DOH Medicaid Update Index - A to Z

  • Abortion
  • Actual Acquisition Cost / Cost of Dispensing Project
  • Actual Acquisition Costs (AAC)
  • ADAKVEO ® (crizanlizumab-tmca)
  • Address Change
  • Adjustments
  • Adult Care Facility
  • Adult Day Health Care (ADHC)/ AIDS Aduly Day Health Care (AIDS ADHC) Programs
  • Advance Care Planning/Health Care Proxy
  • Agents for Pulmonary Fibrosis
  • Alcohol Abuse Services
  • Alien Eligibility
  • Allergy
  • Alternate Level of Care (ALC) days
  • Alzheimer's Disease
  • Ambulance
  • Ambulatory Care
  • Ambulatory Patient Group (APG)
  • American Heart Association
  • Americans with Disabilities Act (ADA)
  • Anesthesia
  • Antibiotic Resistance
  • Antihistamines
  • Antimicrobial Resistance
  • Antipsychotics
  • Anti-Retrovirals (ARV)
  • Apnea
  • Arthritis
  • Article 16
  • Article 28
  • Assisted Living Program (ALP)
  • Asthma
  • Asthma Educators
  • Barbiturates
  • Bariatric Surgery
  • Bed Safety
  • Behavior Health Services
  • Benzodiazepines
  • Billing
  • Blood Factors (human plasma-derived or recombinant)
  • Blood Pressure Machine
  • Booster Seats
  • Botox ® (onabotulinumtoxinA)
  • Brand Name Drugs
  • Breast Cancer
  • Breastfeeding Support Services
  • Buprenex (Buprenorphine) and concurrent opioids
  • Buy-in
  • Cancer unspecified
  • Care-at-Home (CAH), III, IV, VI
  • Carve Out
  • Case Management/Comprehensive Case Management
  • Catapres-TTS ® (clonidine)
  • Center for Operational Excellence (COE)
  • Centers for Disease Control and Prevention (CDC)
  • Central Nervous System (CNS) Stimulant
  • Certified Home Health Agency (CHHA)
  • Cervical Cancer
  • Chantix ® (varenicline)
  • Check Amount
  • Chemical Dependence
  • Child Care Agencies
  • Child Health Plus
  • Child/Teen Health Program (CTHP) / Early and Periodic Screening Diagnosis and Treatment (EPSDT)
  • Children and Youth Evaluation Service (C-YES), Independent Entity
  • Children in Fostercare
  • Citizenship Documentation Requirements
  • Claim Denial Reasons
  • Claim Filing Indicator
  • Claim Modifiers
  • Claims
  • Clinic: School-based
  • Clinic: unspecified
  • Clinical Drug Review Program (CDRP)
  • Codes
  • Coinsurance
  • Colorectal Cancer
  • Compliance Program Requirement
  • Compounded Prescription
  • Compulsive Gambling
  • Condition Codes
  • Consumer Fact Sheets: Chronic Conditions
  • Contact Information
  • Contraception / Emergency Contraception
  • Controlled Substance
  • Coordination of Benefits (COB)
  • Co-payment
  • Coronary Angiography
  • Coronavirus disease (COVID-19)
  • Cost of Dispensing (COD)
  • Coverage
  • COVID Alert NY application
  • Credentialed Alcoholism and Substance Abuse Counselor (CASAC)
  • Cystine Depleting Agents
  • Day Habilitation Services
  • Deficit Reduction Act (DRA)
  • Delay Reason Codes
  • Delivery System Reform Incentive Payment (DSRIP) Program
  • Dental/Orthodontia Services
  • Dentists
  • Developmental Screening
  • Diabetes
  • Diabetes Self-Management Training (DSMT)
  • Diagnosis Code
  • Diagnosis Related Group (DRG)
  • Dialysis
  • Disability
  • Discharge Planning (Safely)
  • Dispense Brand Drugs when Less Expensive Program
  • Dispensing Validation System (DVS) transactions within ePACES
  • Disqualified Prescriber
  • DOH Web Site
  • Dose Optimization
  • Doula Pilot Program
  • Drug Utilization Review (DUR)
  • Dual Eligible population
  • Dual Energy X-ray Absorptiometry (DEXA/DXA) scan
  • Durable Medical Equipment: not specified
  • Early Fill Edit
  • Ebola
  • Edits
  • Elderly Pharmaceutical Insurance Coverage (EPIC)
  • Elective Delivery (Elective C-section and Induced Labor)
  • Electronic Funds Transfer (EFT)
  • Electronic Health Record (EHR)
  • Electronic Medicaid Eligibility Verification System (EMEVS)
  • electronic Provider Assisted Claim Entry System (ePACES)
  • Electronic Transmitter Identification Number (ETIN)
  • Electronic Visit Verification (EVV) System/Program
  • Eligibility
  • eMedNY
  • Emergency Medical Condition
  • Emergency Services
  • Enrollment
  • Enteral Therapy/Formulae
  • e-Prescriber
  • Erectile Disfunction (ED) Drugs
  • Essential Plan (EP)
  • Exclusive Pharmacy Network Initiative
  • False Claims
  • Family Health Plus (FHPlus)
  • Family Planning
  • Family Planning Benefits Program (FPBP)
  • Family Planning Extension Program (FPEP)
  • Federal Povery Levels (FPL)
  • Federally Qualified Health Center (FQHC)
  • Fidelis Members
  • 5010 Remittances
  • Footwear
  • Forms
  • Fraud
  • Frequency/Quantity/Duration (F/Q/D) Program
  • Fully Integrated Duals Advantage (FIDA) Demonstration
  • Fulyzaq ® (crofelemer)
  • Functional Electrical Stimulation (FES)
  • Generic Drugs
  • Genetic Counseling
  • H. Pylori
  • Harm Reduction Services (HRS) / Syringe Exchange Programs (SEP)
  • Health Home Tracking System (HHTS)
  • Health Insurance Portability and Accountability Act (HIPAA)/Clearinghouse
  • Health Management Organization (HMO)
  • Healthy NY
  • Hearing Aids
  • Hearing Services
  • Hemophilia
  • Hepatitis C
  • Herceptin ® (trastuzumab) and other drugs provided in multi-use vials
  • Home and Community Based Services (HCBS)
  • Home Health Aide Services
  • Home Health Care
  • Homemaker Services
  • Hospice
  • Hospital
  • Human Immunodeficiency Virus (HIV)
  • Idiopathic Short Stature
  • IDNYC
  • Immigrants
  • Immunization/Vaccination
  • Immunizers
  • Implantable Infusion Pump (IIP)
  • Implementation Schedule
  • Incontinence
  • Indicator Codes
  • Individualized Residential Alternatives (IRAs)
  • Individuals with Developmental Disabilities
  • Infants with Disabilities
  • Influenza (Flu)
  • Information: Support, Posters, Brochures, Frequenty Asked Questions (FAQs)
  • Inhaled Antibiotics for Cystic Fibrosis
  • Injectables
  • Inquiry Response
  • Institutionalized Spouse
  • Integrated Services
  • Integrated Voice Response (IVR) System
  • International Statistical Classification of Disease and Related Problems, version 10 (ICD-10)
  • Interpreter Services / Language / Translation
  • J-Code
  • Juxtapid ® (lomitapide)
  • Kidney/Renal Disease
  • Knee Arthroscopy
  • KYMRIAH ™ (tisagenlecleucel)
  • Kynamro ® (mipomersen)
  • Laboratory/Screening/Testing (including Lead, Genetic)
  • Lawsuit
  • Limits on Benefits
  • Local Department of Social Service (LDSS)
  • Long Term Care (LTC)
  • Long Term Home Health Care Program (LTHHCP)
  • Long-acting Beta-2 Agonists
  • Lower Back Pain
  • Luxturna ™ (voretigene neparvovec-rzyl)
  • Lynch Syndrome
  • Magnetic Resonance Imaging (MRI)
  • Malnutrition
  • Mammography Services
  • Managed Long Term Care (MLTC)
  • Management Addiction Treatment Services (MATS)
  • Mandatory Generic Drug Program (ManGen)
  • Marinol ® (dronabinol)
  • Medicaid Card
  • Medicaid Fee For Service (FFS)
  • Medicaid Health Homes
  • Medicaid Managed Care (MMC)
  • Medicaid Management Information System (MMIS)
  • Medicaid Prescriber Education Program
  • Medicaid Therapy Management (MTM)
  • Medicaid Update
  • Medicaid Utilization Threshholds (MUTs)
  • Medically Fragile Children (MFC)
  • Medicare (Part not specified)
  • Medicare Card
  • Medicare Crossover Claims
  • Medicare Part B
  • Medicare Part C
  • Medication
  • Member Service Request
  • Mental Health
  • Metozolv ODT ® (metoclopramide orally disintegrating tablets)
  • Midwives
  • Money Follows the Person (MFP) Demonstration Program
  • Mosquito Repellent
  • Naloxone
  • National Council for Prescription Drug Programs (NCPDP) Version D.0 transactions
  • National Drug Code (NDC)
  • National Healthcare Decisions Day
  • National Healthy Mothers Healthy Babies, partnership program text4baby
  • National Provider Identifier (NPI)
  • Neonatalogists
  • Net Available Monthly Income (NAMI)
  • New York City Department of Health and Mental Hygiene (NYC DOHMH)
  • New York State of Health (NYSoH)
  • Newborns
  • Non-drug items
  • Non-Steriodal Anti-Inflammatory Drug (NSAID)
  • Not-qualified-to-prescribe
  • Nuedexta (dextromethorphan and quinidine)
  • Nurse Family Partnership (NFP)
  • Nurse Practitioner
  • Nursing Home
  • Nutrition
  • Obesity
  • Observation
  • Occupational Disease
  • Occupational Health Clinic Network (OHCN)
  • Occupational Therapy (OT)
  • Office for Persons with Developmental Disabilities (OPWDD/OMRDD)
  • Office of Mental Health (OMH)
  • Office of the Medicaid Inspector General (OMIG)
  • Opioids
  • Optical Providers
  • Optical/Vision/Optometry
  • Optometrists
  • Ordered Ambulatory Services
  • Ordering/Prescribing/Referring/Attending (OPRA) Providers
  • Origin Codes
  • Orthopaedic Services
  • Other Insurance
  • Over the Counter (OTC)
  • Overpayments
  • Oxygen Concentrator
  • Pasteurized Donor Human Milk (PDHM)
  • Patient Centered Medical Home (PCMH)
  • Patient Education Tools
  • Payment Accuracy Measurement (PAM)
  • Payment Error Rate Measurement (PERM)
  • Payments
  • Pediatricians
  • Percutaneous Coronary Intervention (PCI, angioplasty)
  • Peripheral Edema
  • Personal Care Services
  • Personal Emergency Response System (PERS)
  • Pharmacists
  • Pesticide Poisoning
  • Pharmacy (general)
  • Pharmacy Benefits
  • Pharmacy Services
  • Physical Therapy (PT)
  • Physician Assistant
  • Physicians
  • Pharmaceutical Shortage
  • Podiatry
  • Point of Service (POS) Device
  • Policy
  • Positron Emission Tomagrapghy (PET) and Tracers
  • Post-Operative Follow-up
  • Practitioner-Administered Drugs
  • Pre-diagnostic Procedure Codes
  • Preferred Drug Program (PDP)
  • Preferred Physicians and Children Program (PPAC)
  • Prenatal Care
  • Prenatal Testing / Prenatal Carrier Testing
  • Prepaid Mental Health Plans
  • Prepayment Review
  • Prescribers
  • Prescription Serialized Number
  • Present on Admission (POA) Indicator
  • Presumptive Eligibility
  • Prevention Agenda
  • Primary Care Provider / Prepaid Capitation Plan (PCP) - split this!
  • Primary Care Rate Increase (PCRI)
  • Primary Care Service Corps (PCSC)
  • Primary Care Services
  • Primary Payer
  • Prior Authorization
  • Private Duty Nurse
  • Private Duty Nusing
  • Protease Inhibitors
  • Protected Health Information (PHI)
  • Proton Pump Inhibitors (PPI)
  • Provider
  • Provider Enrollment
  • Provider Identity Theft / "Medicaid Mills"
  • Provider Manual
  • Provider Training / Seminars
  • Proxy Form
  • Psychiatric Services
  • Psychotherapy
  • Public Health Emergency Response Network Pharmacy Program (PHERN PP)
  • Qualified Medicare Beneficiaries (QMBs)
  • Rate Code
  • Rebates
  • Recipient Exception (RE) Codes
  • Recipient Information
  • Recipient Name Search and Check Amount Inquiry
  • Reciprocity
  • Recordkeeping Requirements
  • Referrals
  • Rehabilitation
  • Reimbursement/Rates
  • Remittance
  • Residential Treatment Facility
  • Resource Attestation
  • Respite Services
  • Revatio ® (sildenafil)
  • RU-486 (Mifeprex ®, mifepristone)
  • Schizophrenia
  • Screening, Brief Intervention and Referral to Treatment (SBIRT) Services
  • Second Generation Antipsychotics (SGA)
  • Self-Direction / Self-Directed Services / Consumer-Directed
  • Serostim ® (somatropin)
  • Service Authorization
  • 17 Alpha-hydroxyprogesterone Caproate
  • Sharps
  • Shingles
  • Short-Acting Opioids
  • Sickle Cell Disease
  • Skin Substitutes
  • Smoking/Tobacco Cessation
  • Social Work Services
  • Special Needs
  • Speech Generating Device
  • Speech Therapy (ST)
  • Spinal Muscular Atrophy
  • Spousal Impoverishment
  • Standing Orders
  • Stretcher Van
  • Substance Abuse
  • Success Stories
  • Suffolk County
  • Supervised Community Residences (CRs)
  • Supplies (Medical-Surgical)
  • Surgery
  • Surgical First Assistants
  • Symbyx ® (fluoxetine and olanzapine)
  • Synagis ® (palivizumab)
  • systemic immunomudulators
  • Taxes/Internal Revenue Service (IRS)
  • Telehealth/Telemedicine
  • Temporary Medicaid Authorization
  • Third Party Health Insurance Information
  • Toll-Free Helplines
  • Topamax ® (topiramate)
  • topical antifungals for Onychomycosis
  • Topical Oxygen Wound Therapy (TOWT)
  • Trading Partner Agreements (TPAs)
  • Training and Education for the Advancement of Children's Health at OMH (Project TEACH)
  • 340B Drug Pricing Program
  • Transcutaneous Electrical Nerve Stimulation (TENS)
  • Transgender Services
  • Transition to Managed Care
  • Transportation
  • Traumatic Brain Injury (TBI)
  • Trisomy 21, 18 and 13
  • Tuberculosis
  • Uniform Assessment System for New York (UAS-NY)
  • Universal Product Code (UPC)
  • Uroxatral ® (alfuzosin)
  • Vaccines for Children (VFC) Program
  • Vehicle Modifications
  • Ventilator
  • Verifone
  • Viral Prescription Pad
  • Viscosupplementation of the Knee
  • Voluntary Foster Care Agency (VFCA)
  • Waivers
  • Wheeled Mobility
  • Women, Infants and Children (WIC) Program
  • Working people
  • Xifaxan ® (rifaximin)
  • Xray
  • Year 2000 (Y2K)
  • YESCARTA ® (axicabtagene ciloleucel)
  • Ziagen ® (abacavir sulfate)
  • ZOLGENSMA ™ (onasemnogene abeparvovec-xioi)
  • Zyvox ® (linezolid)