DOH Medicaid Update Index - C
- New York State Medicaid Will Begin Covering Tisagenlecleucel - November 2017
- Addressing the Risk of Cancer with Angiotensin Receptor Blockers - August 2013
- Reminder: Hospice Services for Managed Care Enrollees - June 2013
- Addressing the Use of Metformin as Adjunctive Chemotherapy in Patients with Cancer - November 2012
- Congestive Heart Failure in New York's Medicaid Population - March 2005
- Provider Services - April 2004
- Provider Services - March 2004
- Nutrition Education Program: Eat Smart New York! - October 2003
- Reprint: May 2003 Patient Educational Tools - August 2003
- Patient Educational Tools: Diabetes - June 2003
- Disease Management Articles for 2002 - June 2003
- Coping With Alzheimer's Disease - May 2003
- Diabetes Tools: Hyperglycemia & Ketoacidosis - May 2003
- Diabetes Tools: Testing Blood Glucose Information & Log - April 2003
- Patient Educational Tools - March 2003
- Arthritis and Physical Activity - January 2003
- Partnering With Providers to Make Medicaid Recipients Healthier - January 2001
- Disease Management - December 2000
- Attention Care at Home Waiver III, IV, and VI Case Management Providers: New Billing Guidance Effective for Dates of Service Beginning April 1, 2017 - March 2017
- Long Term Home Health Care Program (LTHHCP) Medicaid Waiver New Rate Codes for Vehicle Modifications - April 2012
- Important Changes in the Care At Home I/II Medicaid Waiver - June 2010
- Care at Home Case Management Rate Increase - December 2007
- New Prior Approval Requirement for Private Duty Nursing Services for Care At Home Waiver Clients - March 2007
- Care At Home Providers Entitled To 3% Retroactive Payment - October 2003
- Additional Upstate Counties to be Added to Transportation Carve-out for Managed Care Enrollees - September 2013
- Office of Mental Health Residential Treatment Facility Prescription Drug Carve-Out - January 2013
- OMH Residential Treatment Facility Prescription Drug Carve-Out - August 2012
- New York State Medicaid Health Homes - November 2012
- Comprehensive Medicaid Case Management Providers: Payment Guidelines - January 2007
- Comprehensive Case Management: Payment Guidelines - March 2002
- Comprehensive Case Management Providers - January 2002
- Dispense Brand Drugs When Less Expensive Program - August 2012
- Center of Operational Excellence - April 2018
- Review of the CDC Guideline for Prescribing Opioids in Patients with Chronic Pain - March 2018
- Governor Cuomo Signs Executive Order to Combat Widespread Flu Epidemic In New York (cover) - January 2018
- Get Smart (Know When Antibiotics Work) Program - October 2016
- Certified Home Health Agencies Episodic Payment System Notification of Provider Overpayments - February 2017
- New Cervical Cancer Screening Guidelines Announced - April 2012
- Provider Reminder: 1099 Forms - December 2003
- Recipient Name Search and Check Amount Inquiry - October 2003
- Recipient Name Search/Check Amount Inquiry Telephone Number - May 2003
- Recipient Name Search/Check Amount Inquiry Line Change - February 2003
- Our 900 Service Line Telephone Number has been Changed - August 2002
- Computer Sciences Corporation Call Center Contact Information - September 2007
- Pharmacy: Do You Serve Nursing Home and Child Care Agencies? - December 2001
- A Change in reimbursement: Certified Social Worker Services in Voluntary Child Care Agencies - September 2001
- Attention Pharmacy Providers Serving Nursing Home & Child Care Agencies - May 2001
- Medicaid Managed Care (MMC) and Children's Health Insurance Program (CHIP) Network Providers Must Enroll in the New York State Medicaid Program - January 2018
- Hospice Care for Children in Medicaid, Family Health Plus and Child Health Plus - January 2011
- Hospice Care for Children in Medicaid, Family Health Plus and Child Health Plus - December 2010
- Child Health Plus Expansion - April 2008
- Child/Teen Health Program (CTHP) | Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) - October 2017
- Reminder: All Providers Serving Children (Cover) - March 2021
- Important Information for All Providers Serving Children (cover) - January 2021
- Pharmacy Fee-for-Service Billing Guidance: Long Term Care (LTC) and Foster Care (Child Care) Facilities - July 2020
- Pharmacy Fee-for-Service Billing Guidance: Long Term Care and Foster Care (Child Care) Facilities - June 2019
- Pharmacy Coverage for Children in Foster Care Facilities - July 2018
- Citizenship Documentation Requirements of the Deficit Reduction Act of 2005 Effective July 1, 2006 - September 2006
- NYS Medicaid Ordering/ Prescribing/Referring/Attending (OPRA) Provider Enrollment Impact on Pharmacy Claims - July 2013
- Medicaid to Implement Changes for Hospitals and Nursing Home Claims Processing - April 2013
- Provider Enrollment Required for Ordering, Referring and Attending Practitioners - June 2012
- Updated Guidance and Clarification On Use of the JW Modifier - May 2016
- Payment Reductions on Elective Delivery (C-Section and Induction of Labor) Less than 39 Weeks without Medical Indication - April 2015
- Telemedicine Coverage to be Further Expanded - March 2015
- Elective Deliveries (C-sections or Inductions) Prior to 39 Weeks Gestation - June 2014
- Clarification for the OMH Article 31 Certified Clinics Providing Coverage of Language - March 2013
- Fee-for-Service Medicaid: Breastfeeding Support Payment for Specially Trained Lactation Counselors - March 2013
- Reimbursement Available to Family Planning Clinics Dispensing Oral Contraceptives to Medicaid Recipients - February 2013
- Edit 02304 - Zero Fill: Pend Manual Review for All Professional Claims - May 2021
- Submission Guidance for Fee-for-Service Claims with Third Party Liability (Medicare or Other Insurance) - December 2020
- Submission Guidance for Claims with Third Party Liability (Medicare or Other Insurance) - November 2020
- Notification to Providers of Requirment to Attach Explanation of Benefits from Third-Party Payors to Medicaid Claims - October 2020
- Implementation of Claim Edits for Office for People with Developmental Disabilities Intermediate Care Facilities for Individuals with Intellectual Disabilities - August 2020
- Reminder: Long Term Care Pharmacy Providers Will Identify Fee-for-Service Short Cycle Pharmacy Claims - July 2020
- Guidance on Submitting Fee for Service Dental Claims that involve Teledentistry and Telephonic Services for Date(s) of Service During the COVID-19 State of Emergency - June 2020
- Claims Processing for Independent Practitioner Services for Individuals with Developmental Disabilities (IPSIDD) - November 2019
- Billing Changes for OPWDD ICF/IID Providers Effective July 1, 2019 - August 2019
- New System Edit to be Implemented to Validate the Ingredient Cost for 340B Drugs - August 2019
- Policy Clarification: Medical Marijuana - June 2019
- Tightened Editing Pharmacy Claims Override Should Not Be Used for Licensed Non-Enrolled Prescribers - May 2019
- Attention Submitters of 837 Batch Transactions: Provide Proper EDI Contact Information - April 2019
- Important Message Regarding Medicare Part B Claims Submitted by Pharmacies (cover) - May 2018
- NYS Medicaid Fee-for-Service NCPDP D.0 Billing Clarification For 340B Drug Claims - October 2017
- Reminder: NYS Medicaid Requirements For 340B Claim Identification - June 2017
- NYS Medicaid Change in 340B Claim Identification Effective 04/01/2017 - December 2016
- Provider Revalidation Message – Pended Claims (cover) - October 2016
- Providers Urged to Submit Correct Coordination of Benefits (COB) Information to Medicaid - February 2014
- NCPDP D.0 Billing Requirements for Medicare Pharmacy Claims - December 2013
- Claims & Billing - December 2013
- Medicaid to Implement Changes for Hospitals and Nursing Home Claims Processing - May 2013
- Procedure Code and Modifier Requirements when Submitting Claims to Both Medicare and Medicaid - May 2011
- Genetic Counselors Must Submit NPI on Medicaid Claims - April 2011
- Understanding the Importance of Response Files for Electronic Claims - March 2011
- Providers are responsible for all submitted claims - January 2011
- Ambulance Providers: Acceptable Claim Modifiers - May 2010
- Medicare Automated Claim Crossover Update - December 2009
- Medicaid Outpatient Coding Edits Reminder - November 2009
- Lab and Radiological Medicaid Claims - November 2009
- NY Medicaid Electronic Prescribing Incentive Program November (Special) 2009 - November 2009
- Second Notice: Medicaid to Implement Automated Medicare Crossover in December - October 2009
- Medicaid FFS reimbursement policy for thirteen serious adverse (never) events - October 2009
- Medicaid Reimbursement for Office Based Surgery - July 2009
- Adjusting previously paid claims with multiple claim lines - June 2009
- Providers Who Submit Batch Transactions - May 2009
- NPI Update: To Ensure Prompt Processing of Claims Providers Must Use NPI on All Billing Transactions - May 2009
- Home Health and Personal Care Providers Notice - April 2009
- APG Implementation Delayed for Diagnostic and Treatment Centers - April 2009
- Q&A - Original serial number must be reported on the pharmacy claim for refill of Rx - March 2009
- Coverage for fetal nuchal translucency measurement ultrasound - March 2009
- OMIG lists disqualified individuals on Website - March 2009
- Outpatient coding for Medicaid - March 2009
- Psychiatric Services Billing Reminder - November 2008
- Sign up for electronic funds transfer today! - September 2008
- Computer Sciences Corporation Offers Seminars - Sign Up Today! - June 2008
- Policy on "Interrupted Treatment" for Dental Procedures - June 2008
- Reminder: Medicaid Enrollees Cannot be Billed - June 2008
- Claims Will Require Present on Admission (POA) Indicator - June 2008
- Claim Requirements for Physical and Occupational Therapies - April 2008
- Sterilization Consent Form Requirements - April 2008
- Payment Error Measurement Rate Program Update: Request for Medicaid Provider Documentation - April 2008
- Paper Claim Submitters: Electronic Transmitter Identification Number Required - April 2008
- Correct Submission of Replacement Claims - April 2008
- Claims Pending Review for Edits 00127 and 01283 - February 2008
- Adjusting Previously Paid Claims with Multiple Claim Lines - February 2008
- Use the Correct Provider Identification Number on Claims - January 2008
- Group Practice Providers: Requirements and Responsibilities in the Medicaid Program - January 2008
- Submitters of Paper Claims: Benefits of Electronic Billing - January 2008
- New Recipient Restriction Program Codes Effective January 1, 2008 - January 2008
- Correct Billing for Medicare Part B Coinsurance on Non-HIPAA Compliant and Paper Claims - December 2007
- Diagnostic and Treatment Centers: Claiming for Primary Medical Care - December 2007
- Electronic Remittances Will Now Include Paper Claims - December 2007
- National Drug Code Required on Medicaid Claims - November 2007
- Electronic Remittances May Not Always Equal the Total Weekly Paid Amount - November 2007
- Group Providers: What You Should Know About Internal Revenue Service 1099 Forms - November 2007
- Computer Sciences Corporation Call Center Contact Information - September 2007
- eMedNY Update: Wondering About the Status of Your Submitted Claims? - September 2007
- eMedNY Website Highlight of the Month: Electronic Transactions Vendor List - September 2007
- National Provider Identifier Registration Requirement - September 2007
- Computer Sciences Corporation Call Center Contact Information - August 2007
- Seminar Schedule and Registration - August 2007
- Individual Provider Training is Available - August 2007
- Medicaid Payment for Undocumented Immigrants or Temporary Non-Immigrants - August 2007
- Traumatic Brain Injury Providers: New Billing Procedure for Services Without Established Fees - August 2007
- Claim Requirements When an Ambulette Vehicle is Used - August 2007
- Important Information about Available Electronic Tools - August 2007
- National Drug Code Required on Medicaid Claims - June 2007
- Submission of Medicaid Claims Over Two Years Old - June 2007
- Claims Pended for Review by the Office of the State Comptroller - June 2007
- What You Should Know about 1099 Forms: Impact on Group Providers - May 2007
- Medicare Coinsurance Claim Adjustments - May 2007
- Prescription Requirements for Carve Out Drugs - May 2007
- Converting to the UB-04 Paper Claim Form - May 2007
- Paper Claim Forms No Longer Contain Pre-printed Information - May 2007
- Changes to Paper Claim Forms - April 2007
- Replacement of the UB-92 Claim Form with the UB-04 Claim Form - April 2007
- Correction in Overpayment of Clinic Claims - March 2007
- Changes to Paper Claim Forms - March 2007
- Converting to the UB-04 Paper Claim Form - March 2007
- ePACES Enrollment - January 2007
- UB92 Form to be Replaced by UB04 Form - January 2007
- Medicare Part D Drug Plan Problems Formal Complaint Process - January 2007
- Upcoming Changes to Paper Claim Forms - December 2006
- Replacement of the Uniform Billing Paper Claim Form - November 2006
- Timely Submission of Claims to Medicaid - November 2006
- Rejection of Paper Claim Forms - November 2006
- Ambulette Providers: Claims Require Ordering Provider's Medicaid Identification Number - October 2006
- eMedNY Processing Cycle Cut-Off Time - October 2006
- Annual Recertification for Providers Submitting Electronic Claims - September 2006
- Physician Reimbursement for Allergen Preparation: Change in Billing - August 2006
- Billing and Payment for Intensity Modulated Radiation Treatment - July 2006
- Adjustments of Multiple Line Claims - May 2006
- Claim Submission Methods (Correction to Article That Appeared in the March 2006 Edition) - April 2006
- Medicaid Recipients Cannot Be Billed - April 2006
- New Insurance Balancing Edit To Be Activated - April 2006
- Electronic Remittance Advices - April 2006
- ePACES: The Alternative to Paper Claims - January 2006
- New eMedNY Helpdesk Hours of Operation - December 2005
- Nonemergency Transportation Claims: Driver's License Number and Vehicle License Plate Number - November 2005
- Electronic Remittances to Provide Retroactive Rate Adjustment Detail - November 2005
- Orthodontists: Claim Format - October 2005
- Registered Physician's Assistant Services - October 2005
- All Providers: Electronic Remittance Advices - October 2005
- eMedNY Update: Status of Submitted Claims - September 2005
- Diagnosis on Medicaid Laboratory Claim - August 2005
- Orthotic, Prosthetic and Prescription Footwear Providers: Using LT and RT Modifiers - August 2005
- Practitioners and Ordered Ambulatory Providers: Procedure Code Review Information - August 2005
- Physician Case Management Providers and Health Maintenance Organizations - August 2005
- Phase II Transition Plan Ends June 20 - May 2005
- Decimal Billing Requirements - April 2005
- Introducing the eMedNY Exchange Communicating Electronic Transactions - March 2005
- Electronic Billing Changes for Ambulatory Services - March 2005
- Remittance Advices: eMedNY Transactions 820 and 835 - March 2005
- Paper Claim Forms - March 2005
- ePaces Enhancements for Phase II - March 2005
- Non-Emergency Transportation Electronic Claim Submission - March 2005
- SPECIAL EDITION eMedNY PHASE II Beginning March 24, 2005 - March 2005
- eMedNY: Changes to Paper Claim Forms - February 2005
- eMedNY: Remittance Advice Transactions 820 & 835 - February 2005
- Physicians and Nurse Practitioners: New Drug Code for Risperdal Consta - January 2005
- Correct Billing For Medicare Part B Coinsurance - January 2005
- NCPDP 5.1: Billing Requirements for Medicare Crossover Claims - December 2004
- eMedNY: Paper Claim Form Submission - December 2004
- eMedNY: Non-emergency Transportation Electronic Claims - December 2004
- eMedNY: Remittance Advice Transactions 820 & 835 - December 2004
- HIPAA: Denial Reports Now Available - December 2004
- Billing Reminder: Physicians, Physicians Assistants, Group Practitioners - November 2004
- HIPAA Deadline Exception: December 29, 2004 - November 2004
- eMedNY Phase II: Magnetic Media Submissions - November 2004
- Pharmacies: Medicaid is Payor of Last Resort - October 2004
- eMedNY Phase II: Transportation Claims and Codes - October 2004
- eMedNY Phase II: Transactions 835 and 820 - October 2004
- eMedNY Phase II: The "Tilde" is Supported - October 2004
- Phase II Will Not Support Blocked Data - October 2004
- Key Changes Under eMedNY Phase II - September 2004
- eMEDNY Update - August 2004
- HIPAA Deadline Date: October 6, 2004 - August 2004
- Utilization Threshold Policy Reminders - July 2004
- Group Practice Reminders To Physicians, Dentists And Other Practitioners - June 2004
- Vital Medicaid HIPAA Update - June 2004
- Timely Submission of Claims to Medicaid - May 2004
- Prescriber & Pharmacy Providers Prescription Requirements Reminder - March 2004
- Providers Of Group Practices, Requirements And Responsibilities - March 2004
- Timely Submission Of Claims To Medicaid - February 2004
- Ask the Pharmacist: Return of Unused Medication - December 2003
- HIPAA News: Important Reminders for All Providers - December 2003
- HIPAA News: Providers Are You HIPAA Compliant? - December 2003
- HIPAA News: HIPAA Trading Partner Agreement Reminder - December 2003
- HIPAA News: HIPAA-Compliant Transactions Now Accepted - December 2003
- You May Now Enroll in ePACES - December 2003
- Pharmacy: Decimal Billing Version 5.1 Billing Format - November 2003
- Ask the Pharmacist: Electronic Billing of Claims with Other Insurance - November 2003
- Use of Electronic Records by Medicaid Providers - November 2003
- Submit Claims via ePACES - June 2003
- Reminder of Claim Requirements for Family Planning Benefit Program - May 2003
- Timely Submission of Medicaid Claims Follow Up Article - April 2003
- Timely Submission of Claims to Medicaid - February 2003
- CSC Bulletin Conflicting Claim Denial Messages - December 2002
- Guidelines Governing Payment of Nursing Home Claims - August 2002
- New Edits Will Impact Clinic Claims - June 2002
- Have You Received a Claim Correction Form? - June 2002
- Claims Pending for Edits 01154 & 01155 - February 2001
- Pharmacy Claim Submission of Correct National Drug Codes - November 2000
- CSC Billing Bulletin - September 2000
- Clarification to May 2000 Medicaid Update Article - August 2000
- Rejected Modem Claims - May 2000
- Attention: Nursing Registries - May 2000
- Attention: Providers of Services to QMBs - January 2000
- Attention All Providers - Computer Sciences Corporation Claim Acknowledgement Procedures - August 1999
- CSC Billing Bulletin - June 1999
- Submission of Claims Over Two Years Old to Medicaid - May 1999
- Computer Science Corporation - May 1999
- Computer Science Corporation - January 1999
- Medicaid Reimbursement for Immunizations in Article 28 Hospital-Based & Freestanding Clinic Settings - September 2012
- Addressing a Clinical Comparison of Glyburide and Glipizide - October 2012
- Clinic Reimbursement for Palivizumab (Synagis®) - September 2012
- Billing Policy for Free-Standing Diagnostic and Treatment Centers (DTCs), including Renal Clinics and School Based Health Centers (SBHCs) - June 2011
- Second Notice: Medicaid to Implement Automated Medicare Crossover in December - October 2009
- Medicaid To Implement Automated Medicare Crossover in December 2009 - September 2009
- Supervising/teaching physician documentation in the clinic setting - June 2009
- Changes to Medicaid Outpatient Clinic Code Editing - April 2009
- New APG rate codes for school based health clinics - March 2009
- Increases in Practitioner Fees and Payment Enhancements - December 2008
- Dispensing validation system (DVS) update - October 2008
- Reimbursement soon available to outpatient hospital clinics and diagnostic treatment centers - October 2008
- Medicaid Now Reimbursing for Viral Tropism Laboratory Test - June 2008
- Important National Provider Identifier Information for Hospitals, Clinics, etc. - June 2008
- Pharmacy Benefits for Family Planning Benefit Program Enrollees - May 2008
- New Rate Codes for Federally Qualified Health Centers - April 2008
- Enhanced Coverage for Family Planning Benefit Program Enrollees - February 2008
- Medicaid Coverage of Human Papillomavirus Vaccine - December 2007
- Costs of Laboratory Tests for End Stage Renal Disease Patients Are in Clinic Rate - November 2007
- Computer Sciences Corporation Call Center Contact Information - September 2007
- Sterilization and Hysterectomy Consent Forms Available Online - August 2007
- Family Planning Benefit Program: Pending Approval for Reimbursement of Follow-up Treatment - July 2007
- New Guidance Recommendations for Developmental Screening for Infants and Young Children - July 2007
- National Drug Code Required on Medicaid Claims - June 2007
- Correction in Overpayment of Clinic Claims - March 2007
- Payments to Hospital-Based Clinic Providers when Enrollees are Hospitalized - March 2007
- Issuance of IRS Form 1099 - February 2007
- Medicaid Coverage of Human Papillomavirus (HPV) Vaccine - February 2007
- Attention Physicians and Clinics: Service Authorization Exception Code 7- Special Handling - January 2007
- Medicaid Reimbursement for Immunizations in Article 28 Hospital-Based Freestanding Clinic Settings - January 2007
- Issuance of 1099 Forms - January 2007
- Medicaid Reimbursement for Immunizations in Article 28 Hospital-Based and Freestanding Clinic Settings - December 2006
- Certain Long Term Therapy Services Incorporated into ICF/DD Medicaid Payment Rates Effective January 1, 2007 - September 2006
- Proper Billing Requirements for Clinics - September 2006
- OMH Certified Only Clinics: Children's Clinic Rate Enhancements - June 2006
- Medicaid Recipients Cannot Be Billed - April 2006
- Onsite Visits for Credential Verification Reviews - December 2005
- New York State Occupational Health Clinic Network - August 2005
- Billing Requirements for Clinics Certified by the Dept. of Health and the Office of Mental Health - August 2005
- Anti-Kickback Advisory for Laboratory and Clinic Providers - August 2005
- Proper Billing Requirements for Clinics - July 2005
- eMedNY: Electronic Billing Changes for Ambulatory Services Providers - January 2005
- Coverage for Wireless Capsule Endoscopy - November 2004
- Reimbursement Policy for Physician-Administered Drugs - November 2004
- Medicaid Payment For Psychiatric Social Work - June 2004
- Medicaid Payment To Physicians For Rapid HIV Testing - June 2004
- Clinics Proper Billing Requirements - April 2004
- Dental Clinics: Requirements and Expectations - March 2004
- Part Time Clinics Can Learn From Past Actions - March 2004
- Payment for Psychiatric Social Work Services in Federally Qualified Health Centers - December 2003
- Article 28 Clinics Billable Clinic Visits - November 2003
- Key Clinical Activities for Quality Asthma Care - August 2003
- Important Billing Instructions for Article 16 Clinic Providers - May 2003
- Change in Reimbursement for Part-Time Clinics - May 2003
- New Edits for Part Time Clinics - March 2003
- Clinic Billing Guidelines - February 2003
- New Edits Will Impact Clinic Claims - June 2002
- Physician and Clinic Billing for Magnetic Resonance Imaging - May 2002
- Attention: All Outpatient & Freestanding Clinics - March 2001
- Claims Pending for Edits 01154 & 01155 - February 2001
- Attention: Hospital & Clinic Employed Physicians Enrollment in the Medicaid Program - February 2001
- Attention Outpatient & Freestanding Clinics - January 2001
- Reminder to All Outpatient & Free Standing Clinics - September 2000
- Hemodialysis Clinic Billing for Epogen - March 2000
- Timing Is Everything - October 1999
- Attention Physicians and Clinics: Important Notice Concerning Submission of Threshold Override Applications for Increases in UT Limits - August 1999
- Section On Preventive And Clinical Care Improvement - January 1999
- Medicaid Claims Processing and The Year 2000 - January 1999
- NCPDP D.0 Billing Requirements for Medicare Pharmacy Claims - December 2013
- Palivizumab (Synagis®) Clinical Drug Review Program (CDRP) Process - September 2012
- Clinical Drug Review Program (CDRP) Fax Options and Requirements - May 2011
- Medicaid Pharmacy Prior Authorization Program Update - December 2009
- Palivizumab (Synagis®) Guidelines for Children at Risk - September 2009
- New Drugs Added To Clinical Drug Review Program - July 2008
- Expanded Clinical Review - April 2008
- Medicaid Program Clinical Drug Review Program Prior Authorization Instructions and Worksheet for Prescribers - October 2006
- The Medicaid Pharmacy Clinical Drug Review Program Begins October 18, 2006 - October 2006
- Helpful Tips for Pharmacists When Validating Prior Authorization Numbers - September 2006
- Helpful Prior Authorization Tips for Prescribers - September 2006
- The Clinical Drug Review Program - September 2006
- Dental Procedure Code Changes Effective January 1, 2021 - January 2021
- New York State Medicaid Fee-for-Service Policy and Billing Guidance for crizanlizumab-tmca (ADAKVEO®): New Coverage Criteria and "J" Code - May 2020
- New York State Medicaid Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) - March 2020
- Medicaid Fee-for-Service: Procedure Code Modifier 'ST' for Occupational, Physical, or Speech Therapy Services Provided to a Member with a Traumatic Brain Injury (TBI) - November 2019
- Physician Healthcare Common Procedure Coding System Billing Guidance - November 2018
- Additional Codes Added to the Nurse Practitioner Fee-for-Service Fee Schedule - May 2018
- Revised Dental Policy and Procedure Code Manual and Dental Fee Schedule Available - November 2016
- HIV Counseling and Testing Rate Codes to be Subsumed into APGs - June 2011
- New Non-Emergency Transportation Procedure Codes Must Be Used by New York City Medical Practitioners - January 2011
- Changes to Ambulette, Taxi and Livery Transportation Procedure Codes - December 2010
- 2011 Healthcare Common Procedure Coding System Update - December 2010
- Anesthesia Coding Changes to Begin 11/18/10 - November 2010
- Pharmacists as Immunizers - October 2010
- Medicaid Fee-For-Service Coverage of Seasonal Flu and Pneumococcal Immunizations - October 2010
- Providers of Family Planning Services to Enrollees in the Family Planning Benefit Program (FPBP) - October 2010
- Pharmacies Are Required to Submit Diagnosis Code on all Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims - June 2010
- New Edit Code Implemented - May 2010
- Providers May Bill Medicaid Fee-For-Service for Family Planning & Reproductive Health Services Provided to Enrollees of Fidelis Care New York - May 2010
- Affiliated Practitioner NPIs Must Be Registered with eMedNY - May 2010
- National Drug Code (NDC) billing announcement - March 2010
- Billing for mental health clinic visits for SSI and SSI-related recipients - March 2010
- APG Methodology Replaces PCAP Rates - February 2010
- Expanded Medicaid Reimbursement Nurse Practitioner Services - December 2009
- 2010 Healthcare Common Procedure Coding System - December 2009
- Medicaid Outpatient Coding Edits Reminder - November 2009
- Lab and Radiological Medicaid Claims - November 2009
- Get Ready for New York Medicaid's E-Prescribing Incentive Program - July 2009
- Ambulance Providers: Claim Modifiers Required Effective July 1, 2009 - May 2009
- Changes to Medicaid Outpatient Clinic Code Editing - April 2009
- Coverage for fetal nuchal translucency measurement ultrasound - March 2009
- Outpatient coding for Medicaid - March 2009
- Medicaid drug rebate program overview - October 2008
- Enhanced payment for expanded "after hours" access - October 2008
- Reimbursement soon available to outpatient hospital clinics and diagnostic treatment centers - October 2008
- New Rate Codes for Federally Qualified Health Centers - April 2008
- Enhanced Coverage for Family Planning Benefit Program Enrollees - February 2008
- Payment Changes for Bone Growth Stimulators - January 2008
- Coverage of Herpes Zoster Vaccine - January 2008
- New Recipient Restriction Program Codes Effective January 1, 2008 - January 2008
- 2008 Healthcare Common Procedure Coding System - December 2007
- Clinical Psychologists: Reimbursement of New Procedure Codes - August 2007
- Basal Thermometer Coding Change - July 2007
- Durable Medical Equipment Fee Schedule Changes - June 2007
- Physicians Billing for Critical Care - June 2007
- Correction in Overpayment of Clinic Claims - March 2007
- Enhancements to Attestation of Resource Coverage Code Editing - March 2007
- 2007 Healthcare Common Procedure Coding System is Released - December 2006
- Prepayment Review has Ended for Some Procedures - August 2006
- OMH Certified Only Clinics: Children's Clinic Rate Enhancements - June 2006
- Provider Manual Updates - May 2006
- Procedure Code Review Information - April 2006
- Erectile Dysfunction Procedures Now Require Prior Approval - January 2006
- 2006 Healthcare Common Procedure Coding System (HCPCS) To Be Released - December 2005
- Billing for Supernumerary Teeth - October 2005
- New State Education Department Profession Codes - September 2005
- Preferred Physicians and Children's Program: New Billing Guidelines - September 2005
- Diagnosis on Medicaid Laboratory Claim - August 2005
- Reimbursement and Coding Changes for Enteral Formula - August 2005
- Practitioners and Ordered Ambulatory Providers: Procedure Code Review Information - August 2005
- Enteral Products Classification List - May 2005
- New NYS Education Department Profession Codes - April 2005
- New Coverage Codes for Resource Attestation - Start Date of 29 Days of Short-Term Rehabilitation - February 2005
- Coverage for Wireless Capsule Endoscopy - November 2004
- Physician, Nurse Practitioner, & Ordered Ambulatory: New Billing Codes - October 2004
- eMedNY Phase II: Transportation Claims and Codes - October 2004
- Emergency Dental Services Procedures - September 2004
- New Coverage Codes Reminder - August 2004
- National Drug Code Billing Announcement - August 2004
- New Coverage Codes Announced - July 2004
- Update To Products Of Ambulatory Care/Products Of Ambulatory Surgery Grouper - July 2004
- Preferred Physicians and Children's Program Billing Guidelines - March 2004
- HIPAA News: Transactions and Code Sets Compliance Data is Coming - September 2003
- Private Duty Nursing Providers - September 2003
- Usage of Exception Code 83 for Chemical Dependence Services - September 2003
- HIPAA News - New Codes For PPAC Providers - July 2003
- Hospitals Eliminate Neonate Inpatient Discharge Code - June 2003
- Coding Changes For Pharmacy & DME Providers - March 2003
- Reimbursement of "By Report" Dental Codes - December 2002
- Hospital Patient Discharge Status Codes - September 2002
- Laboratory Billing for Molecular Diagnosis Procedures - September 2002
- Home and Community Based Waiver: New Restriction/Exception Code - July 2002
- Physician Modifier Codes Used For Billing - July 2002
- EMEVS PC Applications: Error Code File has been Updated - June 2002
- Positron Emission Tomography Expanded Coverage - December 2001
- Durable Medical Equipment Providers, Coding & Fee Changes - July 2001
- Attention Pharmacy Providers Serving Nursing Home & Child Care Agencies - May 2001
- Home Drug Infusion & Administration Supplies Now Require DVS Authorization - April 2001
- Billing for Enteral Formulae Codes B4154 & B4155 - November 2000
- Attention: Optometrists - October 2000
- Office & Physician Speciality Fee Increases Effective October 1, 2000 - October 2000
- Changes in Wheelchair Coding Effective July 1, 2002 - July 2000
- Repair of Orthotic Devices - July 2000
- Changes in Pricing & Coding for Enteral Supplies - July 2000
- Utilization Threshold Service Authorization Exception Codes & TOAs - July 2000
- Attention: Optometrists - Expanded Scope of Services - April 2000
- Attention: Pharmacy & DME Providers of Enteral Formulae - April 2000
- Attention: Pharmacy & DME Providers of Enteral Formulae - February 2000
- Attention: DME Providers - January 2000
- Enteral Therapy - October 1999
- Attention: Optometrists - July 1999
- Attention: DME (Durable Medical Equipment ) Providers - May 1999
- All Providers - Managed Care Information - May 1999
- Attention: DME Providers - April 1999
- Billing for Clients enrolled with Medicaid Coverage: - February 2014
- Payment of Medicare Part B Coinsurance Will Change - December 2011
- Coinsurance Enhancement for Psychiatrist Services - December 2007
- Prepayment Review has Ended for Procedure Code 92568 - November 2006
- Physician and DME Provider: Medicare Coinsurance Enhancement - November 2005
- Correct Billing For Medicare Part B Coinsurance - January 2005
- Payment of Medicare Coinsurance - May 2004
- Payment of Medicare Coinsurance - November 2003
- Eye Care Services for Patients with Diabetes - September 2003
- Legislative Change Reduces Medicaid Payment for Medicare Coinsurance - August 2003
- Clarification to May 2000 Medicaid Update Article - August 2000
- Billing for Commercial Insurance Deductible & Coinsurance - May 2000
- Attention: Hospital Providers - January 2000
- New York State Medicaid Expansion of Coverage for Colorectal Cancer Screening - June 2017
- Increasing Colorectal Cancer Screening in New York State - March 2014
- Colorectal Cancer Prevention Update - March 2012
- Colorectal Cancer Screening Importance - April 2011
- Notification to Providers Regarding Changes to Compliance Certification Requirements - October 2020
- Legislative Update – Amendments to New York Social Services Law §363-d: Changes in Compliance Program Requirements (Cover) - August 2020
- Reminder: Mandatory Compliance Program Certification Requirement under Title 18 of the New York Codes, Rules and Regulations (NYCRR) §521.3(b) - November 2018
- Compliance Certification Reminder: Federal Deficit Reduction Act of 2005 - November 2017
- Mandatory Compliance Program Certification Requirement under Title 18 of the New York Codes, Rules and Regulations (NYCRR) §521.3(b) - October 2017
- OMIG Publishes Compliance Program Review Guidance - November 2016
- Mandatory Compliance Program Certification Requirement under 18 NYCRR Section 521.3(b) - November 2016
- Mandatory Compliance Program Certification Requirement under Title 18 of the New York Codes, Rules and Regulations (NYCRR) §521.3(b) - Reminder - October 2016
- Mandatory Compliance Program Certification Requirement under 18 NYCRR §521.3(b) Reminder of December 2015 Certification Obligation - November 2015
- Certification of Compliance with Section 6032 of the Deficit Reduction Act of 2005, Section 1902 of the Social Security Act, and Title 42 of the United States Code Section 1396a (a)(68) Reminder of December 2015 Certification Obligation - November 2015
- Compound Policy: A Reminder and Clarification - December 2020
- Update on Medicaid Fee-for-Service Prior Authorization of Topical Compounded Drug Products (Cover) - November 2018
- Change in Reimbursement Policy for Compounded Alpha-Hydroxyprogesterone Caproate (17-P) - August 2016
- Update on Pharmacy Billing for Compounded Prescriptions - June 2014
- Important Information on Ketamine use in Compounded Prescriptions - February 2014
- Coverage of Compounded Prescriptions for the Dual Eligible Population - February 2014
- Update on Pharmacy Billing Procedures for Compounded Prescriptions - February 2014
- Pharmacists: Prescription Serial Numbers and Compound Billing for Individual Ingredients - April 2008
- Revised Pharmacy Billing Procedure For Compounded Prescriptions - February 2004
- Pharmacists: Compound Billing Information - April 2003
- Pharmacy Compound Prescription Billing Instructions - February 2002
- Compounded Prescription Billing Instruction Change - November 2000
- Compounded Prescription Billing Change - October 2000
- Payment Reductions on Elective Delivery (C-Section and Induction of Labor) Less than 39 Weeks without Medical Indication - April 2015
- Elective Deliveries (C-sections or Inductions) Prior to 39 Weeks Gestation - June 2014
- Elective Delivery (C-Section and Induction of Labor) < 39 Weeks without Medical Indication - June 2013
- Medicaid Consumer Fact Sheets Now Available - May 2021
- Medicaid Consumer Fact Sheets Now Available - April 2021
- Medicaid Consumer Fact Sheets Now Available - February 2021
- Medicaid Consumer Fact Sheets Now Available - January 2021
- Medicaid Consumer Fact Sheets Now Available - December 2020
- Medicaid Consumer Fact Sheets Now Available - November 2020
- Transportation to be Carved-Out for Managed Care Enrollees in New York City - September 2012
- Transportation Management Initiative Covers All New York City Boroughs - September 2012
- Transportation Management Initiative Covers Four New York City Boroughs - August 2012
- Transportation Management Initiative Continues in New York - July 2012
- Prescription Contraceptive Drugs for Family Planning - November 2019
- Pharmacy Reminder: Emergency Contraceptive Coverage (cover) - April 2019
- Reminder: Emergency Contraceptive Coverage - January 2018
- Update: Emergency Contraceptive Coverage - March 2017
- Attention Family Planning Providers: Medicaid-covered Long Acting Reversible Contraceptives - March 2017
- Long-Acting Reversible Contraception Carve-out for Federally Qualified Health Center Clinics - September 2016
- New York State Medicaid Comprehensive Coverage and Promotion of Long Acting Reversible Contraception - September 2016
- Reimbursement Available to Family Planning Clinics Dispensing Oral Contraceptives to Medicaid Recipients - February 2013
- Electronic Prescribing: Blanket Waiver for Exceptional Circumstances - March 2019
- OMIG Issuing Controlled Substance Accumulation Letters to Pharmacy Providers and Prescribers - October 2018
- Medicaid FFS Pharmacy Change in Early Fill Edit for Controlled Substances - January 2018
- Controlled Substance Prescription Fact Sheet - January 2017
- New Edit for Orally Prescribed Controlled Substances to be Implemented - August 2015
- Reminder to Providers: New York State Medicaid Requires Coordination of Benefits - July 2020
- Update on Medicaid FFS Pharmacy Billing Instructions for Coordination of Benefits Submission - July 2018
- Attention Pharmacy Providers: Coordination of Benefits (COB) Processing Change for Other Payer ID and Other Payer ID Qualifier - October 2017
- Update on Medicaid Fee-for-Service (FFS) Pharmacy Billing Instructions for Coordination of Benefits (COB) Submission - July 2017
- Update on Medicaid Fee-for-Service (FFS) Pharmacy Billing Instructions - May 2014
- New York State Medicaid Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) - March 2020
- Reminder: Federal Mandate Regarding Copay Nonpayment - September 2017
- Medicaid to Implement Changes for Hospitals and Nursing Home Claims Processing - April 2013
- Family Health Plus Pharmacy Benefit - August 2008
- Pharmacy Co-Payment Changes - July 2008
- Medicare and the Dual Eligible - Some of the Basics - June 2006
- Family Health Plus Co-payment Information - April 2006
- Notice: New York State Medicaid Recipient Co-payments (English and Spanish Versions) - April 2006
- Posting of Co-payment Information - April 2006
- New Family Health Plus Co-pays & Vision Care Benefit Change - September 2005
- Recipient Co-payment Changes - August 2005
- Pharmacy Co-Payments Increase August 1, 2005 - July 2005
- Managed Care Enrollee Pharmacy Co-Payments Inadvertently Deducted - May 2005
- Managed Care Enrollee Pharmacy Co-Payment Changes - March 2005
- Managed Care Enrollee Pharmacy Co-Payment Changes - February 2005
- Pharmacy Co-Payment Exemption for Residents in Adult Care Facilities - July 2003
- Home and Community Based Waiver: New Restriction/Exception Code - July 2002
- Medicaid Co-Payment Policy - January 2002
- Medicaid Co-Payment Policy - July 2001
- Provider Reminder: Entry of Copayment Information - December 2000
- Co-Payments - May 2000
- Notice to NYS Medicaid Recipients - January 2000
- Notice to Pharmacies Regarding the Posting of Co-Payment Information - January 2000
- Co-Payments - October 1999
- Attention: Pharmacy Providers - September 1999
- Medicaid Recipients Cannot Be Billed - July 1999
- National Guidelines for Coronary Angiography - February 2008
- New York State Medicaid Fee-for-Service Retroactive Repricing for COVID-19 Vaccine Administration Reimbursement for Professional and Pharmacy Claims - May 2021
- Attention: Qualified NYS Medicaid COVID-19 Vaccine Providers - May 2021
- Reminder: Fee-for-Service Early Refill Guidance to Pharmacies During the Continued Disaster Emergency for COVID-19 - December 2020
- Help Stop the Spread of COVID 19 by Sharing the New COVID Alert NY App - November 2020
- Download the Free COVID Alert NY App and Help Stop the Spread of COVID-19 - October 2020
- Medicaid Members May Not be Billed for COVID-19 Related Provider Expenses (Cover) - July 2020
- Guidance on Submitting Fee for Service Dental Claims that involve Teledentistry and Telephonic Services for Date(s) of Service During the COVID-19 State of Emergency - June 2020
- Medicaid Eligibility for Pregnant Women and COVID-19 - May 2020
- General Information - May 2020
- New York State Medicaid Program Launches Online Medicaid Provider Enrollment During COVID-19 Public Health Emergency - April 2020
- New York State Medicaid Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) - March 2020
- Reminder: Pharmacies Must Obtain HCS Medical Professions Account - May 2012
- Pharmacies Must Obtain an HCS Medical Professions Account for the Upcoming AAC/COD Project - April 2012
- NY State of Health: Significant New Tax Credits Available Now to Lower the Cost of Health Coverage - May 2021
- NY State of Health: Significant New Tax Credits Available Now to Lower the Cost of Health Coverage - April 2021
- NY State of Health: Significant New Tax Credits Available Now to Lower the Cost of Health Coverage - March 2021
- Drug Coverage for New York State Medicaid Dual Eligible Members - August 2020
- Medicaid Fee-for Service Coverage Policy and Billing Guidance for Vaccinations - July 2020
- Transgender Related Care and Services Pharmacy Coverage Update - July 2020
- Attention Prescribers and Pharmacies: Clarification of Medicaid Coverage for Over the Counter (OTC) Drugs - June 2020
- Reminder: Substance Use Disorder Drug Treatment: Medicaid Managed Care and Fee-for-Service Coverage - May 2020
- New York State Medicaid Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) - March 2020
- New York State Medicaid Coverage of Duchenne Muscular Dystrophy (DMD) Testing for Exondys 51® Prescribing - July 2019
- New York State Medicaid Coverage of CYP2C9 Testing for Siponimod Prescribing - July 2019
- Coverage of Kymriah (Tisagenlecleucel) Expanded to Include Diffuse Large B-Cell Lymphoma - May 2018
- New York State Medicaid Will Begin Covering Voretigene Neparvovec-rzyl (Luxturna™) - March 2018
- New York State Medicaid Will Begin Covering Axicabtagene Ciloleucel (YESCARTA™) - January 2018
- New York State Medicaid Reimbursement for Pasteurized Donor Human Milk - November 2017
- New York State Medicaid Expands Coverage to Include Real-Time Continuous Glucose Monitors for Individuals with Type 1 Diabetes - October 2017
- New York State Medicaid Coverage of Digital Breast Tomosynthesis Three-dimensional Mammography - August 2017
- NYS Medicaid Coverage of Pasteurized Donor Human Milk (cover) - July 2017
- New York State Medicaid Expansion of Coverage for Colorectal Cancer Screening - June 2017
- Medicaid Coverage Discontinued for Topical Oxygen Wound Therapy (TOWT) - May 2017
- Transgender Related Care and Services Update - January 2017
- New Legislation Regarding Emergency 5-Day Supply of Drugs used to Treat Substance Use Disorders in Medicaid Fee-for-Service (FFS) & Medicaid Managed Care - December 2016
- Attention Pharmacists and Prescribers: Emergency Services Only Coverage (cover) - December 2016
- New York Medicaid Does Not Cover "Conversion Therapy" - February 2016
- Help Stop the Spread of COVID-19 by Sharing the COVID Alert NY App - May 2021
- Help Stop the Spread of COVID-19 by Sharing the COVID Alert NY App - April 2021
- Help Stop the Spread of COVID-19 by Sharing the COVID Alert NY App - March 2021
- Help Stop the Spread of COVID-19 by Sharing the COVID Alert NY App - February 2021
- Help Stop the Spread of COVID-19 by Sharing the COVID Alert NY App - January 2021
- Help Stop the Spread of COVID-19 by Sharing the New COVID Alert NY App - December 2020
- Help Stop the Spread of COVID 19 by Sharing the New COVID Alert NY App - November 2020
- Download the Free COVID Alert NY App and Help Stop the Spread of COVID-19 - October 2020
- Update: Credentialed Alcoholism and Substance Abuse Counselor (CASAC) Now Approved for Billing Within an Article 28 Setting for DSRIP Project 3.a.i and Integrated Outpatient Services - July 2019
- Updated: Credentialed Alcoholism and Substance Abuse Counselor Now Approved for Billing Within an Article 28 Setting for DSRIP Project 3.a.i and Integrated Outpatient Services - March 2019
- Credentialed Alcoholism and Substance Abuse Counselor Now Approved for Billing Within an Article 28 Setting for DSRIP Project 3.a.i and Integrated Outpatient Services - February 2019