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Puerto Rico POE-AG minutes - March 19, 2025
May 12, 2026
Review the minutes of the Puerto Rico Provider Outreach and Education meeting minutes (POE-AG) from Part A/B
Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)
April 14, 2026
View TPE round results for psychotherapy services.
Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)
April 16, 2026
View TPE round results for rehabilitation services outpatient (KX modifier).
Instructions for completing the EDI SPOT enrollment form for provider organizations
March 4, 2026
These instructions will assist you in completing the EDI SPOT enrollment form as a provider organization.
SPOT backup approver instructions
March 10, 2026
Backup approvers may complete these instructions AFTER their organization's designated approver has received an approval communication from the SPOT Help Desk and created their organization in IDM.
Fee schedule for administration of influenza and pneumococcal virus vaccines
March 23, 2026
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471.
Part B service-specific review – drugs and biologicals (J0178 Eylea, J0897 Prolia, J2778 Lucentis, J9217 Lupron (Leuprolide))
March 17, 2026
Summary for drugs and biologicals (April-May 2021).
Part B service-specific review – psychotherapy services (CPT codes 90832-90839)
March 18, 2026
View this summary for psychotherapy services (December 2020 - March 2021).
Checklist: Chiropractic services documentation
May 1, 2026
This checklist is an aid to assist providers with responding to medical record documentation requests.
Checklist: Nursing home
May 1, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for nursing home services.
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