Stop Loss Resources

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.

CSC Support - eMedNY

CSC PROVIDER SERVICES
(800) 343-9000 (OPTION 3, THEN OPTION 4)

  • www.eMedNY.org
    This site contains a wealth of information. There are links to the monthly Medicaid Update, NYHIPAADESK, and recommended Vendors for software issues.
  • TECHNICAL SUPPORT
    Provides information on e-Paces and for batch submissions for eligibility checks through eXchange.
    Large numbers of eligibility transactions, referred to as 270 transactions are available.
  • REMIT STATEMENTS
    Make sure you have access to the REMIT statements that are sent to every Plan. These statements contain valuable information about the status of your claims.

NYS DOH HEALTH COMMERCE SYSTEM

  • Secure website for the NYS Department of Health.
  • Contains valuable information concerning rates, SIW's, Letters to Health Plans, links to nursing home rates, calculation sheets, a secure e-mail, a complete list of all health care facilities in New York, including OPCERT numbers.
  • Requires an account and password in order to access the site.
  • Call 866 529-1890 to set up an account

Useful Links: