DOH Medicaid Update Index - B
Bariatric Surgery
- Bariatric Surgery Procedure Change January 2011
- Bariatric Surgery Reimbursement for Fee-For-Service Beneficiaries October 2010
- State Health Department Designates Bariatric Surgery Centers for Medicaid in NYC November 2009
Bed Safety
- Bed Rail Safety Equipment For The Developmentally Disabled March 2002
- Enclosed Bed Systems Are Dangerous February 2002
Billing
- Medicaid Billing for Vivitrol
- Updated Billing Guidelines for 17 Alpha-Hydroxyprogesterone Caproate (17P)
- HIV Counseling and Testing Rate Codes to be Subsumed into APGs June 2011
- Free-Standing Rate Codes Subsumed by APGs to be Zeroed-Out June 2011
- Billing Policy for Free-Standing Diagnostic and Treatment Centers (DTCs), including Renal Clinics and School Based Health Centers (SBHCs) June 2011
- New Policy and Procedure Manual and Fee Schedule Available May 2011
- Medicaid Reimbursement Rates for Smoking Cessation Counseling (SCC) May 2011
- Medicaid Begins Coverage for Hospital Emergency Room Observation Services May 2011
- Final Cycle for 1.1% Reduction and Delayed Remittance Check April 2011
- Genetic Counselors Must Submit NPI on Medicaid Claims April 2011
- Dental Place of Service (POS)Policy and Billing Guidance March 2011
- Changes in Ambulette Enrollment Policy March 2011
- New Ambulette Provider Surety Bond Requirements March 2011
- Billing Reminder For Institutional Providers Required To Use NPI March 2011
- Billing Instructions for Skilled Nursing Facility Stays for Medicaid Advantage and Medicaid Advantage Plus Enrollees - February 2011
- Billing for Family Planning Services for Managed Care Enrollees - February 2011
- Policy & Billing Guidance from EPIC - Secondary Coverage for Medicare Part D - January 2011
- Medicaid Coverage and Billing Requirements for Risperdal Consta, Invega Sustenna & Zyprexa Relprevv - December 2010
- Anesthesia Supervision Billing and Payment Update - November 2010
- Anesthesia Coding Changes to Begin 11/18/10 - November 2010
- Medicaid Fee-For-Service Coverage of Seasonal Flu and Pneumococcal Immunizations October 2010
- Change in Medicaid HIV Drug Resistance Billing Policy June 2010
- Medicaid Preferred Drug Program Change in Provider Notification - May 2010
- Medicaid Managed Care & Family Health Plus (FHPlus) Enrollees of NYS Catholic Health Plan (d/b/a Fidelis Care New York) - May 2010
- AMBULANCE PROVIDERS: Acceptable Claim Modifiers - May 2010
- Medicaid Billing Instructions for Office of Mental Health Licensed Outpatient Programs - May 2010
- National Drug Code billing announcement March 2010
- Pharmacies billing for immunizations are strongly encouraged to enroll in the VFC program March 2010
- Billing for mental health clinic visits for SSI and SSI-related beneficiaries enrolled in mainstream Medicaid managed care plans March 2010
- Medicare Automed Claim Crossover Update December 2009
- New York Medicaid to Cover Cardiac Rehabilitation for Fee-For-Service Enrollees December 2009
- Expanded Medicaid Reimbursement for Nurse Practitioner Services December 2009
- Card Swipe Program Expanding to Include Selected Private Duty Nurses and Transportation Providers December 2009
- Medicaid Integrity Contractor (MIC) Audits December 2009
- Important Information about New eMedNY Utilization review edits December 2009
- Change in Billing Procedures for Medicaid Pharmacy Administration of Vaccine November 2009
- Medicaid Outpatient Coding Edits Reminder November 2009
- Medicaid Coverage and Reimbursement of Vaccines October (Special) 2009
- Medicare Part B and Part D Reimbursement Guidelines September 2009
- Palivizumab (Synagis®) Added to Clinical Drug Review Program September 2009
- Transportation Billing For Multiple Dates of Service July 2009
- Adjusting previously paid claims with multiple claim lines June 2009
- Easy tips to reduce cancellations and no-show rates June 2009
- Providers Who Submit Batch Transactions May 2009
- Home Care Providers - Billing Requirements Update May 2009
- NPI Update: To Ensure Prompt Processing of Claims Providers Must Use NPI May 2009
- CSC Offers Medicaid Provider Seminars April 2009
- Immunosuppressant Drugs for Persons Eligible for Both Medicare and Medicaid Must be Billed to Medicare April 2009
- CSC Offers Medicaid Provider Seminars March 2009
- Coverage for Fetal Nuchal Translucency Measurement Ultrasound Screening Test Approved March 2009
- OMIG Lists Disqualified Individuals and Entities on Website March 2009
- Outpatient Coding for Medicaid March 2009
- Attention Providers January 2009
- Hearing Aids Are Now Approved Through DVS January 2009
- Billing Instructions for Physician Administered Drugs (J-codes) Submitted on Paper Claims December 2008
- Billing Instructions for Physician Administered Drugs (J-codes) Submitted on Electronic Caims December 2008
- Psychiatric Services Billing Reminder November 2008
- Update on Mandatory Managed Care For SSI and SSI-Related Medicaid Enrollees November 2008
- New Beneficiary-Specific Utilization Thresholds June 2008
- Increases in Practitioner Fees and Payment Enhancements December 2008
- Ordered ambulatory providers billing 340B purchased drugs October 2008
- Enhanced payment for expanded "after hours" access October 2008
- Important "Never Events" Update October 2008
- Diabetes & Asthma self-management training will soon be offered to Medicaid beneficiaries October 2008
- Reimbursement soon available to outpatient hospital clinics and free standing diagnostic and treatment centers October 2008
- Medicaid to offer smoking cessation counseling for pregnant women October 2008
- Unclassified Drug Code New Available for Billing July 2008
- Provider Bulletins July 2008
- Hearing Aid Devices Soon To Be Approved Through DVS July 2008
- NYS Medicaid Coverage Policy for Digital Mammography July 2008
- Payment Edits Policy for Treatment of an Emergency Medical Condition July 2008
- Policy on "Interrupted Treatment" for Dental Procedures June 2008
- Unclassified Drug Code Now Available for Billing June 2008
- Medicaid Claims Will Require Present on Admission (POA) Indicator June 2008
- Pharmacy Providers, Are you using the correct NDC when validating a PA? June 2008
- Comprehensive Treatment Plan May Now Include Compulsive Gambling Counseling May 2008
- Diagnosis Related Groups (DRGs) April 2008
- Durable Medical Equipment Update February 2008
- Clarification of Commercial Insurance Billing Requirements February 2008
- Claims Pending Review for Edits 00127 and 01283 February 2008
- Adjusting Previously Paid Claims with Multiple Claim Lines February 2008
- Requirements and Responsibilities in the Medicaid Program January 2008
- Inappropriate Billing for "Show-Up Time" January 2008
- Coverage of Herpes Zoster Vaccine January 2008
- Benefits of Electronic Billing January 2008
- Care at Home Case Management Rate Increase December 2007
- 2008 Healthcare Common Procedure Coding System December 2007
- Medicaid Coverage of Human Papillomavirus Vaccine December 2007
- National Drug Code Required on Medicaid Claims December 2007
- Correct Billing for Medicare Part B Coinsurance on Non-HIPAA Compliant and Paper Claims December 2007
- Claiming for Primary Care December 2007
- Requesting Individual Provider Training December 2007
- Clarification on Reporting Critical Care Procedure Codes 99291 and 99292 November 2007
- Proper Claim Completion for Abortion-Related Testing November 2007
- Revised Instructions for the Billing of Implanon and Intrauterine Devices November 2007
- Annual Ambulette Survey Required Information from Ambulette Providers! November 2007
- Billing for Cardiography Procedures October 2007
- Coverage of Medical Supplies and Over-the-Counter Drugs by OMRDD October 2007
- Inpatient Admission from a Hospital Emergency Room October 2007
- Seminar Schedule and Registration October 2007
- Seminar Schedule and Registration September 2007
- Electronic Transactions Vendor List September 2007
- CSC Call Center Contact Information August 2007
- Seminar Schedule and Registration August 2007
- Inpatient Hospital Billing Guidelines-Recently Updated! August 2007
- New Billing Procedure For Services Without Established Fees August 2007
- Prior Approval Process for Enrollees Eligible for Both Medicare and Medicaid August 2007
- Coverage for Immunosuppressant Drugs July 2007
- Medicaid Enrollees Cannot be Billed July 2007
- Medicaid Reimbursement for Implanon June 2007
- National Drug Code Required on Medicaid Claims June 2007
- Physicians Billing for Critical Care June 2007
- Reimbursement Changes for Pharmacy Claims June 2007
- Preferred Drug Program June 2007
- Individual Provider Training is Available June 2007
- Seminar Schedule and Registration June 2007
- Paper Claim Forms No Longer Contain Pre-printed Information May 2007
- Replacement of the UB-92 Claim Form with the UB-04 Claim Form April 2007
- Changes to Paper Claim Forms March 2007
- Converting To The UB-04 Paper Claim Form March 2007
- Request For Suggestions For Future Seminars February 2007
- Batch Response File Submissions February 2007
- Medicaid Coverage of Human Papillomavirus (HPV) Vaccine February 2007
- Annual Recertification Notices For Billing December 2006
- Replacement of the Uniform Billing Paper Claim Form November 2006
- Prepayment Review Has Ended For Procedure Code 92568 November 2006
- Approval of Darbepoetin Alfa for Dialysis Patients November 2006
- Palivizumab Medicaid Coverage For Children at Risk November 2006
- Medicare Part B Drug Coverage/Billing Issues November 2006
- Proper Billing Requirements for Clinics September 2006
- Prepayment Review Will End For Some Procedures September 2006
- Physician Reimbursement For Allergen Preparation August 2006
- Change Of Implementation Date For The New Medicaid Limited Wrap-around Benefit August 2006
- Billing and Payment for Intensity Modulated Radiation Treatment July 2006
- Pharmacists! July 2006
- Important Prior Authorization Pharmacy Phone Numbers July 2006
- Children's Clinic Rate Enhancements June 2006
- Changes to the Medicaid "Wrap-Around" Program June 2006
- Enrollment and Coverage for Newborns May 2006
- Personal Hygiene Products Are Not Medical-Surgical Supplies May 2006
- Provider Manual Updates May 2006
- Provider Services January 2006
- Hospital Billing Changes January 2006
- Medicaid Coverage of Hysteroscopic Sterilization (ESSURE®) January 2006
- New eMedNY Help Desk Hours of Operation December 2005
- 2006 Healthcare Common Procedure Coding System Is Released December 2005
- Electronic Funds Transfer For Provider Payments December 2005
- Billing Change for Xolair® December 2005
- Billing For Epogen, Aranesp, Neupogen & Neulasta November 2005
- Phase II Compliance Deadline December 31, 2005 November 2005
- Correction To July Article On Dental Quadrant Designations October 2005
- Billing For Supernumerary Teeth October 2005
- Palivizumab (Synagis) Medicaid Coverage October 2005
- Blood Product Billing Change to Billing Units October 2005
- Proper Completion Of Claim Forms October 2005
- eMedNY Transition Extended To Dec. 31, 2005 October 2005
- Seminar Schedule and Registration September 2005
- Preferred Physicians and Children's Program September 2005
- Billing Requirements for Clinics Certified by The DOH and The OMH August 2005
- Billing for Epidurals August 2005
- Physician Case Management Providers and HMO's August 2005
- Proper Billing Requirements For Clinics July 2005
- Decimal Billing Requirements April 2005
- Electronic Billing Changes for Ambulatory Services March 2005 Special Edition
- New Drug Code For Risperdal Consta Effective January 1, 2005 January 2005
- Electronic Billing Changes for Ambulatory Services January 2005
- Providers of Traumatic Brain Injury Waiver Services Documentation and Billing Requirements January 2005
- Notice To Hospitals Billing Diagnosis Related Groups (DRG's) January 2005
- Correct Billing for Medicare Part B Coinsurance For Non-HIPAA Compliant and Paper Claims January 2005
- NCPDP 5.1 Billing Requirements for Medicare Crossover Claims December 2004
- Physician Assistants Rendering Provider Only November 2004
- Medicaid Coverage of Palivizumab (Synagis®) November 2004
- Ambulette Transportation Providers Additional Information Required For Billing November 2004
- Medicaid Purchases Medicare Part A Coverage October 2004
- Inpatient Services Paid "Off-Line" October 2004
- Medicare, Medicaid, and Elderly Pharmaceutical Insurance Coverage (EPIC) Program October 2004
- Physician, Nurse Practitioner, Ordered Ambulatory Billing October 2004
- Service Provider Number September 2004
- New Laboratory Service Available September 2004
- Key Changes Under eMedNY Phase II September 2004
- Revised List of Infant Apnea Centers August 2004
- Important Pharmacy and DME Contact Numbers July 2004
- Products Of Ambulatory Surgery Grouper July 2004
- Medicaid Payment For Psychiatric Social Work June 2004
- Physician Billing For Drugs May 2004
- Provider Services April 2004
- Notice To NYS Hospitals Billing DRGs April 2004
- Provider Services March 2004
- Preferred Physicians & Children's Program Billing Guidelines March 2004
- DME & Pharmacy Fee Schedule Revisions March 2004
- Part-Time Clinics Can Learn From Past Actions March 2004
- Provider Audit Protocols March 2004
- Revised Pharmacy Billing Procedures for Compounded Prescriptions February 2004
- Notice To NYS Hospitals Billing DRGs February 2004
- Timely Submission Of Claims To Medicaid February 2004
- Synagis Procedure Code Correction For Physician Billing January 2004
- Ask the Pharmacist...Return of Unused Medication December 2003
- Coverage Of Palivizumab November 2003
- Decimal Billing Required For 5.1 Billing Format November 2003
- Pharmacy Providers - Dual Billing November 2003
- Article 28 Clinics Billable Clinic Visits November 2003
- Important Levitra Or Viagra Prescribing & Billing Information November 2003
- Required Medical Documentation For Supervising/Teaching Physicians November 2003
- Care At Home Providers Entitled To 3% Retroactive Payment October 2003
- Optometrists: Diagnosis Required When Billing August 2003
- Medicaid Recipients Cannot Be Billed July 2003
- Pharmacy Billing for OTC Claritin: Use NDC or UPC June 2003
- Billing for Newborns In Managed Care Plans June 2003
- Important Billing Instructions For Article 16 Clinic Providers May 2003
- Notice To Hospitals Billing DRG's February 2003
- Clinic Billing Guidelines February 2003
- Billing Guidelines For Eyeglass Project December 2002
- Pharmacists: Are You Billing with the Correct NDC Number? October 2002
- Laboratory Billing for Molecular Diagnosis Procedures September 2002
- Tape & Diskette Submissions September 2002
- Dental Prophylaxis Billing August 2002
- Prescribers & Pharmacists - Serostim & Zyvox Billing August 2002
- Physician Modifier Codes Used For Billing July 2002
- Billing for Botulinum Toxin Type B (Myobloc) July 2002
- Electronic Billing Transmission: Some Reminders May 2002
- Physician & Clinic Billing for Magnetic Resonance Imaging May 2002
- Dental Providers: New Instructions for Billing & Coverage May 2002
- Medicaid Denies Payment...Can I Bill the Recipient? April 2002
- Pharmacy: Correct Billing For Non-drug Items March 2002
- Pharmacy Compound Prescription Billing Instructions February 2002
- Physician Billing Reminder December 2001
- Billing Bulletin - Adjustments And Voids August 2001
- Avoid Billing Errors: Medicaid's Prepaid Mental Health Plans July 2001
- Enteral Therapy: Billing And Coverage July 2001
- Are You Having Medicaid Billing Problems? April 2001
- Attention: All Upstate (Non-NYC) Ophthalmic Dispensers April 2001
- A Message For Providers Using Service Agents March 2001
- Medicaid Managed Care Enrollees Cannot Be Billed March 2001
- All Medicaid Managed Care Enrollees Have Coverage For Dental Services March 2001
- Billing For Enteral Formulae Codes B4154 & B4155 November 2000
- Compounded Prescription Billing Instruction Change November 2000
- Compounded Prescription Billing Instruction Change October 2000
- CSC Billing Bulletin October 2000
- CSC Billing Bulletin September 2000
- Clarification To May 2000 Medicaid Update Article August 2000
- Medicaid Services For Newborn Infants July 2000
- Prescriptions Written By Optometrists June 2000
- Attention: Optometrists - Expanded Scope Of Services June 2000
- Attention: Dental Providers June 2000
- Billing For Commercial Insurance Deductible & Coinsurance May 2000
- Attention: Hospital/Laboratory Providers May 2000
- Attention: Nursing Registries May 2000
- Rejected Modem Claims May 2000
- Remittance Statement Replacement April 2000
- Hemodialysis Clinic Billing For Epogen March 2000
- Request For Provider Suggestions February 2000
- CSC Billing Bulletin December 1999
- Lawsuit Billing Information November 1999
- CSC Billing Bulletin November 1999
- Attention Physicians Who Supervise Residents November 1999
- Evaluation & Management Services November 1999
- Timing Is Everything October 1999
- Lawsuit Billing Information October 1999
- Lawsuit Billing Information August 1999
- Attention All Providers - CSC Claim Acknowledgement Procedures August 1999
- Attention: Optometrists July 1999
- Medicaid Recipients Cannot Be Billed July 1999
- Lawsuit Billing Information July 1999
- CSC Billing Bulletin - Valid Attachments June 1999
- Physician Billing for In-Office Laboratory Tests Correction May 1999
- Lawsuit Billing Information May 1999
- Computer Sciences Corporation May 1999
- Submission of Claims over 2 Years Old May 1999
- CSC Billing Bulletin to All Providers May 1999
- Lawsuit Billing Information April 1999
- CSC Billing Bulletin April 1999
- Lawsuit Billing Information March 1999
- Physician Billing for In-Office Laboratory Services February 1999
- Lawsuit Billing Information February 1999
- CSC Billing Bulletin - Edit Review Panel February 1999
- Attention: All PCAPS February 1999
- Computer Sciences Corporation January 1999
- Lawsuit Billing Information January 1999
Blood Pressure Machines (Automatic)
Botox
Booster Seats
Brand Drugs
- Pharmacy Reimbursement Changes June 2006
- Mandatory Generic Drug Program Update July 2005
- Mandatory Generic Drug Program Update September 2004
- Mandatory Generic Program News March 2003
- Important Medicaid Mandatory Generic Program Reminder December 2002
- Instructions For Prescribers: How To Obtain a Prior Authorization October 2002 Special Edition
- Information For Pharmacists October 2002 Special Edition
- How To Request Brand-Name Drug Exemption From Mandatory Generic Drug Program October 2002 Special Edition
- Frequently Asked Questions about the Mandatory Generic Drug Program October 2002 Special Edition
- Comparison of Brand Drugs vs. Generic Drugs August 2002
Breast Cancer
- Statutorily Required Breast Cancer Treatment Booklet Available June 2011
- Medicaid Breast Cancer Surgery Policy March 2011
- State Health Dept selects hospitals to provide breast cancer surgery April 2009
- October is Breast Cancer Awareness Month October 2006
Buy-in
- Medicaid Purchases Medicare Part A Coverage October 2004
- Medicaid Buy-in For Working People With Disabilities July 2003
The Medicaid Update: Your Window Into The Medicaid Program
The State Department of Health welcomes your comments or suggestions regarding the Medicaid Update.
Please send suggestions to the editor, Kelli Kudlack:
NYS Department of HealthOffice of Health Insurance Programs
Corning Tower, Room 2029
Albany, NY 12210
(e-mail MedicaidUpdate@health.state.ny.us )
The Medicaid Update, along with past issues of the Medicaid Update, can be accessed online at the New York State Department of Health web site: http://www.nyhealth.gov/health_care/medicaid/program/main.htm
