DOH Medicaid Update Index - E to G

Early Fill Edit

• Reminder: Fee-for-Service Early Refill Guidance to Pharmacies During the Continued Disaster Emergency for COVID-19 - December 2020
• Medicaid FFS Pharmacy Change in Early Fill Edit for Controlled Substances - January 2018
• Update on Policy for Medicaid Fee-for-Service (FFS) Pharmacy Early Fill Edit - March 2015
• New Medicaid FFS Pharmacy Early Fill Edit - January 2015

Ebola

• Instructions to New York Hospitals Related to Medicaid Coverage for Ebola Patients - September 2014

Edits

• The eMedNY Edit/Error Knowledge Base Search Tool - April 2021
• Implementation of Claim Edits for Office for People with Developmental Disabilities Intermediate Care Facilities for Individuals with Intellectual Disabilities - August 2020
• Reminder: eMedNY Front-End (Pre-Adjudication) Edits - October 2019
• New System Edit to be Implemented to Validate the Ingredient Cost for 340B Drugs - August 2019
• New System Edit on Fee-for-Service Pharmacy Claims for the Vaccines for Children Program - May 2019
• New Edit to Validate Submitted Procedure Codes and Associated National Drug Codes (NDC's) - September 2018
• Timely Billing Webinar - July 2018
• Implementation of Edit 02255 to Pend Clinic Claims (Medicare Managed Care amounts invalid) - October 2016
• New Edit for Orally Prescribed Controlled Substances to be Implemented - August 2015
• Reasonability Edits for Practitioner-Administered Drugs - August 2015
• All Claim Types Pending Review for Edits 00127 & 01283 - March 2015
• Claims Pending Review for Edits 00127 & 01283 - November 2014
• Reasonability Edits have been established for Practitioner-Administered Drugs - September 2014
• Ordering/Referring Enrollment and Claims Editing - December 2013
• Ordering/Referring Editing Implementation in Fee-for-Service Medicaid - October 2013
• Implementation of Claims Editing for Ordering/Prescribing/Referring/Attending OPRA Providers - July 2013
• Guidance for Pharmacies on New Prospective Drug Utilization Review (DUR) Edit - April 2013
• eMedNY Front-End (Pre-Adjudication) Edits - June 2011
• Lost/Stolen Edit Update - April 2011
• Changes to Medicaid Outpatient Clinic Code Editing - April 2009
• Payment Edits Policy for Treatment of an Emergency Medical Condition - July 2008
• Reminder: New Claim Edit for Pharmacies Begins July 2, 2007 - July 2007
• Pharmacy Providers: Bill Medicare First - December 2004
• New Claim Edit: Service Provider vs. Billing Provider - September 2004
• Revised Pharmacy Billing Procedure For Compounded Prescriptions - February 2004
• New Edits for Part Time Clinics - March 2003
• Edits to be Activated for Optical Providers - February 2003
• New Edits Will Impact Clinic Claims - June 2002
• Comprehensive Case Management Providers - January 2002
• Claims Pending for Edits 01154 & 01155 - February 2001
• New Payment Edit for OMRDD Home & Community Based Services (HCBS) Waiver Claims - December 2000
• Maximum Quantity Edits - November 2000
• Reminder to All Outpatient & Free Standing Clinics - September 2000
• Attention All Outpatient & Freestanding Clinics - August 2000
• Front-end EMEVS Prescriber License Verification Edit - June 2000
• Viagra Edit Change - February 2000
• Attention Dental and Dental Clinic Providers - Edit 868 Process Revised and Streamlined - August 1999
• Attention Pharmacy Providers - Edit 867 Process Revised and Streamlined - August 1999
• CSC Billing Bulletin - Edit Review Panel - February 1999

Elderly Pharmaceutical Insurance Coverage (EPIC)

• EPIC Income Levels Expanded - July 2014
• EPIC Update - December 2012
• EPIC Update - July 2012
• EPIC Update - March 2012
• EPIC Members - February 2012
• EPIC Update - June 2011
• Policy & Billing Guidance from EPIC - Secondary Coverage for Medicare Part D - January 2011
• EPIC Update: New York's Prescription Program for Seniors - October 2008
• EPIC Update - New York's Prescription Coverage for Seniors - August 2008
• EPIC Update - New York's Prescription Coverage for Seniors - July 2008

Elective Delivery (Elective C-section and Induced Labor)

• Further Payment Reductions on Deliveries Prior to 39 Weeks Gestation (C-Section and Induction of Labor) - June 2017
• Elective Deliveries Prior to 39 Weeks Gestation (Inductions of Labor and Cesarean Sections) - May 2016
• Further Payment Reductions on Elective Delivery (C-Section and Induction of Labor) Less than 39 Weeks Without Medical Indication - April 2016
• 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

Electronic Funds Transfer (EFT)

• Reminder to Sign-up for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) or Portable Document Format (PDF) Remittances - July 2019
• Reminder to Sign Up for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) or PDF Remittances - August 2018
• Issuance of IRS Form 1099 - January 2017
• Medicaid Now Requires All Billing Providers to Register for Electronic Funds Transfer (EFT) - January 2014
• Changes in Federal Poverty Levels for Medicaid Presumptive Eligibility Programs - November 2013
• Medicaid to Require (EFT) for Provider Payments and (ERA) 835 or PDF Version of Paper Remittances - August 2012
• Electronic Funds Transfer (EFT) for Provider Payments - March 2011
• Medicaid Offers (EFT) for Provider Payments and PDF Paper Remittances - June 2010
• Need help understanding why a claim was denied? - September 2008
• Electronic Funds Transfer: The EFT Advantage - May 2007

Electronic Health Record (EHR)

• New York Medicaid EHR Incentive Program: Program Close Environmental Scan Survey(Cover) - April 2021
• New York Medicaid EHR Incentive Program - November 2020
• New York Medicaid EHR Incentive Program - October 2020
• New York Medicaid EHR Incentive Program - September 2020
• New York Medicaid EHR Incentive Program - August 2020
• New York Medicaid EHR Incentive Program - July 2020
• New York Medicaid EHR Incentive Program - June 2020
• New York Medicaid EHR Incentive Program - May 2020
• New York Medicaid EHR Incentive Program - January 2020
• New York Medicaid EHR Incentive Program - December 2019
• New York Medicaid EHR Incentive Program - November 2019
• New York Medicaid EHR Incentive Program - October 2019
• New York Medicaid EHR Incentive Program - August 2019
• Provider Training Schedule and Registration - August 2019
• New York Medicaid EHR Incentive Program - July 2019
• New York Medicaid EHR Incentive Program - June 2019
• New York Medicaid EHR Incentive Program - May 2019
• New York Medicaid EHR Incentive Program Update - April 2019
• New York Medicaid EHR Incentive Program Update - March 2019
• New York Medicaid EHR Incentive Program Update - February 2019
• NY Medicaid EHR Incentive Program - January 2019
• New York Medicaid EHR Incentive Program Update - December 2018
• NY Medicaid EHR Incentive Program Update - November 2018
• NY Medicaid EHR Incentive Program - October 2018
• NY Medicaid EHR Incentive Program - September 2018
• NY Medicaid EHR Incentive Program Update - August 2018
• NY Medicaid EHR Incentive Program Update - July 2018
• NY Medicaid EHR Incentive Program Update - June 2018
• NY Medicaid EHR Program Update - May 2018
• NY Medicaid EHR Program Update - April 2018
• NY Medicaid EHR Program Update - March 2018
• NY Medicaid EHR Incentive Program Update - February 2018
• NY Medicaid EHR Incentive Program Update - January 2018
• NY Medicaid EHR Incentive Program Update - December 2017
• MEIPASS Password Expirations: EHR Incentive Program - December 2017
• NY Medicaid EHR Incentive Program Update - November 2017
• NYS Medicaid EHR Incentive Program Update - October 2017
• NY Medicaid EHR Incentive Program Update - September 2017
• NYS Medicaid EHR Incentive Program Update - August 2017
• NYS Medicaid EHR Incentive Program Update - July 2017
• NY Medicaid EHR Incentive Program Update - June 2017
• NY Medicaid EHR Incentive Program Update - May 2017
• NY Medicaid EHR Incentive Program Update - April 2017
• NY Medicaid EHR Incentive Program Update - March 2017
• NY Medicaid EHR Incentive Program Update - February 2017
• NY Medicaid EHR Incentive Program Update - January 2017
• NY Medicaid EHR Incentive Program Update - December 2016
• NY Medicaid EHR Incentive Program Update - November 2016
• New York Medicaid EHR Incentive Program - October 2016
• New York Medicaid EHR Incentive Program Update - September 2016
• New York Medicaid EHR Incentive Program Update - August 2016
• New York Medicaid EHR Incentive Program Update - July 2016
• NY Medicaid EHR Incentive Program Update - May 2016
• NY Medicaid EHR Incentive Program Update - April 2016
• New York Medicaid Management Information System (NYMMIS) Training - March 2016
• New York Medicaid EHR Incentive Program Update - February 2016
• New York Medicaid EHR Incentive Program Update - January 2016
• New York State Medicaid EHR Incentive Program Update - December 2015
• New York State Medicaid EHR Incentive Program Update - November 2015
• New York State Medicaid EHR Incentive Program Update - August 2015
• New York Electronic Health Records Update - March 2014
• Medicaid Required by Federal Law to Change Electronic Remittance Delivery Date - March 2014
• Electronic Health Records (EHR) Incentive Program Update - February 2014
• EHR Incentive Update - January 2014
• EHR Incentive Update - December 2013
• New York Mediaid Electronic Health Records Incentive Program Update - November 2013
• New York Medicaid EHR Incentive Program - October 2013
• New York Medicaid Electronic Health Records Incentive Program Update - July 2013
• New York Medicaid Electronic Health Records Incentive Program Update - May 2013
• New York Medicaid Electronic Health Records Incentive Program Update - April 2013
• New York Medicaid Electronic Health Records Incentive Program Update - March 2013
• New York Medicaid Electronic Health Records Incentive Program Update - February 2013
• New York Medicaid Electronic Health Records Incentive Program Update - January 2013
• New York Medicaid Electronic Health Records Incentive Program Update - December 2012
• New York Medicaid Electronic Health Records Incentive Program Update - November 2012
• New York Medicaid Electronic Health Records Incentive Program Update - October 2012
• New York Medicaid Electronic Health Records Incentive Program Update - September 2012
• New York Medicaid Electronic Health Records Incentive Program Update - August 2012
• New York Medicaid Electronic Health Records Incentive Program Update - July 2012
• New York Medicaid Electronic Health Records Incentive Program Update - June 2012
• New York Medicaid Electronic Health Records Incentive Program Update - May 2012
• New York Medicaid Electronic Health Records Incentive Program Update - March 2012
• Electronic Health Record Incentive Payments Begin - January 2012

Electronic Medicaid Eligibility Verification System (EMEVS)

• Medicaid Eligibility Verification System and Dispensing Validation System Provider Manual (Cover) - February 2021
• Medicaid Eligibility Verification System (MEVS) and Dispensing Validation System (DVS) Provider Manual - August 2019
• Provider Training Schedule and Registration - July 2019
• Important Reminder: Verify Member Eligibility - April 2019
• NY Medicaid Billing Training Available to Providers - January 2019
• Medicaid Eligibility Verification System (MEVS) Update for Qualified Medicare Beneficiary (QMB) Providers - January 2016
• Medicaid to Implement Changes for Hospitals and Nursing Home Claims Processing - April 2013
• Updated Medicaid Eligibility Verification System (MEVS) and Dispensing Validation System (DVS) Manual Now Available - June 2011
• Mandatory Medicaid Managed Care Expanding - April 2011
• Enhancements to Attestation of Resource Coverage Code Editing - March 2007
• EMEVS PC Applications: Error Code File has been Updated - June 2002
• Attention All EMEVS Users - November 1999

electronic Provider Assisted Claim Entry System (ePACES)

• ePACES Self-Help Guides Available - July 2020
• ePACES Administrator Functions and Security - November 2019
• eMedNY Offers Medicaid Provider Training - April 2019
• NY Medicaid Billing Training Available to Providers - January 2019
• Reminder: View Your ETIN Decertification Date in ePaces - September 2018
• Provider Training Schedule and Registration - July 2018
• Immigrants in Need of Nursing Home Care and Services - April 2018
• CAPTCHA - ePACES to Add New Feature on June 1, 2016 - May 2016
• New York State of Health (NYSoH) ePACES Identifier - February 2015
• Effective February 23, 2012: Rehabilitation Visits Will Require Prior Authorization - December 2011
• New ePACES Training Schedule and Registration - June 2011
• ePACES Training Schedule and Registration - April 2011
• Seminar Schedule and Registration - March 2011
• Anesthesia Coding Changes to Begin 11/18/10 - November 2010
• Eligibility/Benefit Verification for Beneficiaries Enrolled in Medicare Health Plans/Medicaid - June 2010
• Providers May Bill Medicaid Fee-For-Service for Family Planning & Reproductive Health Services Provided to Enrollees of Fidelis Care New York - May 2010
• Dental Providers: Electronic Submission of Attachments with Dental Prior Approval Requests - May 2010
• Medicaid Seminars Offered - March 2010
• ePACES offers significant benefits over paper claims - March 2010
• Medicaid Training Sessions Offered - December 2009
• CSC offers Medicaid provider seminars - June 2009
• CSC offers Medicaid provider seminars - April 2009
• CSC offers Medicaid provider seminars - March 2009
• Computer Sciences Corporation Offers Seminars - Sign Up Today! - June 2008
• Dispensing Validation System Soon Available for Full Dentures and Dental Sealants - June 2008
• Dental Sealants To Require Prior Approval - June 2008
• Omni 3750 Medicaid Terminal Continues Warranty - June 2008
• Requesting Individual Provider Training - December 2007
• ePACES Update: Enhanced Prior Approval Inquiry - November 2007
• Reduce Dispensing Validation System Cancellations - October 2007
• Omni 3750 POS Terminal Discontinuance - October 2007
• Seminar Schedule and Registration - September 2007
• eMedNY Update: Wondering About the Status of Your Submitted Claims? - September 2007
• Computer Sciences Corporation Call Center Contact Information - August 2007
• Seminar Schedule and Registration - August 2007
• Important Information about Available Electronic Tools - August 2007
• Accessing the Medicaid Eligibility Verification System - June 2007
• Individual Provider Training is Available - June 2007
• Seminar Schedule and Registration - June 2007
• Seminar Schedule - April 2007
• ePACES Enrollment - January 2007
• Seminar Schedule and Registration - November 2006
• ePACES Security Rules - November 2006
• Rate-Based Providers: Dates Recorded as Paid - October 2006
• Omni 3750 Point of Service Users - August 2006
• New Insurance Balancing Edit To Be Activated - April 2006
• New Prior Approval Fax Capability - January 2006
• ePACES: The Alternative to Paper Claims - January 2006
• eMedNY Update: Status of Submitted Claims - September 2005
• eMedNY: Phase II Provider Training Is Available for Issues - June 2005
• eMedNY: Prior Approval Rosters on eMedNY eXchange - May 2005
• Introducing the eMedNY Exchange Communicating Electronic Transactions - March 2005
• ePaces Enhancements for Phase II - March 2005
• The Electric Gateway to be Eliminated March 2005 - March 2005
• Non-Emergency Transportation Electronic Claim Submission - March 2005
• Prior Approval and Prior Authorization Changes - March 2005
• SPECIAL EDITION eMedNY PHASE II Beginning March 24, 2005 - March 2005
• eMedNY: ePaces Enhancements for Phase II - January 2005
• eMedNY: Electronic Gateway to be Eliminated March 2005 - January 2005
• eMedNY: eMedNY eXchange is Available Now - December 2004
• eMedNY Phase II: Fax-On-Demand - October 2004
• HIPAA Notes For Medicaid - July 2004
• HIPAA News: Medicaid Eligibility Field Software Soon To Be Terminated - June 2004
• ePaces User System Requirements for Optimal Performance - March 2004
• New Type Of Common Benefit Identification Card To Be Issued - January 2004
• HIPAA News: Providers Are You HIPAA Compliant? - December 2003
• You May Now Enroll in ePACES - December 2003
• Providers - Are You Hipaa Compliant? - October 2003
• HIPAA News: New Omni 3750 POS Deployment on Track - September 2003
• HIPAA News: Transactions and Code Sets Compliance Data is Coming - September 2003
• Submit Claims via ePACES - June 2003
• HIPAA Testing to Begin - April 2003
• HIPAA News - January 2003
• Computer Science Corporation - May 1999
• Computer Science Corporation - January 1999

Electronic Transmitter Identification Number (ETIN)

• Reminder: View Your ETIN Decertification Date in ePaces - September 2018
• Important Message Regarding Medicare Part B Claims Submitted by Pharmacies (cover) - May 2018
• Tips to Prevent Rejection of Yearly Certification Forms - April 2018
• Renew your Certification Statements annually! - September 2008
• Paper Claim Submitters: Electronic Transmitter Identification Number Required - April 2008

Electronic Visit Verification (EVV) System/Program

• New York State Medicaid Electronic Visit Verification (EVV) Program and Deadlines for NYS Medicaid-funded Providers to Select and Implement an EVV System - October 2020

Eligibility

• Medicaid Eligibility for Pregnant Women and COVID-19 - May 2020
• Important Reminder: Verify Member Eligibility - April 2019
• C-Yes: The State's Designated Independent Entity for Children's HCBS - March 2019
• Medicaid Eligibility Verification System (MEVS) Update for Qualified Medicare Beneficiary (QMB) Providers - January 2016
• Health and Recovery Plan (HARP) Enrollment Notices: What Providers Need to Know - September 2015
• Medicaid to Implement Changes for Hospitals and Nursing Home Claims Processing - April 2013
• Orthodontia Covered by Managed Care Plans Beginning October 1 - August 2012
• OMH Residential Treatment Facility Prescription Drug Carve-Out - July 2012
• Updated Medicaid Eligibility Verification System (MEVS) and Dispensing Validation System (DVS) Manual Now Available - June 2011
• Presumptive Eligibility Update - June 2011
• Eligibility/Benefit Verification for Beneficiaries Enrolled in Medicare Health Plans/Medicaid - June 2010
• Prenatal Care Providers and Presumptive Eligibility - February 2010
• DME Providers - Checking Beneficiary Eligibility? Look for Eligibility Response Exception Code NH - May 2009
• Computer Sciences Corporation Offers Seminars - Sign Up Today! - June 2008
• Medicaid Presumptive Eligibility for Children - April 2008
• New Medicaid POS Terminal Now Available - January 2008
• Requesting Individual Provider Training - December 2007
• Seminar Schedule and Registration - September 2007
• Computer Sciences Corporation Call Center Contact Information - September 2007
• Accessing the Medicaid Eligibility Verification System - June 2007
• Individual Provider Training is Available - June 2007
• Presumptive Eligibility Training - November 2006
• OMNI 3750 Point of Service Users: OMNI 3750 Terminal May Not Function With Digital Telephone Service - October 2006
• Omni 3750 Point of Service Users - August 2006
• Medicare Drug Coverage, Eligibility, and Co-Payments for Institutionalized Individuals - February 2006
• ePACES: The Alternative to Paper Claims - January 2006
• New eMedNY Helpdesk Hours of Operation - December 2005
• Presumptive Eligibility For Pregnant Women: Documentation Requirements - May 2005
• Services Available Under The Family Planning Benefits Program - June 2004
• Consult Your Medicaid Eligibility Verification System Manual When Reading Your Printouts - June 2004
• HIPAA News: Medicaid Eligibility Field Software Soon To Be Terminated - June 2004
• Revised Pharmacy Billing Procedure For Compounded Prescriptions - February 2004
• HIPAA News: Omni 3750 Deployment Continues - December 2003
• You May Now Enroll in ePACES - December 2003
• Citizenship & Alien Eligibility Changes - August 2001
• Medicaid Expansion for Pregnant Women & Infants Effective Nov 1, 2000 - October 2000
• Medicaid Services for Newborn Infants - July 2000
• New State PC Software Policy - April 2000
• Skilled Nursing Facilities Must Make Refunds when Retroactive Medicaid Eligibility is Determined - August 1999
• Deluxe Electronic Payment Systems - May 1999
• Medicaid Coverage for Aliens Continuously Residing in the U.S. Since August 22,1996. - March 1999
• Deluxe Electronic Payment Systems - January 1999

eMedNY

• The eMedNY "What's New" Website Resource Tab - April 2021
• Reminder: Sign Up for eMedNY Training Webinars - April 2021
• The eMedNY Edit/Error Knowledge Base Search Tool - April 2021
• Reminder: Sign Up for eMedNY Training Webinars - February 2021
• Reminder: Sign Up for eMedNY Training Webinars - January 2021
• Reminder: Sign Up for eMedNY Training Webinars - December 2020
• Convenient Healthcare Links Available on eMedNY Website - December 2020
• Reminder: Sign Up for eMedNY Training Webinars - August 2020
• Reminder: Sign Up for eMedNY Training Webinars - July 2020
• eMedNY Offers Online Medicaid Provider Training Webinars - June 2020
• eMedNY eXchange - June 2020
• Attention Submitters of X12 Transactions: Provide Proper Electronic Data Interchange (EDI) Contact Information - January 2020
• eMedNY Offers Medicaid Provider Training - November 2019
• Reminder: eMedNY Front-End (Pre-Adjudication) Edits - October 2019
• Attention eMedNY eXchange Users: Information on TAR Remit Files (cover) - October 2019
• Reminder: Subscribe to the eMedNY LISTSERV® - July 2019
• eMedNY Offers Medicaid Provider Training - April 2019
• Attention Submitters of 837 Batch Transactions: Provide Proper EDI Contact Information - April 2019
• eMedNY Cycle Processing Calendar - November 2018
• Attention: New Provider Enrollment Section on eMedNY - September 2018
• Provider Training Schedule and Registration - July 2018
• Timely Billing Webinar - July 2018
• Check out the "What's New" section on the eMedNY Website - June 2018
• Important Reminder for Expedited/Priority and P.O. Box Mailing Addresses - May 2018
• Tips to Prevent Rejection of Yearly Certification Forms - April 2018
• eMedNY Edit/Error Knowledge Base - March 2018
• New York Medicaid Electronic Health Record (EHR) Incentive Program Update - June 2016
• eMedNY Corrections to Reimbursement Methodology for Physician Administered Drugs Provided to Medicare/Medicaid Dually Eligible Individuals - April 2016
• Nurse Practitioner Collaboration Requirements - New York State eMedNY System Changes - August 2015
• eMedNY Website To Get Facelift - December 2012
• eMedNY Provider Test Environment 5010/D.0 Testing - June 2011
• eMedNY Front-End (Pre-Adjudication) Edits - June 2011
• New Provider Enrollment and Screening Regulations - April 2011
• Physician Enrollment Update - April 2011
• eMedNY Gateway To Be Eliminated - January 2011
• Eligibility/Benefit Verification for Beneficiaries Enrolled in Medicare Health Plans/Medicaid - June 2010
• Providers May Bill Medicaid Fee-For-Service for Family Planning & Reproductive Health Services Provided to Enrollees of Fidelis Care New York - May 2010
• Licensed Midwives as First Assistant at Cesarean Section Deliveries - May 2010
• Affiliated Practitioner NPIs Must Be Registered with eMedNY - May 2010
• ePACES offers significant benefits over paper claims - March 2010
• NY Medicaid requires facilities to register NPIs of their attending (servicing) providers - March 2010
• Billing for mental health clinic visits for SSI and SSI-related recipients - March 2010
• NPI submitted on claims to Medicare must be enrolled with NY Medicaid - March 2010
• Important information about new eMedNY utilization review edits - December 2009
• Protected Health Information (PHI) Fact Sheet - November 2009
• A New Access Method is Now Available for Transmitting and Receiving Files with EMEDNY Via the Internet - July 2009
• EMedNY Combination Edits Personal Emergency Response Services (PERS) - June 2009
• eMedNY Provider Support - March 2009
• eMedNY Data Center is moving - September 2008
• Computer Sciences Corporation Address Changes - April 2008
• Correct Submission of Replacement Claims - April 2008
• New York State Medicaid Online - January 2008
• eMedNY Website Monthly Highlight: NYHIPAADESK Frequently Asked Questions - December 2007
• eMedNY Call Center Contact Information - November 2007
• eMedNY Website Highlight: Provider Enrollment and Maintenance/Update Forms Now Contain the National Provider Identifier Number - November 2007
• eMedNY Website Highlight: Provider Update Forms for Electronic Transactions - October 2007
• eMedNY Website Highlights: HIPAA Claim Denials - August 2007
• National Provider Identifier Implementation: All Providers Need to Take Action! - May 2007
• Electronic Transmitter Identification Number Changes to Four Digits - April 2007
• Correction in Overpayment of Clinic Claims - March 2007
• eMedNY Update: Batch Response File Submissions - February 2007
• Issuance of IRS Form 1099 - February 2007
• Issuance of 1099 Forms - January 2007
• Understanding Claim Edit Denial Codes - December 2006
• 2007 Healthcare Common Procedure Coding System is Released - December 2006
• ePACES Security Rules - November 2006
• eMedNY Processing Cycle Cut-Off Time - October 2006
• Medicaid Information Available Online - August 2006
• National Provider Identifier News - August 2006
• Receive Your Remittance Two and a Half Weeks Earlier - July 2006
• How Often Do You Want to Receive Pended Claim Information on Your Remittances? - July 2006
• eMedNY Update: Enhanced Electronic Remittances Information for Denied Claims - January 2006
• New eMedNY Helpdesk Hours of Operation - December 2005
• Seminar Schedule and Registration - December 2005
• All Providers: Electronic Funds Transfer Now Available - December 2005
• Providers Who Serve Youth from Birth to Age 21: New EPSDT/CTHP Manual Available - December 2005
• Seminar Schedule and Registration - November 2005
• Electronic Remittances to Provide Retroactive Rate Adjustment Detail - November 2005
• Phase II Compliance Deadline December 31, 2005 - November 2005
• Orthodontists: Claim Format - October 2005
• All Providers: Electronic Remittance Advices - October 2005
• All Providers: Seminar Schedule and Registration Reminder - October 2005
• eMedNY Transition Extended To December 31, 2005 - October 2005
• Reminder: Seminar Schedule & Registration - September 2005
• Medicaid Information Available Online - July 2005
• Phase II Provider Training Seminars - June 2005
• eMedNY: Phase II Provider Training Is Available for Issues - June 2005
• Provider Training Seminars - May 2005
• eMedNY: Pended Claim Data for Transactions 820 & 835 - May 2005
• eMedNY: Prior Approval Rosters on eMedNY eXchange - May 2005
• Phase II Transition Plan Ends June 20 - May 2005
• Introducing the eMedNY Exchange Communicating Electronic Transactions - March 2005
• Magnetic Media Processing Will Change in March 2005 - March 2005
• Remittance Advices: eMedNY Transactions 820 and 835 - March 2005
• Dental Claims HIPAA 837D Transaction Change in Oral Cavity Reporting - March 2005
• Paper Claim Forms - March 2005
• The Electric Gateway to be Eliminated March 2005 - March 2005
• Phase II Will Not Support Blocked Data - March 2005
• SPECIAL EDITION eMedNY PHASE II Beginning March 24, 2005 - March 2005
• eMedNY: Remittance Advice Transactions 820 & 835 - February 2005
• eMedNY Arrives Next Month! - February 2005
• eMedNY: Electronic Billing Changes for Ambulatory Services Providers - January 2005
• eMedNY: Changes Affecting Prior Approvals/Prior Authorizations - January 2005
• eMedNY: Magnetic Media Processing Notification - January 2005
• eMedNY: Electronic Gateway to be Eliminated March 2005 - January 2005
• eMedNY: eMedNY eXchange is Available Now - December 2004
• eMedNY: Remittance Advice Transactions 820 & 835 - December 2004
• eMedNY Phase II: Companion Guides - November 2004
• Changes Affecting Prior Approvals/Prior Authorizations - November 2004
• eMedNY Exchange - 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
• Draft Companion Guides For eMedNY Start Up - September 2004
• eMEDNY Update - August 2004
• Companion Guides For eMEDNY Startup - August 2004
• eMedNY Phase II Implementation Getting Closer - June 2004
• Enhanced License Editing under eMedNY - August 2003
• Point Of Service Device Users - May 2003
• eMedNY Implementation - January 2003
• eMedNY Implementation is Here - November 2002
• The New eMedNY is Coming In November - October 2002
• The New eMedNY - July 2001
• Announcing eMedNY - May 2000

Emergency Medical Condition

• Medicaid Required by Federal Law to Change Electronic Remittance Delivery Date - March 2014
• Medicaid Begins Coverage for Hospital Emergency Room Observation Services - May 2011
• Payment Edits Policy for Treatment of an Emergency Medical Condition - July 2008

Emergency Services

• Reminder: Continue to Refer Emergency Services Abusers to the Medicaid Program - March 2014

Enrollment

• NY State of Health Open Enrollment Deadline Extended Through May 15 - February 2021
• NY State of Health Open Enrollment for New Yorkers Extended Through March 31 - January 2021
• NY State of Health Open Enrollment — There is Still Time to Get New Yorkers Enrolled in 2021 Coverage - December 2020
• Expansion of HIV SNPs to Transgender Enrollees - October 2017
• Attention Managed Care Network Providers: Medicaid Provider Enrollment Requirement - May 2017
• Resource Verification Indicator Added to Provisional Coverage (06) Eligibility Response and Targeted MLTC Enrollment - June 2014
• Billing for Clients enrolled with Medicaid Coverage: - February 2014
• Update to Enrollment of Newborns when a Mother is Enrolled in Medicaid Managed Care or Family Health Plus - March 2013
• Coverage of Residential Health Care Facility Services for Medicaid Managed Care Enrollees - March 2013
• Enrollment of Newborns When a Mother Is Enrolled in Medicaid Managed Care or Family Health Plus - January 2013
• Orthodontia Covered by Managed Care Plans Beginning October 1 - August 2012

Enteral Therapy/Formulae

• Prescribers and Pharmacy Providers: Is Your Patient Covered by Medicare? - October 2007
• Important Prior Authorization Pharmacy Phone Numbers - July 2006
• Prescribers and Pharmacists: Hints for Using the Pharmacy Prior Authorization System - September 2005
• Reimbursement and Coding Changes for Enteral Formula - August 2005
• Enteral Products Classification List - May 2005
• Enteral Formula: Change In Reimbursement - January 2005
• Pharmacy News: Pharmacy And DME Contact Numbers - July 2004
• Enteral Products Classification List - February 2004
• Enteral Formula Prior Authorization - February 2004
• Frequently Asked Questions - Medicaid Coverage of Oral Enteral Formulas - October 2003
• Enteral Therapy: Calculation of Caloric Units - June 2003
• Helpful Hints for the Enteral Voice Interactive Telephone Prior Authorization System - April 2003
• Enteral Formula Prior Authorization Program - February 2003
• Conditions for Ordering Enteral Nutrition - December 2002
• Pharmacies, DME Suppliers & Orderers - Enteral Billing - August 2002
• Classification of Enteral Products - February 2002
• Enteral Therapy: Billing & Coverage - July 2001
• Attention: Pharmacy & DME Providers of Enteral Formulae - February 2001
• Billing for Enteral Formulae Codes B4154 & B4155 - November 2000
• Changes in Pricing & Coding for Enteral Supplies - July 2000
• Attention: Pharmacy & DME Providers of Enteral Formulae - April 2000
• Attention: Pharmacy & DME Providers of Enteral Formulae - February 2000
• Enteral Therapy - October 1999

e-Prescriber

• Reminder: Safeguarding Electronic Prescribing Credentials - Practitioner Responsibilities - June 2019
• Electronic Prescribing: Blanket Waiver for Exceptional Circumstances - March 2019
• Electronic Prescribing - New Blanket Waiver for Exceptional Circumstances - March 2017
• New Legislation – Electronic Prescribing: Use of an Exception to the E-Prescribing Mandate No Longer Requires a Notification to the New York State Department of Health. - October 2016
• Electronic Prescribing Exceptions: Dispensing Clarification for Pharmacists - April 2016
• Use of an Electronic Prescribing Exception: Practitioner Reporting Requirement - April 2016
• Electronic Prescribing Blanket Waiver for Exceptional Circumstances - March 2016
• Electronic Prescribing Mandate - Reminder - February 2016
• Mandatory Electronic Prescribing in New York State - December 2015
• Mandatory Electronic Prescribing in New York State - November 2015
• e-Prescriber Payments to be Issued By eMedNY - September 2012
• E-Prescribing Incentive Reminder - June 2012

Erectile Disfunction (ED) Drugs

• Erectile Dysfunction Drugs No Longer Covered - June 2006
• Erectile Dysfunction Procedures Now Require Prior Approval - January 2006
• Prescribers Of Erectile Dysfunction Drugs - August 2004
• Medicaid Policy For Erectile Dysfunction Drugs - August 2004
• Important Cialis Prescribing And Billing Information - February 2004
• Pharmacy: Decimal Billing Version 5.1 Billing Format - November 2003
• Important Viagra and Levitra Prescribing and Billing Information - November 2003
• Pharmacy Policy Reminders - April 2003
• Pharmacy Dispensing of Viagra: Review of Guidelines - June 2002
• Viagra Edit Change - February 2000
• Viagra Reminder - September 1999
• Attention Pharmacy Providers - Directions for Dispensing Validation Required for Viagra - July 1999
• Attention Medical Prescribers and Pharmacy Providers - June 1999

Essential Plan (EP)

• Essential Plan Coverage - April 2016

Exclusive Pharmacy Network Initiative

• Medicaid Consumer Fact Sheets Now Available - March 2021
• Exclusive Pharmacy Network Initiative Update - October 2012

False Claims

• Most Common Reasons for Claim Denials - December 2012
• Employee Education Requirement Regarding False Claims Recoveries - July 2007

Family Health Plus (FHPlus)

• New York State Medicaid Managed Care and Family Health Plus Pharmacy Benefit Information Website Update - March 2014
• Discontinuance of the Family Health Plus Program (FHPlus) - December 2013
• Managed Care Program Provider Access and Availability - April 2011
• Growth Hormones for Beneficiaries 21 and Older - January 2011
• 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
• New York State Medicaid and Family Health Plus Providers - 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
• Statewide Patient Centered Medical Home Program Receives Approval For Office-Based Practitioners - May 2010
• Medicaid Beneficiaries Cannot Be Billed for the Cost of a Non-Related Transplant Donor Search - November 2009
• NY Medicaid implements Preferred Diabetic Supply Program (PDSP) - October 2009
• Intrauterine Devices (IUDs) for Managed Care Enrollees - September 2009
• Medicaid and Family Health Plus Prescribers - July 2009
• Reminder: Second Generation Antihistamines - April 2009
• Coverage of Viral Tropism Tests for Managed Care Enrollees - April 2009
• Family Health Plus Pharmacy Benefit Update - January 2009
• Family Health Plus Benefit - September 2008
• Family Health Plus Pharmacy Benefit - August 2008
• Family Health Plus Pharmacy Benefit - July 2008
• Pharmacy Benefits for Persons Enrolled in Family Health Plus - April 2008
• Family Health Plus Premium Assistance Program - February 2008
• Article 28 Clinics: Revised Instructions for the Billing of Implanon and Intrauterine Devices - November 2007
• Benefit Clarification for Intrauterine Devices - September 2007
• Medicaid Reimbursement for Implanon - June 2007
• Family Health Plus Covers Family Planning and Reproductive Health Services - August 2006
• Preferred Drug Program Implementation - July 2006
• Family Health Plus: Enrollees in Plans that Do Not Cover Family Planning and Reproductive Health Services Can Soon Access These Services from Any Qualified Medicaid Provider - June 2006
• Enrollment and Coverage for Newborns - May 2006
• Medicaid Recipients Cannot Be Billed - April 2006
• Family Health Plus Co-payment Information - April 2006
• New Family Health Plus Co-pays & Vision Care Benefit Change - September 2005
• Family Planning Benefit Program Claim Denials - September 2005
• Coverage Of Plan B by Medicaid - June 2004
• HealthNow Family Health Plus Dental Providers - November 2003
• Who Pays for Dental Services: Managed Care or Fee-For-Service? - November 2003
• Enrollment of Newborns when Mom is in Medicaid Managed Care or Family Health Plus - October 2003
• Family Health Plus and Confusion Over Inquiry Responses - August 2003
• Are You Interested in Participating in Family Health Plus? - March 2002
• Family Health Plus - December 2001
• Family Health Plus - November 2001
• Disaster Relief Medicaid/Family Health Plus - November 2001
• Family Health Plus Begins! - September 2001
• Family Health Plus...Covering the Uninsured - July 2001

Family Planning

• Prescription Contraceptive Drugs for Family Planning - November 2019
• Important Change: Fidelis to Provide Family Planning and Reproductive Health Benefit - December 2018
• Billing New York State Medicaid for Family Planning Services - January 2016
• New York State Medicaid FFS Program Pharmacist as Immunizers Fact Sheet - August 2015
• Presumptive Eligibility for the Family Planning Benefit Program (FPBP) - December 2013
• Providers of Family Planning Services to Enrollees in the Family Planning Benefit Program (FPBP) - October 2010
• Change in Billing for Emergency Contraception - November 2009
• Intrauterine Devices (IUDs) for Managed Care Enrollees - September 2009
• Reimbursement for follow-up pap smears - September 2008
• Pharmacy Benefits for Family Planning Benefit Program Enrollees - May 2008
• Sterilization Consent Form Requirements - April 2008
• Enhanced Coverage for Family Planning Benefit Program Enrollees - February 2008
• Article 28 Clinics: Revised Instructions for the Billing of Implanon and Intrauterine Devices - November 2007
• Benefit Clarification for Intrauterine Devices - September 2007
• Basal Thermometer Coding Change - July 2007
• Family Planning Benefit Program: Pending Approval for Reimbursement of Follow-up Treatment - July 2007
• Medicaid Reimbursement for Implanon - June 2007
• Revised List of CPT-4 Family Planning Codes - May 2007
• Elimination of Fiscal Order for Plan B - for Women 18 Years of Age and Older Who are Enrolled in the NYS Medicaid Program - March 2007
• Family Planning Benefit Program Change in Reimbursement Requirement - Correction - March 2007
• Family Planning Benefit Program: Change in Reimbursement Requirement - February 2007
• Ordered Ambulatory and Medicaid Managed Care Reimbursement for Intrauterine Devices - December 2006
• Family Health Plus Covers Family Planning and Reproductive Health Services - August 2006
• Family Health Plus: Enrollees in Plans that Do Not Cover Family Planning and Reproductive Health Services Can Soon Access These Services from Any Qualified Medicaid Provider - June 2006
• Medicaid Coverage of Hysteroscopic Sterilization (Essure?) - January 2006
• Depo-Provera and Bone Density: Payment of Bone Density Screening - December 2005
• MOMS Providers - Proper Completion of Claim Forms - October 2005
• Change in Coverage of Emergency Contraception - August 2005
• Physician Reimbursement for Intrauterine Devices - May 2005
• Services Available Under The Family Planning Benefits Program - June 2004
• Addition to List of Primary Care Referrals for Recipients of the Family Planning Benefits Program - December 2003
• Primary Care Referrals for Recipients of the Family Planning Benefit Program - August 2003
• Reminder of Claim Requirements for Family Planning Benefit Program - May 2003
• Implementation of the Family Planning Benefit Program - February 2003
• Family Health Plus - November 2001
• Managed Long Term Care Plans-System Modification - June 1999

Family Planning Benefits Program (FPBP)

• Medicaid Coverage of Limited Infertility Benefit - June 2019
• Expedited Partner Therapy to Promote Sexual Health - April 2019
• Family Planning Providers Transition from Diagnosis Code V25 (ICD-9) to Z30 (ICD-10) - September 2015
• Presumptive Eligibility for the Family Planning Benefit Program (FPBP) - December 2013
• Family Planning Benefit Program (FPBP) Update - July 2013
• Reimbursement Available to Family Planning Clinics Dispensing Oral Contraceptives to Medicaid Recipients - February 2013
• Family Planning Benefits for Fidelis Care New York Members Billing Update - March 2012

Family Planning Extension Program (FPEP)

• Expedited Partner Therapy to Promote Sexual Health - April 2019
• Clarification of Medicaid Family Planning Services for Beneficiaries - September 2014
• Clarification of Medicaid Family Planning Services - July 2014
• Family Planning Benefit Program (FPBP) Update - November 2012

Federal Povery Levels (FPL)

• Changes in Federal Poverty Levels for Medicaid Presumptive Eligibility Programs - November 2013

5010 Remittances

• CMS Discretionary Enforcement Period for 5010 Compliance Ends March 31, 2012 - February 2012
• Reminder: CMS Discretionary Enforcement Period for 5010 Compliance Ends March 31, 2012 - January 2012

Federally Qualified Health Center (FQHC)

• Telemedicine Coverage to be Further Expanded - March 2015

Fidelis Members

• Important Change: Fidelis to Provide Family Planning and Reproductive Health Benefit - December 2018
• Family Planning Benefits for Fidelis Care New York Members Billing Update - March 2012

Footwear

• Footwear providers must hold current certification to obtain reimbursement - March 2009

Forms

• Information Notice to Couples with an Institutionalized Spouse - December 2011
• Important Information about the 1099 Form - February 2011
• Important Information about the 1099 Form - January 2011
• Important Information about the IRS 1099 Form - December 2010
• Important Change With IRS Form 1099 - January 2009
• All Providers: 1099 Forms for Calendar Year 2005 - February 2006
• Prescribers: New Prescription Forms - April 19, 2006 Deadline Approaching - February 2006
• 1099 Forms - January 2006
• Prescribers and Pharmacists: Forge Proof Prescriptions - January 2005
• Provider Reminder: 1099 Forms - May 2003
• How To Request Sterilization and Hysterectomy Forms - May 2002

Fraud

• Pharmacy Pricing Policy – Submission of Usual and Customary (U&C) Price for Pharmacy Claims - October 2018
• Center of Operational Excellence - April 2018
• Smoking Cessation Advertisement - November 2009
• Providers enrolled in or ordering services payable by NY Medicaid - October 2009
• New York Announces Mandatory Compliance Programs for Providers Participating in Medicaid - July 2009
• Preferred Drug Program News - August 2008
• Fraud impacts all taxpayers - May 2007
• Announcement from Medicaid Inspector General Kimberly A. O'Connor - January 2007
• Message from the Medicaid Inspector General - October 2006
• Do you suspect that a recipient or a provider has engaged in fraudulent activities? - August 2006
• Fraud Impacts All Taxpayers - July 2006
• Fraud Impacts All Taxpayers - February 2006
• Provider Services - January 2006
• Fraud Impacts All Taxpayers - December 2005
• Fraud Impacts All Taxpayers - October 2005
• Anti-Kickback Advisory for Laboratory and Clinic Providers - August 2005
• Fraud Impacts All Taxpayers - August 2005
• Fraud impacts all taxpayers - June 2005
• Fraud Impacts All Taxpayers - April 2005
• Fraud impacts all taxpayers - February 2005
• Fraud impacts all taxpayers - January 2005
• Provider Services - June 2004
• Provider Services - May 2004
• Provider Services - April 2004
• Provider Services - March 2004
• Audit, Control, and Fraud: Medicaid's Crucial Role - March 2004
• Gifts, Inducements and Remuneration - January 2004
• fraud Impacts All Taxpayers - November 2003
• Report Medicaid Fraud! - October 2003
• Reporting Fraud - January 2002
• Medicaid Hotline - July 2000

Frequency/Quantity/Duration (F/Q/D) Program

• Information Regarding Frequency/Quantity/ Duration (F/Q/D) Editing - February 2012

Fully Integrated Duals Advantage (FIDA) Demonstration

• NY State of Health: Significant New Tax Credits Available Now to Lower the Cost of Health Coverage - March 2021
• FIDA Program Expanded to Suffolk and Westchester Counties - April 2017
• Fully Integrated Duals Advantage (FIDA) Program Update - January 2016
• Pharmacy Update for FIDA Plan Members - February 2015
• Update on FIDA Demonstration - December 2014
• Update on the Fully Integrated Duals Advantage (FIDA) Demonstration - July 2014

Fulyzaq ® (crofelemer)

• FIDA Demonstration Extended through December 31, 2019 - November 2016

Functional Electrical Stimulation (FES)

• Billing Changes for Personal Care Services, Home Health Aide Services, Homemaker Services, Consumer Directed Personal Assistance Programs and Supplemental Day Habilitation Provided to Individuals Living in OPWDD Certified Residences - August 2015
• Limitation to Coverage for Functional Electrical Stimulation (FES) - September 2013

Generic Drugs

• New York State Medicaid Program - Dispense Brand Name Drugs When Less Expensive Revision - December 2011
• Use of NCPDP (408-D8) Dispense as Written/Product Selection Code '5' Substitution Allowed - October 2010
• Change in Reimbursement for Brand and Generic Drugs - April 2008
• Pharmacy Reimbursement Changes - June 2006
• Mandatory Generic Drug Program Update - July 2005
• Prescribers and Pharmacists: Mandatory Generic Drug Program Update - January 2005
• Mandatory Generic Drug Program Update - September 2004
• Information for Pharmacists: Prior Authorization for an Emergency Supply or When the Generic is not Available - October 2002
• Section 5: Frequently Asked Questions about the Mandatory Generic Drug Program - October 2002
• Section 4: Recipient Information - October 2002
• Section 3: How to Request that a Brand-Name Drug be Exempted from the Mandatory Generic Drug Program - October 2002
• Section 2: Instructions for Pharmacists - October 2002
• Section 1: Instructions for Prescribers - October 2002
• Patient Information on Generic Drugs - August 2002
• Comparision of Brand Drugs vs. Generic Drugs - August 2002

Genetic Counseling

• 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
• Clarification on Medicaid Reimbursement of Medicare Part B Services Including Pharmacy Items (cover) - July 2015