinent list serves and all information received will be forwarded to members over the association list serve. Transition conference calls will be held bi-weekly starting in January and that information will, also, be sent to all our members.Please read the following three articles included with this Journal and on our website. This is just a beginning but more will be coming soon.Subscribe to TrailBlazer’s J4 MAC Listservs to Stay Informed of Important Implementation NewsCMS J4 A/B MAC Implementation Schedule
J4 Segment 3 Oklahoma and New Mexico Part B Communications Plan
TrailBlazer Health Enterprises, LLC J4 MAC Frequently Asked Questions (FAQs)
Medicare Administrative Contractor Jurisdiction 4
As you become familiar with this transition process and with TrailBlazer, please let Jaeni at the NMCA, 505-280-0689, know of any questions that you would like the consulting team to address during their bi-weekly teleconferences.