Stop Loss Program

Manual

The Stop Loss Policy and Procedures Manual is posted on the eMedNY website: Stop Loss Manual

Note: by selecting this link, you will be opening the Provider Manuals section of the eMedNY website in a new tab.

November 6, 2012

• Import File Specifications

Webinars

March 29, 2012

• Fundamentals of Stop-Loss Part 1 - Claim Submission Guidelines (WMV, 70MB)
• Questions and Answers

April 5, 2012

• Fundamentals of Stop-Loss Part 2 - Electronic Submission Process (WMV, 38MB)

Useful Links:

• Medicaid Reform Rates This page provides categorized rate information for APG and APR-DRG rates. Rate information is defined on the left-side navigation bar.
• Nursing Home Rates This page provides categorized rate information for long turn care facilities. Rate information is defined on the left-side navigation bar.
• SIWs January 2004 - January 2009