DOH Medicaid Update Index - H to L
HCBS
- 2012 Spousal Impoverishment Income and Resource Levels Increase December 2011
- 2009 Spousal Impoverishment Income and Resource Levels Increase April 2009
- Your Provider Manual is Going Online! October 2006
- Voluntary Medicaid Managed Care For SSI June 2004
- Traumatic Brain Injury Waiver Rate Changes December 2003
- Home & Community Based Waiver: New Restriction/Exception Code July 2002
- TBI Waiver Rate Increase September 2001
- TBI Waiver Rate Increase February 2001
- New Payment Edit For OMRDD Home & HCBS Waiver Claims December 2000
- Notice to NYS Medicaid Recipients January 2000
- TBI Waiver Rate Increase December 1999
Healthy NY
Hearing Services
- Hearing Aids Are Now Approved Through DVS January 2009
- Hearing Aid Devices Soon To Be Approved Through DVS July 2008
- CSC Call Center Contact Information September 2007
- Hearing Services Providers December 2001
- Hospital Reimbursement Newborn Hearing Screening Program Services October 2001
- Hearing Aid Coverage Criteria April 2001
- Attention: Hearing Aid Dispensers March 2000
Hepatitis
- Medicaid Payment to Laboratories for Hepatitis C Virus Quantitative PCR Tests November 2010
- Is Your Patient Covered by Medicare? October 2007
- Hepatitis C Department Gudelines April 2006
- Medicaid Payment To Laboratories For Hepatitis C Tests July 2003
- Hepatitis C: Treatment Options & Considerations May 2002
- Medicaid Payment For Hepatitis C Viral Load November 1999
HIPAA
- Protected Health Information (PHI) Fact Sheet November 2009
- NYSDOH to Implement National Provider Identifier Requirement June 2008
- NYHIPAADESK FAQs December 2007
- Electronic Transactions Vendor List September 2007
- Understanding HIPAA Claim Denials August 2007
- Important Information about Available Electronic Tools August 2007
- Medicaid Information Available Online August 2006
- Electronic Remittance Advices April 2006
- Enhanced Electronic Remittances Information for Denied Claims January 2006
- ePACES The Alternative To Paper! January 2006
- National Provider Identifier October 2005
- Medicaid Information Available Online! July 2005
- eMedNY Transition Plan Now Available March 2005
- eMedNY Transition Plan Now Available March 2005
- eMedNY Phase II Beginning March 24, 2005 March 2005 Special Edition
- Dental Claims HIPAA 837D Transaction Change in Oral Cavity Reporting January 2005
- Correct Billing for Medicare Part B Coinsurance For Non-HIPAA Compliant and Paper Claims January 2005
- Denial Report Created! December 2004
- HIPAA Compliance Deadline December 29, 2004 December 2004
- Deadline For End Of HIPAA Exception Processing December 29, 2004 November 2004
- Ambulette Transportation Providers Additional Information Required For Billing November 2004
- HIPAA Companion Guides For eMedNY Phase II November 2004
- Dental Claims HIPAA 837D Transaction Change in Oral Cavity Reporting November 2004
- Provider Services Fax-On-Demand System Now Available! October 2004
- Introducing the eMedNY Exchange! October 2004
- Remittance Advices HIPAA Transactions 835 and 820 October 2004
- HIPAA Compliance Deadline October 6, 2004 September 2004
- HIPAA Deadline Date: October 6, 2004 August 2004
- HIPAA Notes For Medicaid July 2004
- Urgent Medicaid HIPAA Update July 2004
- Provider Services June 2004
- Consult Your Medicaid Eligibility Verification System Manual June 2004
- Medicaid Eligibility Field Software Soon To Be Terminated June 2004
- Vital Medicaid HIPAA Update June 2004
- Urgent Medicaid HIPAA Update May 2004
- Provider Services April 2004
- Provider Services March 2004
- Preferred Physicians & Children's Program Billing Guidelines March 2004
- Automatic Refills January 2004
- Requirements Regarding Disclosing & Using Health Information For Medicaid Enrollees December 2003
- Important HIPAA Reminders For All Providers December 2003
- Providers: Are You HIPAA Compliant? December 2003
- HIPAA Trading Partner Agreement Reminder December 2003
- OMNI 3750 Deployment Continues December 2003
- HIPAA Compliant Transactions Now Accepted December 2003
- Providers - Are You HIPAA Compliant? November 2003
- Providers - Are You HIPAA Compliant? October 2003
- HIPAA News: New Omni 3750 POS Deployment On Track September 2003
- HIPAA News: Transactions And Code Sets Compliance Date Is Coming September 2003
- Private Duty Nursing Providers September 2003
- ePACES System Is Coming August 2003
- HIPAA News: Have You Ordered Your New POS Device? August 2003
- HIPAA News: Trading Partner Agreements August 2003
- HIPAA News - Have You Replaced Your Old 330 POS Device? July 2003
- ePACES Is Right Around The Corner July 2003
- HIPAA News - Trading Partner Agreement July 2003
- HIPAA News - New Codes For PPAC Providers July 2003
- Submit Claims via ePACES June 2003
- HIPAA Required Recipient Privacy Notice Has Been Mailed June 2003
- New POS Verifone Available June 2003
- Vaccines For Children & HIPAA May 2003
- HIPAA Testing To Begin April 2003
- HIPAA News January 2003
- HIPAA Compliance Information October 2002
- HIPAA News August 2002
- HIPAA News July 2002
- HIPAA News: Compliance Date is Extended June 2002
- HIPAA News December 2001
- HIPAA News October 2001
- HIPAA News And Update August 2001
- HIPAA - New Requirements Regarding Disclosing & Using Health Information for Medicaid Enrollees June 2001
- HIPAA News March 2001
- HIPAA & New York Medicaid March 2001
HIV
- HIV Counseling and Testing Rate Codes to be Subsumed into APGs June 2011
- Change in Medicaid HIV Drug Resistance Billing Policy June 2010
- New York State Medicaid Prenatal Care Standards February 2010
- Behavioral Health Services For HIV+ Individuals Enrolled In Medicaid Managed Care In NYC June 2009
- Coverage of Viral Tropism Tests for Managed Care Enrollees April 2009
- Free New Training Sessions for HIV/AIDS Case Management September 2007
- Medicaid Nursing Home/Child Care Drug Carve-out List July 2007
- Reimbursement Changes for Pharmacy Claims June 2007
- Free HIV/AIDS Trainings November 2006
- HIV Primary Care Program Changes November 2006
- Announcing the Training Calendar for Free HIV/AIDS Training October 2006
- Free HIV/AIDS Trainings August 2006
- Changes to Pharmacy Reimbursement Effective July 15, 2006 July 2006
- 2005 Guidance on HIV Counseling, Testing and Laboratory Requirements October 2005
- Medicaid Payment To Physicians For Rapid HIV Testing June 2004
- December 1st is World AIDS Day November 2003
- Enrollment Of Newborns When Mom Is In Medicaid Managed Care or Family Health Plus October 2003
- Medicaid Amends The Managed Care Benefit Package February 2003
- Laboratory Payment For HIV Test December 2002
- Additional HIV Test Covered November 2002
- Managed Care Benefit Package Amended September 2002
- Laboratories: Payment For Latest FDA-Approved HIV Viral Load Test March 2002
- Clarification Of Medicaid Payment For HIV Drug Resistance Testing December 2000
- Medicaid Reimbursement For HIV Drug Resistance Testing October 2000
- Medicaid Reimbursement For The HIV-1 Viral Load Test March 2000
HMO
- Physician Case Management Providers and HMO's August 2005
- Encounter Data Submission December 2004
- Referrals Of Medicaid Recipients Enrolled In An HMO or a PCP April 2000
Home Health Care
- Attention Home Health Care Providers - EMEDNY Combination Edits Personal Emergency Response Services (PERS) June 2009
- Home Care Providers - Billing Requirements Update May 2009
- Home Health and Personal Care Providers - New Edit Change April 2009
- Medical Request for Home Care Form (M11q) Revised December 2008
- CSC Call Center Contact Information September 2007
- Certified Home Health Agency Medicaid Rate For Shared Home Health Aide May 2007
- Medicaid Managed Care Disenrollment Process for Long-Term Home Health Care Participants February 2007
- Your Provider Manual is Going Online! October 2006
- Long Term Home Health Care Program Reference Manual September 2006
- Certified Home Health Agency Services In Adult Care Facilities April 2006
- Added Benefit to the NYC Managed Care Package January 2006
- New Coverage Codes - Resource Attestation To Be Implemented July 2004
- Licensed Home Care Services Agencies And Independent Providers Of Private Duty Nursing Services June 2004
- Long Term Home Health Care Need for Information May 2002
Hospice
- Hospice Care for Children in Medicaid, Family Health Plus and Child Health Plus - January 2011
- Hospice Care for Children in Medicaid, Family Health Plus and Child Health Plus - December 2010
- Hospice Coverage under Medicaid May 2007
Hospital
- Medicaid Outpatient Coding Edits Reminder November 2009
- State Health Dept Designates Bariatric Surgery Centers for Medicaid in NYC November 2009
- Medicaid Fee-For-Service Reimbursement Policy For Thirteen Serious Adverse Events October 2009
- Medicaid to Implement Automated Medicare Crossover in December 2009 September 2009
- Hospitals Are Required To Report Births June 2009
- State Health Dept selects hospitals to provide breast cancer surgery April 2009
- Ambulatory Care Payment Reform February 2009
- Update - APGs Approved by Centers for Medicare and Medicaid Services December 2008
- December 1 APG Implementation Delayed for Hospitals November 2008
- Important "Never Events" Update October 2008
- Reimbursement soon available to outpatient hospital clinics and free standing diagnostic and treatment centers October 2008
- Inpatient Medicaid Claims Require Present on Admission (POA) Indicator August 2008
- Provider Bulletins July 2008
- Important National Provider Identifier Information for Hospitals, Clinics, and other Facilities June 2008
- Easy Identification of 340B Priced Claims April 2008
- Diagnosis Related Groups (DRGs) April 2008
- Inpatient Admission from a Hospital Emergency Room October 2007
- CSC Call Center Contact Information September 2007
- CSC Call Center Contact Information August 2007
- Sterilization and Hysterectomy Consent Forms Available Online August 2007
- Inpatient Hospital Billing Guidelines-Recently Updated! August 2007
- Hospital Prescribing Exemption Update May 2007
- Expiration Of Exemption From Using Official NYS Prescriptions April 2007
- Correction in Overpayment of Clinic Claims March 2007
- Payments to Hospital-Based Clinic Providers when Enrollees are Hospitalized March 2007
- Notice To Hospitals Billing Diagnosis Related Groups February 2007
- Service Authorization Exception Code Use December 2006
- Ordered Ambulatory Reimbursement for IUD's December 2006
- Who Pays for the Transportation of a Hospital Inpatient? October 2006
- Prior Approval Reviews For Clients Residing In Western NY August 2006
- Enrollment and Coverage for Newborns May 2006
- Medicaid Recipients Cannot Be Billed April 2006
- Hospital Billing Changes January 2006
- Fee Schedule Changes! August 2005
- Electronic Billing Changes for Ambulatory Services January 2005
- Notice To Hospitals Billing Diagnosis Related Groups (DRG's) January 2005
- Inpatient Services Paid "Off-Line" October 2004
- Hospital Responsibility For Outside Care Reimbursement Policy August 2004
- Clinics Proper Billing Requirements April 2004
- Notice To NYS Hospitals Billing DRGs April 2004
- Notice To NYS Hospitals Billing DRGs February 2004
- Enrollment Of Newborns When Mom Is In Medicaid Managed Care or Family Health Plus October 2003
- Hospitals Eliminate Neonate Inpatient Discharge Code June 2003
- Notice To Hospital's Billing DRG's February 2003
- Hospital Patient Discharge Status Codes September 2002
- Hospitals! Family Health Plus Newborns Entitled to Medicaid December 2001
- Hospital Reimbursement For Newborn Hearing Screening Program Services October 2001
- Attention: Hospital & Clinic Employed Physicians Enrollment in the Medicaid Program February 2001
- Attention: Hospitals & Physician Groups August 2000
- Attention: Hospital/Laboratory Providers May 2000
- Attention: Practitioners, Hospitals & Physician Groups February 2000
- Attention: Hospital Providers January 2000
- Attention Hospitals: Enrollment of Newborns into Medicaid October 1999
Immunization
- Pharmacists as Immunizers October 2010
- Medicaid Fee-For-Service Coverage of Seasonal Flu and Pneumococcal Immunizations October 2010
- New York State Medicaid Prenatal Care Standards February 2010
- Medicaid Coverage and Reimbursement of Vaccines October (Special) 2009
- New Statewide Immunization Registry September 2007
- Medicaid Reimbursement for Immunizations in Article 28 Hospital-Based & Freestanding Clinic Settings January 2007
- Medicaid Reimbursement for Immunizations in Article 28 Settings December 2006
- Prevent Disease: Immunize Please! September 2006
- Clarification of Medicaid Coverage For Physical Examinations and Travel Immunizations September 2006
Information
- eMedNY Provider Support March 2009
- NYS Medicaid Online September 2006
- Provider Services April 2004
- Medicaid Posters & Brochures April 2004
- Need Help Getting Answers to Your Questions? November 2001
- Need Help Getting Answers to your Questions? October 2001
Inquiry Response
Integrated Voice Response System (IVR)
Laboratory
- Medicaid Payment to Laboratories for Hepatitis C Virus Quantitative PCR Tests November 2010
- APG Payment Policy: Reimbursement of Ancillary Laboratory and Radiology Services March 2009
- Provider Bulletins July 2008
- Medicaid Now Reimbursing for Viral Tropism Laboratory Test June 2008
- Enhanced Coverage for Family Planning Benefit Program Enrollees February 2008
- Proper Claim Completion for Abortion-Related Laboratory Testing November 2007
- Costs of Laboratory Tests Provided to End Stage Renal Disease Patients Are in Clinic Rate November 2007
- CSC Call Center Contact Information September 2007
- NYS Medicaid Laboratory Fee Schedule Available In Excel Format December 2006
- Your Provider Manual is Going Online! October 2006
- Reimbursement to Nurse Practitioners and Midwives for Practitioner Office Laboratory January 2006
- 2005 Guidance on HIV Counseling, Testing and Laboratory Requirements October 2005
- Diagnosis On Medicaid Laboratory Claim August 2005
- Anti-Kickback Advisory for Laboratory and Clinic Providers August 2005
- Electronic Billing Changes for Ambulatory Services March 2005 Special Edition
- New Laboratory Service Available September 2004
- Utilization Threshold Policy Reminders July 2004
- Medicaid Payment To Physicians For Rapid HIV Testing June 2004
- Correction To Laboratory Services Manual October 2003
- Laboratory Tests For Diabetes September 2003
- Change In Definition Of Medicaid Date Of Service For Laboratory Testing July 2003
- Medicaid Payment To Laboratories For Hepatitis C Tests July 2003
- Provider Manual Updates: Dentist, DME, Lab & Pharmacy March 2003
- Laboratory Payment For HIV Test December 2002
- Laboratory Regulations Revision September 2002
- Laboratory Billing for Molecular Diagnosis Procedures September 2002
- Payments for Referred Laboratory Testing May be Available June 2002
- Laboratories: Payment For Latest FDA-Approved HIV Viral Load Test March 2002
- Genetic Testing Requires A Special Permit for Laboratories September 2001
- Laboratory Services Providers - Provider Manual Change August 2001
- Attention Laboratories, Physicians, & Other Ordering Providers April 2001
- Claims Pending For Edits 01154 and 01155 February 2001
- Attention: Laboratories & Practitioners - Lab Test Ordering Requirements August 2000
- Reminder to All Pharmacies, DME Vendors, Labs & Other Providers of Ordered Services May 2000
- Attention: Hospital/Laboratory Providers May 2000
- Attention All Pharmacies, DME Vendors, Labs & Other Providers Of Ordered Services March 2000
- Physician Billing for In-Office Laboratory Tests Correction May 1999
- Physician Billing for In-Office Laboratory Services February 1999
Lawsuit
- Aliessa/Adamolekun et. al. v Novello February 2005
- Medicare Crossover Lawsuit November 1999
- DOH Wins Rodriguez Lawsuit Appeal November 1999
- Lawsuit Billing Information October 1999
- Medicare Crossover Lawsuit October 1999
- Lawsuit Billing Information August 1999
- Medicare Crossover Lawsuit August 1999
- Lawsuit Billing Information July 1999
- Medicare Crossover Lawsuit July 1999
- Lawsuit Billing Information May 1999
- Medicare Crossover Lawsuit May 1999
- Lawsuit Billing Information April 1999
- Lawsuit Billing Information March 1999
- Lawsuit Billing Information February 1999
- Lawsuit Billing Information January 1999
- Medicare Crossover Lawsuit January 1999
Lead Screening
- New York State Medicaid Prenatal Care Standards February 2010
- Mandatory Lead Testing for Children December 2006
- Mandatory Lead Testing for Children December 2005
- Lead Toxicity Testing Is Mandatory November 2003
- Mandatory Blood Lead Screening Requirements For Children August 2001
- Mandatory Blood Lead Screening For Children July 2001
LTC
- Attention: Long-Term Care Pharmacy Providers Only April 2011
- Attention Home Health Care Providers - EMEDNY Combination Edits Personal Emergency Response Services (PERS) June 2009
- Medicare Drug Coverage Under Part A, Part B, and Part D February 2008
- Care at Home Case Management Rate Increase December 2007
- CSC Call Center Contact Information September 2007
- Planning Today for Tomorrow June 2007
- Save the Date: "Planning Today for Tomorrow" May 2007
- Restructuring Long Term Care in NYS April 2007
- Restructuring Long Term Care In NYS December 2006
- Long Term Home Health Care Program Reference Manual September 2006
- Deficit Reduction Act of 2005 Long Term Care Eligibility Changes August 2006
- Restructuring Long-Term Care in New York State July 2006
- Medicare Part B versus Part D Coverage June 2006 Special Edition
- Medicare and the Dual Eligible June 2006 Special Edition
- Restructuring Long Term Care In NYS June 2006
- New Rate Codes For Nursing Home Billing January 2006
- Medicare Prescription Drug Benefit to Start January 1, 2006 December 2005 Special Edition
- Managed Long Term Care Benefits Change December 2005
- Partnership for Long-Term Care Program November 2005
- Long Term Home Health Care Program Payment for Waiver Services June 2005
- New Coverage Codes Reminder - Resource Attestation To Be Implemented August 2004
- New Coverage Codes - Resource Attestation To Be Implemented July 2004
- Long Term Home Health Care Need for Information May 2002
- List of Managed Long Term Care Providers April 2002
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
