DOH Medicaid Update Index - N to O
NAMI
National Provider Identifier (NPI)
- Genetic Counselors Must Submit NPI on Medicaid Claims April 2011
- Billing Reminder For Institutional Providers Required To Use NPI March 2011
- Additional Information/Reminder: Prescriber's Individual National Provider Identifier (NPI) Required on All Pharmacy Claim Submissions November 2010
- UPDATE: Prescriber's National Provider Identifier (NPI) October 2010
- Tips to Prevent Rejection of Yearly Certification Forms June 2010
- NATIONAL PROVIDER IDENTIFIER (NPI) UPDATE: Requirement for Pharmacies to Enter Dispensing Pharmacist NPI on Claims Delayed - May 2010
- DENTAL PROVIDERS: Electronic Submission of Attachments with Dental Prior Approval Requests - May 2010
- Statewide Patient Centered Medical Home Program Receives Approval For Office-Based Practitioners, FQHCs, and D&TCs - May 2010
- Affiliated Practitioner NPIs Must Be Registered with eMedNY - May 2010
- Requirement for pharmacies to enter dispensing pharmacist NPI on claims delayed March 2010
- New York Medicaid requires facilities to register NPIs of their attending (servicing) providers March 2010
- Attention Providers: The NPI submitted on your claim to Medicare must be enrolled with New York Medicaid March 2010
- NPI Update: To Ensure Prompt Processing of Claims Providers Must Use NPI May 2009
- Attention ALP Providers November 2008
- Important National Provider Identifier Information for Hospitals, Clinics, and other Facilities June 2008
- NYSDOH to Implement National Provider Identifier Requirement June 2008
- National Provider Identifier Implementation News May 2008
- Provider Enrollment Forms Now Include National Provider Identifier Number November 2007
- Medicaid Fee-for-Service Enrollment Forms Have Changed October 2007
- Provider Update Forms For Electronic Transactions October 2007
- Fee-for-Service Enrollment and Maintenance Form Packets Will Soon Change! September 2007
- National Provider Identifier Registration Requirement September 2007
- National Provider Identifier Implementation May 2007
- National Provider Identifier Implementation-Urgent April 2007
- National Provider Identifier Implementation March 2007
- National Provider Identifier Implementation Delay February 2007
- National Provider Identifier November 2006
- Replacement of the Uniform Billing Paper Claim Form November 2006
- National Provider Identifier August 2006
- National Provider Identifier October 2005
NDC
- Official Prescription Serialized Number Required for Medicaid Managed Care and FHPlus Plans
- National Drug Code billing announcement March 2010
- New York Medicaid and Family Health Plus Pharmacy Providers: Important reminder about Medicaid pharmacy prior authorization programs March 2010
- Billing Instructions for Physician Administered Drugs (J-codes) Submitted on Paper Claims December 2008
- Medicaid drug rebate program October 2008
- Providers Must Report National Drug Code on Claims for Physician Administered Drugs June 2008
- Pharmacy Providers, Are you using the correct NDC when validating a PA? June 2008
- National Drug Code Required on Medicaid Claims December 2007
- National Drug Code Required on Medicaid Claims November 2007
- National Drug Code Billing Announcement August 2004
- Pharmacy Billing for OTC Claritin: Use NDC or UPC June 2003
- Pharmacists: Are You Billing with the Correct NDC Number? October 2002
- Pharmacy Claim Submission Of Correct National Drug Codes November 2000
- Attention: Nursing Homes & Pharmacy Providers March 2000
- Attention: Nursing Homes & Pharmacy Providers January 2000
- Attention: Nursing Homes & Pharmacy Providers September 1999
- Attention: Nursing Homes & Pharmacy Providers June 1999
- Attention: Nursing Homes & Pharmacy Providers March 1999
Newborn
- Medicaid Coverage of Palivizumab for Children at Risk for respiratory Syncytial Infections October 2007
- NYS Newborn Screening Program February 2007
- Krabbe Disease Payment for Testing and Treatment September 2006
- Enrollment and Coverage for Newborns May 2006
- Enrollment and Coverage for Newborns April 2005
- Coverage Of Palivizumab November 2003
- Enrollment Of Newborns When Mom Is In Medicaid Managed Care or Family Health Plus October 2003
- Hospitals Eliminate Neonate Inpatient Discharge Code June 2003
- Billing for Newborns In Managed Care Plans June 2003
- Hospitals! Family Health Plus Newborns Entitled to Medicaid December 2001
- Hospital Reimbursement For Newborn Hearing Screening Program Services October 2001
- Medicaid Services For Newborn Infants July 2000
- Attention Hospitals: Enrollment of Newborns into Medicaid October 1999
New Training Schedule
Non-Drug Items
Nurse Family Partnership (NFP)
Nurse Practitioner
- Provider Requirements in Medicaid Prenatal Care Standards Amended for Nurse Practitioner(s) June 2010
- Statewide Patient Centered Medical Home Program Receives Approval For Office-Based Practitioners, FQHCs, and D&TCs - May 2010
- Expanded Medicaid Reimbursement for Nurse Practitioner Services December 2009
- Billing Instructions for Physician Administered Drugs (J-codes) Submitted on Paper Claims December 2008
- Explanation of Medicare Benefits (EOMB) December 2008
- Increases in Practitioner Fees and Payment Enhancements December 2008
- Medicaid drug rebate program October 2008
- Unclassified Drug Code New Available for Billing July 2008
- Providers Must Report National Drug Code on Claims for Physician Administered Drugs June 2008
- Supervising or Collaborating Physician(s) Must Be Identified June 2008
- Unclassified Drug Code Now Available for Billing June 2008
- New Recipient Restriction Program Codes Effective January 1, 2008 January 2008
- National Drug Code Required on Medicaid Claims December 2007
- Billing for Cardiography Procedures October 2007
- CSC Call Center Contact Information September 2007
- Additional Influenza Vaccine Code Now Available for Billing September 2007
- Sterilization and Hysterectomy Consent Forms Available Online August 2007
- New Guidance Recommendations for Developmental Screening for Infants & Young Children July 2007
- Medicaid Reimbursement for Implanon June 2007
- National Drug Code Required on Medicaid Claims June 2007
- Medicaid Coverage of Human Papillomavirus (HPV) Vaccine February 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
- Billing For Epogen, Aranesp, Neupogen & Neulasta November 2005
- Fee Schedule Changes! August 2005
- New Drug Code For Risperdal Consta Effective January 1, 2005 January 2005
- Medicaid Coverage of Palivizumab (Synagis®) November 2004
- How Do I Request Sterilization and Hysterectomy Consent Forms November 2004
- Reimbursement for Physician-Administered Drugs November 2004
- Physician, Nurse Practitioner, Ordered Ambulatory Billing October 2004
- Vaccines For Children & HIPAA May 2003
- Coverage Of Palivizumab November 2003
Nursing Home
- Information Notice to Couples with an Institutionalized Spouse December 2011
- No Additional Compensation Allowed for Nursing Home Residents Receiving Transportation Services October 2010
- Instructions for Beneficiaries Enrolled in Medicare Managed Care Plans November 2009
- DME Providers - Checking Beneficiary Eligibility? May 2009
- 2009 Spousal Impoverishment Income and Resource Levels Increase April 2009
- Nursing Home Transition & Diversion Medicaid Waiver Program August 2008
- Medicaid Nursing Home/Child Care Drug Carve-out List July 2007
- Restructuring Long Term Care In NYS December 2006
- Reimbursement for Automated Urinalysis in a Practitioner's Office September 2006
- Return of Unused Medication from Nursing Facilities September 2006
- Ordering Transportation For a New York City Client July 2006
- Restructuring Long Term Care In NYS June 2006
- Family Health Plus Co-Payment Information April 2006
- Medicare Part D Drug Plan Information February 2006
- New Rate Codes For Nursing Home Billing January 2006
- Medicare Prescription Drug Benefit to Start January 1, 2006 December 2005 Special Edition
- Billing For Epogen, Aranesp, Neupogen & Neulasta November 2005
- Determining Bed Reservation Payment Eligibility October 2005
- Did You Know that Medicaid Pharmacy Information Can Be Found on the DOH Website? August 2005
- Nursing Homes and Pharmacy Providers - Correction to May 2005 Article on Aranesp Coverage June 2005
- Aranesp Products Not Included in Article 28 Rates May 2005
- New Coverage Codes - Resource Attestation To Be Implemented July 2004
- Admission To Rehabilitation Services - Recipient Restriction Program July 2004
- Prescription Requirements For Carve-Out/Pass-Through Drugs May 2004
- Pharmacists: New Nursing Home Eligibility Edits & Messaging February 2004
- Ask the Pharmacist...Return of Unused Medication December 2003
- Is Elderly Weight Loss A Normal Part Of Aging? November 2003
- Nursing Homes And Pharmacies Guidelines For Unused Medication August 2003
- Guidelines Governing Payment of Nursing Home Claims August 2002
- Pharmacy: Do You Serve Nursing Home & Child Care Agencies? December 2001
- Attention Pharmacy Providers Serving Nursing Home & Child Care Agencies May 2001
- Attention Nursing Homes & Pharmacy Providers May 2000
- Attention Nursing Home & Pharmacy Providers April 2000
- Attention: Nursing Homes & Pharmacy Providers March 2000
- Attention: Nursing Homes & Pharmacy Providers January 2000
- Attention: Nursing Homes & Pharmacy Providers December 1999
- Attention: Nursing Homes & Pharmacy Providers September 1999
- Skilled Nursing Facilities Must Make Refunds August 1999
- Attention Nursing Home & Pharmacy Providers July 1999
- Drugs Not Included in Nursing Home Rates July 1999
- Attention: Nursing Homes & Pharmacy Providers June 1999
- Attention: Nursing Homes & Pharmacy Providers March 1999
Nutrition
- New York State Medicaid Prenatal Care Standards February 2010
- Patient Educational Tools March 2005
- Patient Educational Tools January 2005
- Patient Educational Tools December 2004
- Patient Educational Tools How to Reduce Unhealthy Fats November 2004
- Patient Educational Tools Dietary Fats and Your Health October 2004
- Patient Educational Tools September 2004
- Tips to Eating Smart March 2004
- Is Elderly Weight Loss A Normal Part Of Aging? November 2003
- Nutrition Education Program: Eat Smart New York! October 2003
Obesity
Occupational Disease
OMRDD
- Coverage of Medical Supplies and Over-the-Counter Drugs by the Office of Mental Retardation and Developmental Disabilities October 2007
- New Guidance Recommendations for Developmental Screening for Infants & Young Children July 2007
- Most Integrated Setting Coordinating Council Authorizes Initial Report January 2007
- Comprehensive Medicaid Case Management Providers January 2007
- Certain Long Term Therapy Services To Be Incorporated Into Intermediate Care Facilities For The Developmentally Disabled Medicaid Payment Rates September 2006
- Medicaid Payment For Psychiatric Social Work June 2004
- Residential And Day Programs Now Responsible For Personal Care/Home Health Aide Services June 2004
- Important Billing For Article 16 Clinic Providers May 2003
- Change In Reimbursement For Part-Time Clinics May 2003
- Dental Providers Billing Policy January 2003
- Comprehensive Medicaid Case Management Providers March 2002
- New Payment Edit For OMRDD Home & Community Based Services (HCBS) Waiver Claims December 2000
- Co-Payments May 2000
OMIG'S
Optical
- Opticians, Optometrists and Optical Establishments October 2007
- Prepayment Review Has Ended For Some Procedures August 2006
- Optometry Services August 2005
- Changes In Prior Approval Codes Physician and Ophthalmic Providers October 2004
- Eye Care Services For Patients With Diabetes September 2003
- Edits To Be Activated For Optical Providers February 2003
- Billing Guidelines For Eyeglass Project December 2002
- Revised Medicaid Fee Schedules May 2001
- Upstate Ophthalmic Dispensers April 2001
- Attention: Eyecare Providers October 2000
- Ophthalmic Dispensers March 2000
Optometrist
- Attention: Podiatrists, Dentists, Optometrists, and Pharmacies December 2011
- Opticians, Optometrists and Optical Establishments October 2007
- Prepayment Review Has Ended For Some Procedures August 2006
- Optometry Services August 2005
- Medicaid Prescription Requirements December 2003
- Optometrists: Diagnosis Required When Billing August 2003
- Change in Medicaid Coverage of Services February 2003
- Optometrists Who Prescribe: Special Instructions May 2002
- Optometrists Who Prescribe: Special Instructions February 2002
- Optometrists: Change in Coverage of Services December 2001
- Attention: Optometrists October 2000
- Prescriptions Written By Optometrists June 2000
- Attention: Optometrists - Expanded Scope Of Services June 2000
- Attention: Optometrists - Expanded Scope Of Services April 2000
- Attention: Optometrists & Ophthalmic Dispensers March 2000
- Attention: Optometrists July 1999
Orthodontic
- Orthodontia Covered by Managed Care Plans Beginning October 1
- Seeking Approval for Orthodontic Services in Eighteen Counties June 2003
- Dental Providers Billing Policy January 2003
- Orthodontics for Westchester County Recipients February 1999
OTC
- Prescription Proton Pump Inhibitors Need Prior Authorization September 2005
- Highlights of Changes in the Medicaid Program January 2005
- Prilosec OTC Coverage September 2004
- Automatic Refills January 2004
- Guidelines for Delivery of Prescription Drugs, OTC Products, M/S Supplies & DME November 2003
- Prescribers & Pharmacists: Fax Orders Allowed For OTC Products October 2003
- Pharmacy Billing for OTC Claritin: Use NDC or UPC June 2003
- Prescribers and Pharmacists: Prior Authorization Required for Certain Antihistamines April 2003
- Prescribers and Pharmacists: FAX Orders for OTC Products Allowed April 2003
- Delivery of Prescription Drugs, OTC Products, Medical/Surgical Supplies & DME June 2000
- Smoking Cessation Drug Coverage January 2000
Other Insurance
- Medicare Part D Drug Plan Information February 2006
- Billing Requirements for Patients Eligible for Both Medicare and Medicaid December 2005
- Ask the Pharmacist November 2003
- Pharmacy Providers - Dual Billing November 2003
- Managed Care Special Needs Plans November 2003
- Billing For Commercial Insurance Deductible & Coinsurance May 2000
Oxygen Concentrator
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
