February 2025 Release Notes

Topic mirrors the API-HTTP Response Status Codes replacing REST with SOAP and adding the following specific statuses:

• A 400 status code is logged for agency-specific error alerts, along with the corresponding error message.

• A 500 status code is used for failure messages, along with the detailed failure description.

• A 200 status code is logged for successful requests.

For more information see API HTTP SOAP Response Status Codes.

The following procedure codes added to the Arkansas EDI Code Table.

For more information see Arkansas EDI Codes.

Hawaii Wellcare BH EDI Codes is added to the EDI Code Tables. The following is covered in the topic:

• MCO/Payer ID

• Visit Edit Reasons and Actions Code Tables

• Missed Visit Reason and Action Codes Tables

• Required Fields by Import File Type

For more information, see Hawaii Wellcare BH Code Table.

The Illinois Division of Rehabilitation Services - DRSI is added to the Illinois Electronic Visit Verification (EVV) Data Aggregator API Specifications topic in the MCO/Payer table.

For more information see Illinois Electronic Visit Verification (EVV) Data Aggregator API Specifications.

HHAeXchange has developed APIs to manage healthcare resources to include Practitioner, Patient, and Organization, that are compliant with FHIR R5 standards.

For additional details on FHIR R5 standards, refer to the following links:

• FHIR R5 Standards Overview

• FHIR Resource Center

For more information see API Michigan EVV Physician Specifications.

EVV Request Data Structure dropdown:

• Notes updated to 1000 Max Length in the missed/Visit and editVisit sections.

For more information see Michigan Electronic Visit (EVV) Data Aggregator API Specifications.

The following Mississippi Division of Medicaid procedure codes are added. For more information see Mississippi Payer Configuration Table.

The following payer requirement for Centerlight PACE is updated. For more information see New York Payer Configuration Table.

The Keystone EPSDT payer is added to the S9127 Service Code.

For more information, see Pennsylvania EDI Codes.

The Homecare EDI Import link is added replacing the Homecare Provider Integration Import Guide link.

For more information, see Pennsylvania Missed Visits Import.

This specification outlines the requirements and guidelines for utilizing the interface in conjunction with the Homecare EDI Import interface. This functionality is specifically designed for scenarios where physician information must be included in the claims to ensure accurate submission and compliance with billing requirements.

The following sections outline the file format requirements and file naming conventions necessary for successful implementation and operation of the interface.

• Naming Convention Requirements

• Member Physician Import

For more information, see Member Physician EDI Import.

The following specifications added to the Texas API EVV Data Aggregator Specs, replacing the original specifications on the third-party Knowledge Base.

• Patient Information

• Cargiver Information

• Schedule and Visit Information

• Billing Information

• Incremental Fetch Methods

• Reference Tables

For more information, see Texas EVV Data Aggregator Specs.

The following West Virginia payer procedure codes are updated in API.

The following West Virginia payers are added in the API

• Highmark Health Options West Virginia

• WV HHCS

For more information see West Virginia Payer Configuration Code Table.