DOH Medicaid Update Index - M
Managed Care
- New York State Medicaid Managed Care and Family Health Plus Pharmacy Benefit Information Website - 10-2012
- Mandatory Medicaid Managed Care Expanding to Chemung County - 10-2012
- Reporting of the National Drug Code (NDC) - 09-2012
- Exclusive Pharmacy Network in Managed Care - 09-2012
- Transmission of the Official Prescription Serialized Number Update - 09-2012
- Transportation to be Carved-Out for Managed Care Enrollees in New York City - 09-2012
- Mandatory Medicaid Managed Care Expanding to Additional Counties - 09-2012
- Medicaid Managed Care now available in Jefferson and St. Lawrence Counties - January 2011
- Managed Care Covered Services - December 2010
- Medicaid Managed Care Now Available in Lewis and Wyoming Counties October 2010
- Mandatory Medicaid Managed Care Expanding To Additional Counties October 2010
- Medicaid Managed Care & Family Health Plus (FHPlus) Enrollees of NYS Catholic Health Plan (d/b/a Fidelis Care New York) - May 2010
- Billing for mental health clinic visits for SSI and SSI-related beneficiaries enrolled in mainstream Medicaid managed care plans March 2010
- Medicaid Beneficiaries Cannot Be Billed for the Cost of a Non-Related Transplant Donor Search November 2009
- Instructions for Beneficiaries Enrolled in Medicare Managed Care Plans November 2009
- State Health Dept Designates Bariatric Surgery Centers for Medicaid in NYC November 2009
- NY Medicaid Implements Preferred Diabetic Supply Program (PDSP) October 2009
- Coverage of IUDs for Medicaid Managed Care and Family Health Plus (FHPlus) Enrollees to a Pharmacy with a Prescription for an IUD September 2009
- Behavioral Health Services For HIV+ Individuals Enrolled In Medicaid Managed Care In NYC June 2009
- Inpatient Directly Observed Therapy For Tuberculosis For Enroll June 2009
- Supervising/teaching physician documentation in the clinic setting June 2009
- Coverage of Viral Tropism Tests for Managed Care Enrollees April 2009
- Update on Mandatory Managed Care For SSI and SSI-Related Medicaid Enrollees November 2008
- Family Health Plus Pharmacy Benefit July 2008
- Policy on "Interrupted Treatment" for Dental Procedures June 2008
- Medicaid Enrollees Cannot be Billed June 2008
- Update on Mandatory Managed Care for SSI & SSI-Related Medicaid Enrollees May 2008
- Revised Instructions for the Billing of Implanon and Intrauterine Devices November 2007
- Benefit Clarification for Intrauterine Devices September 2007
- Medicaid Enrollees Cannot be Billed July 2007
- Medicaid Reimbursement for Implanon June 2007
- Medicaid Managed Care Disenrollment Process for Long-Term Home Health Care Participants February 2007
- Medicaid Recipients with Medicare Managed Care Coverage January 2007
- Ordered Ambulatory Reimbursement for IUD's December 2006
- Preferred Drug Program Implementation July 2006
- Ordering Ambulette Service in NYC June 2006
- Enrollment and Coverage for Newborns May 2006
- Medicaid Recipients Cannot Be Billed April 2006
- Erectile Dysfunction Procedures Now Require Prior Approval January 2006
- Added Benefit to the NYC Managed Care Package January 2006
- Dental Services For Medicaid Managed Care Enrollees December 2005
- Pharmacy Co-Payments Inadvertently Collected May 2005
- Managed Care Benefit Clarification April 2005
- Managed Care Enrollee Pharmacy Co-Payment Changes March 2005
- Expansion of Managed Care Special Needs Plans Service Areas March 2005
- Magnetic Media Processing Will Change in March 2005 March 2005 Special Edition
- Encounter Data Submission March 2005 Special Edition
- Managed Care Enrollee Pharmacy Co-Payment Changes February 2005
- Magnetic Media Processing Will Change in March 2005 January 2005
- Encounter Data Submission December 2004
- Magnetic Media Tape, Diskette and Cartridge Submissions November 2004
- Expansion Of Managed Care Special Needs Plans Service Areas October 2004
- Mental Health and Chemical Dependence Providers September 2004
- Expansion Of Service Areas Managed Care Special Needs Plans August 2004
- Medicaid's Fee-For-Service Vision Care Policy August 2004
- Voluntary Medicaid Managed Care For SSI June 2004
- Managed Care Special Needs Plans - Expansion Of Service Areas February 2004
- Expansion of Service Areas Managed Care Special Needs Plans November 2003
- Managed Care Or Fee-For-Service November 2003
- Enrollment Of Newborns When Mom Is In Medicaid Managed Care or Family Health Plus October 2003
- Usage Of Exception Code 83 For Chemical Dependence Services September 2003
- New Managed Care Special Needs Plan In Manhattan August 2003
- Basis Of Payment For Durable Medical Equipment For Managed Care Recipients July 2003
- Announcing Two New Managed Care Special Needs Plans July 2003
- New Managed Care Special Needs Plan in NYC June 2003
- Billing for Newborns In Managed Care Plans June 2003
- Announcing A New Managed Care Special Needs Plan May 2003
- Medicaid Amends The Managed Care Benefit Package February 2003
- Providers In Oneida County - Update On Kids Oneida December 2002
- Frequently Asked Questions about the Mandatory Generic Drug Program October 2002 Special Edition
- Managed Care Benefit Package Amended September 2002
- Clarification of Dental Services for Managed Care Enrollees August 2002
- Managed Care Changes For Alcohol & Substance Abuse Services April 2002
- Mandated Alcohol & Substance Abuse Services For Managed Care Enrollees August 2001
- Medicaid Managed Care Enrollees Cannot Be Billed March 2001
- All Medicaid Managed Care Enrollees Have Coverage For Dental Services March 2001
- Attention: Mental Health Providers Serving Managed Care Recipients January 2000
- CSC Billing Bulletin November 1999
- Attention: Providers of Inpatient Substance Abuse Services July 1999
- Attention Pharmacists - Guaranteed Eligibility June 1999
- Managed Long Term Care Plans - System Modification June 1999
- All Providers - Managed Care Information May 1999
Mandatory Generic
- Mandatory Generic Drug Program Update: New York Medicaid mandatory generic drug program requires prior authorization for brand-name prescriptions with an A-rated generic equivalent March 2010
- Mandatory Generic Drug Program Update November 2009
- Mandatory Generic Drug Program Update April 2009
- Mandatory generic drug program update October 2008
- Update From EPIC July 2008
- Mandatory Generic Drug Program Update May 2008
- Mandatory Managed Care For SSI and SSI-Related Medicaid Enrollees January 2008
- Prior Authorization Requirements of the Mandatory Generic Drug Program January 2008
- Pharmacy Prior Authorization General Information December 2007
- Mandatory Generic Drug Program Update November 2007
- Mandatory Generic Drug Program Update May 2007
- Mandatory Generic Drug Program Update January 2007
- Please Consult The Medicaid Preferred Drug List (PDL) December 2006
- Mandatory Generic Drug Program November 2006
- Helpful Tips for Pharmacists When Validating Prior Authorization Numbers September 2006
- Helpful Prior Authorization Tips for Prescribers September 2006
- Important Prior Authorization Pharmacy Phone Numbers July 2006
- Preferred Drug Program Implementation July 2006
- Mandatory Generic Drug Program Update April 2006
- Mandatory Generic Pharmacy Clarification September 2005
- Did You Know that Medicaid Pharmacy Information Can Be Found on the DOH Website? August 2005
- Mandatory Generic Drug Program Update July 2005
- Mandatory Generic Drug Program Update May 2005
- Mandatory Generic Drug Program Update January 2005
- Mandatory Generic Drug Program Update September 2004
- Mandatory Generic Program Reminders May 2003
- Mandatory Generic Program News March 2003
- Mandatory Generic Program Reminder December 2002
- Recap of Mandatory Generic Drug Program November 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
- Recipient Information On Mandatory Generics October 2002 Special Edition
- Frequently Asked Questions about the Mandatory Generic Drug Program October 2002 Special Edition
- Prior Authorization For an Emergency Supply or When the Generic is not Available October 2002 Special Edition
- Medicaid Mandatory Generic Drug Program Announcement October 2002
- Mandatory Generic Program Date Changes September 2002
- New Medicaid Law - Mandatory Generic Drug Program August 2002
- New Mandatory Generic Drug Program to Begin July 2002
Medicaid Card
- The NYS Benefit Identification Card is Changing April 2009
- New Type Of Common Benefit Identification Card To Be Issued January 2004
- Recipient Responsible To Show Medicaid Card August 2002
- Medicaid Services For Newborn Infants July 2000
- Attention: All Providers March 1999
Medicaid Inspector General
- Announcement From Medicaid Inspector General January 2007
- Message From Kimberly O'Connor Medicaid Inspector General October 2006
Medicaid Therapy Management (MTM)
Medicaid Update
- Medicaid Update Newsletter Will Move to Electronic Distribution November 2008
- Medicaid Update Newsletter Will Move to Electronic Distribution October 2008
- Medicaid Update Newsletter Will Move to Electronic Distribution August 2008
- Do You Receive Multiple Copies of the Medicaid Update? April 2008
- Reminder: The Medicaid Update is Available Electronically! January 2008
- NYS Medicaid Online January 2008
- Missing Issues September 2007
- The Medicaid Update is Available Electronically! August 2007
- Do You Receive Multiple Copies of the Medicaid Update? August 2007
- Missing Issues? July 2007
- To All Medicaid Update Readers March 2007
- Would You Like to Receive the Medicaid Update Electronically? September 2006
- Medicaid Requires Providers to Stay Informed of Policy and Claiming Rules September 2006
- Medicaid Information Available Online August 2006
- Would You Like Future Medicaid Updates Emailed to You? August 2005
- Second Option For Receiving The Medicaid Update July 2005
- Index of 2004 Medicaid Update Articles March 2005
- Would You Like Future Medicaid Updates Emailed to You? March 2005
- Would You Like Future Medicaid Updates Emailed To You? February 2005
- Would You Like the Medicaid Update Emailed to You? December 2004
- Provider Services June 2004
- Provider Services May 2004
- Provider Services April 2004
- Provider Services March 2004
- Do You Ever Wonder...? December 2003
- You Can Receive The Medicaid Update Electronically November 2003
- Payment Of Medicare Coinsurance November 2003
- Medicaid To Change The Way It Distributes The Medicaid Update To Groups October 2003
- Reminder: You Can Request The Medicaid Update Electronically July 2003
- New Option For Receiving The Medicaid Update May 2003
Medicaid Utilization Thresholds (MUTs)
Medical Home
- Guidelines to Receive Medical Home Incentive Payments from Medicaid - July 2010
- Statewide Patient Centered Medical Home Program Receives Approval For Office-Based Practitioners, FQHCs, and D&TCs - May 2010
- Current & Future Medicaid Medical Home Providers - February 2010
- Announcing New York Medicaid's Statewide Patient-Centered Medical Home Incentive Program - December 2009 Special Edition
Medicare
- Policy & Billing Guidance from EPIC - Secondary Coverage for Medicare Part D - January 2011
- 2011 New York State Medicare Part D Prescription Drug Plans for People with both Medicare and NYS Medicaid October 2010
- Eligibility and Benefit Verification for Beneficiaries Enrolled in Medicare Health Plans and Medicaid June 2010
- Attention: Fox Insurance Company of New York members now enrolled in Medicare LI-NET program March 2010
- Attention Providers: The NPI submitted on your claim to Medicare must be enrolled with New York Medicaid March 2010
- Medicare Automed Claim Crossover Update December 2009
- 2010 New York State Part D Medicare Prescription Drug Plans For People with both Medicare and NYS Medicaid December 2009
- Medicare Automated Claim Crossover Update December 2009
- Limited Income NET Program Announcement for Individuals with both Medicare and Medicaid November 2009
- Medicare Crossover Update November 2009
- Medicaid to Implement Automated Medicare Crossover in December October 2009
- Medicare Parts B/D Coverage Flashpoints September 2009
- Medicare Part B and Part D Reimbursement Guidelines September 2009
- Medicaid to Implement Automated Medicare Crossover in December 2009 September 2009
- Immunosuppressant Drugs for Persons Eligible for Both Medicare and Medicaid Must be Billed to Medicare April 2009
- Facilitated Enrollment for Duals February 2009
- Part D Transition Supply Policy Reminder February 2009
- Enrollees eligible for both Medicare and Medicaid utilizing wheeled mobility bases February 2009
- For People with Both Medicare and NYS Medicaid December 2008
- Explanation of Medicare Benefits (EOMB) December 2008
- New York's Prescription Program For Seniors October 2008
- Herpes Zoster Vaccine: Medicaid Reimbursement Policy April 2008
- Request for Medicaid Provider Documentation April 2008
- Medicare/Medicaid Crossover April 2008 Special Edition
- Medicare Drug Coverage Under Part A, Part B, and Part D February 2008
- Claims Pending Review for Edits 00127 and 01283 February 2008
- Medicare Part D Beneficiary Cost Sharing January 2008
- Wellpoint/UniCare Change In Point of Sale Facilitated Enrollment Process December 2007
- Transitioning to New Medicare Part D Drug Plans December 2007
- Medicaid Wrap-Around Benefit for Dual Eligible Enrollees December 2007
- Coinsurance Enhancement for Psychiatrist Services December 2007
- Correct Billing for Medicare Part B Coinsurance on Non-HIPAA Compliant and Paper Claims December 2007
- Is Your Patient Covered by Medicare? October 2007
- Coverage for Immunosuppressant Drugs July 2007
- Pharmacists Must Bill Medicare First! June 2007
- Medicare Coinsurance Claim Adjustments May 2007
- You Must Bill Medicare First! May 2007
- Medicare Parts B/D Coverage Flashpoints March 2007
- Medicare Reimbursement March 2007
- 2007 NYS Medicare Part D Prescription Drug Plans February 2007
- Medicare Part D Drug Problems January 2007
- Medicare Prescription Drug Benchmark Plans For 2007 December 2006
- Medicare Part D Drug Formulary Exceptions December 2006
- Approval of Darbepoetin Alfa for Dialysis Patients November 2006
- Medicare Part B Drug Coverage of the Influenza Vaccination November 2006
- Medicare Part B Drug Coverage/Billing Issues November 2006
- Medicare Part D Wrap-around Benefit Changes Starting 1/1/07 November 2006
- Change Of Implementation Date For The New Medicaid Limited Wrap-around Benefit August 2006
- New Requirements For Gastric Bypass Surgery When Medicare is the Primary Payer July 2006
- Update on the Medicare Pharmacist Phone Line July 2006
- Changes to Wrap-around Coverage For Medicare Part D Delayed Until Jan 1, 2007 July 2006
- Preferred Drug Program Implementation July 2006
- Medicare Part D Prescription Drug Program June 2006 Special Edition
- Changes to the Medicaid "Wrap-Around" Program June 2006
- Contact Information for Prescribers: Medicare Part D May 2006
- Physician Part D Resource Fact Sheet May 2006
- Letter from the Commissioner of Health May 2006
- New Phone Number (HIICAP) May 2006
- Guidance for Prescribers and Pharmacists on Part B vs. Part D Drugs May 2006
- Temporary Coverage Of Medicare Part D Pharmacy Claims February 2006
- Enrollment Requirements February 2006
- Medicare Part D Benchmark Prescription Drug Plans February 2006
- Medicare Drug Coverage, Eligibility, and Co-Payments for Institutionalized Individuals February 2006
- Medicare Part D Drug Plan Information February 2006
- New Rate Codes For Nursing Home Billing January 2006
- Hospital Billing Changes January 2006
- Reimbursement to Nurse Practitioners and Midwives for Practitioner Office Laboratory January 2006
- Did You Know? January 2006
- Medicare Prescription Drug Benefit to Start January 1, 2006 December 2005 Special Edition
- Billing Requirements for Patients Eligible for Both Medicare and Medicaid December 2005
- Billing Change for Xolair® December 2005
- Medicare Part D Prescription Drug Benefit to Start December 2005
- Correct Billing for Medicare Part B Coinsurance For Non-HIPAA Compliant and Paper Claims January 2005
- Pharmacy Providers - Bill Medicare First! January 2005
- NCPDP 5.1 Billing Requirements for Medicare Crossover Claims December 2004
- Pharmacy Providers - You Must Bill Medicare First December 2004
- Medicare Requirement For Pharmacy Enrollment in the Medicaid Program December 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
- Pharmacy Providers Reminder To Enroll In Medicare August 2004
- Physician Billing For Drugs May 2004
- Payment Of Medicare Coinsurance May 2004
- Payment Of Medicare Coinsurance November 2003
- Legislative Change Reduces Medicaid Payment For Medicare Coinsurance August 2003
- SNF Billing Medicare For Influenza & Pneumococcal Vaccinations September 2000
- Clarification To May 2000 Medicaid Update Article August 2000
- Prior Approval Submission Requirements May 2000
- Medicare Crossover Lawsuit November 1999
- Medicare Crossover Lawsuit October 1999
- Lawsuit Billing Information August 1999
- Medicare Crossover Lawsuit August 1999
- Medicare Crossover Lawsuit May 1999
- Medicare Crossover Lawsuit February 1999
- Medicare Crossover Lawsuit January 1999
Medication
- Return of Unused Medication from Nursing Facilities September 2006
- Influenza Information & Recommendations December 2004
- Nursing Homes And Pharmacies Guidelines For Unused Medication August 2003
- Are Your Patients Taking Their Medication? September 2002
Mental Health
- Medicaid Coverage of Mental Health Counseling by LCSWs and LMSWs - June 2011
- New APG Payment Methodology Replaces PCAP Rate Schedules February 2010
- DOH and OMH Partnering to Improve Psychotropic Prescribing in NYS July 2009
- Behavioral Health Services For HIV+ Individuals Enrolled In Medicaid Managed Care In NYC June 2009
- Web-based continuing medical education courses for psychotropic prescribing April 2009
- Medicaid Coverage for Mental Health Counseling March 2009
- Update on Mandatory Managed Care For SSI and SSI-Related Medicaid Enrollees November 2008
- Update on Mandatory Managed Care for SSI & SSI-Related Medicaid Enrollees May 2008
- Minimum Reimbursement for Mental Health Clinics Licensed Solely Under Mental Hygiene Law April 2008 Special Edition
- Mandatory Managed Care For SSI and SSI-Related Medicaid Enrollees January 2008
- Coinsurance Enhancement for Psychiatrist Services December 2007
- Mental Health and Chemical Dependence Providers September 2004
- Expansion Of Service Areas Managed Care Special Needs Plans August 2004
- Payment For Psychiatric Social Work Services In Federally Qualified Health Centers December 2003
- Transitions: Mentally Ill Returning To The Community February 2003
Methamphetamine Laboratories
Midwives
- Licensed Midwives as First Assistant at Cesarean Section Deliveries - May 2010
- Changes to Medicaid fee-for-service reimbursement policy for practitioner services provided in hospital settings March 2010
- Billing Instructions for Physician Administered Drugs (J-codes) Submitted on Paper Claims December 2008
- Increases in Practitioner Fees and Payment Enhancements December 2008
- Medicaid drug rebate program October 2008
- Providers Must Report National Drug Code on Claims for Physician Administered Drugs June 2008
- National Drug Code Required on Medicaid Claims December 2007
- Sterilization and Hysterectomy Consent Forms Available Online August 2007
- Medicaid Reimbursement for Implanon June 2007
- National Drug Code Required on Medicaid Claims June 2007
- Ordered Ambulatory Reimbursement for IUD's December 2006
- Your Provider Manual is Going Online! October 2006
- Reimbursement for Automated Urinalysis in a Practitioner's Office September 2006
- Reimbursement to Nurse Practitioners and Midwives for Practitioner Office Laboratory January 2006
- How Do I Request Sterilization and Hysterectomy Consent Forms November 2004
- Medicaid Prescription Requirements December 2003
- Midwives and New Procedures May 2002
- You Need To Correct Your Provider Manual July 2001
- Revised Medicaid Fee Schedules May 2001
- Office & Physician Speciality Fee Increases Effective October 1, 2000 October 2000
- Utilization Threshold Program: Nurse Midwives Eligible To Submit TOAs May 2000
MRI
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
