DOH Medicaid Update Index - Po to Ps
Policy
- Clarification of Policy for Practitioner, Ordered Ambulatory, and APG Reimbursement New Billing Instructions for Wasted Drugs Using Modifier JW - September 2015
- Care at Home (CAH) III, IV and VI Care Management Providers - December 2012
- New York Medicaid Electronic Health Records Incentive Program Update- December 2012
- Medicaid Transportation Policy Loss of Records Due to Unforeseen Incident- December 2012
- Update on the Health Home Consent Process- December 2012
- Medicaid Primary Care Rate Increase- December 2012
- NYS Medicaid Pharmacy Prior Authorization Programs Update
- Billing Policy for Free-Standing Diagnostic and Treatment Centers (DTCs), including Renal Clinics and School Based Health Centers (SBHCs) - June 2011
- SPARCS Expanded Outpatient Data Collection Program Update May 2011
- SPARCS Expanded Outpatient Data Collection Program Update April 2011
- Physician Enrollment Update April 2011
- New Provider Enrollment and Screening Regulations April 2011
- Changes in Ambulette Enrollment Policy March 2011
- Dental Place of Service (POS) Policy and Billing Guidance March 2011
- New Ambulette Provider Surety Bond Requirements March 2011
- Billing Reminder For Institutional Providers Required To Use NPI March 2011
- New Rules for Provider Screening and Enrollment March 2011
- Billing Instructions for Skilled Nursing Facility Stays for Medicaid Advantage and Medicaid Advantage Plus Enrollees - February 2011
- Billing for Family Planning Services for Managed Care Enrollees - February 2011
- Policy & Billing Guidance from EPIC - Secondary Coverage for Medicare Part D - January 2011
- Provider Bulletins July 2008
- Hearing Aid Devices Soon To Be Approved Through DVS July 2008
- NYS Medicaid Coverage Policy for Digital Mammography July 2008
- Family Health Plus Pharmacy Benefit July 2008
- Payment Edits Policy for Treatment of an Emergency Medical Condition July 2008
- Policy on "Interrupted Treatment" for Dental Procedures June 2008
- Pharmacy Providers, Are you using the correct NDC when validating a PA? June 2008
- Claiming for Primary Care December 2007
- Pharmacists Must Bill Medicare First! June 2007
- Reimbursement Changes for Pharmacy Claims June 2007
- Preferred Drug Program June 2007
- Medicaid Requires Providers to Stay Informed of Policy and Claiming Rules September 2006
- Clarification of Medicaid Coverage For Physical Examinations and Travel Immunizations September 2006
- NYS Medicaid Smoking Cessation Policy August 2004
- New Coverage Codes Reminder - Resource Attestation To Be Implemented August 2004
- Important Pharmacy and DME Contact Numbers July 2004
- Revised Pharmacy Billing Procedures for Compounded Prescriptions February 2004
- Limitation On Payment To Physicians For Radiology Services November 2003
- Required Medical Documentation For Supervising/Teaching Physicians November 2003
- Managed Care Or Fee-For-Service November 2003
- More Information On Special Needs Plans August 2003
- Legislative Change Reduces Medicaid Payment For Medicare Coinsurance August 2003
- Change In Definition Of Medicaid Date Of Service For Laboratory Testing July 2003
- Pharmacy Policy Reminders April 2003
- Dental Providers Billing Policy January 2003
- Medicaid Smoking Cessation Therapy Coverage October 2002
- Personal Assistance By Ambulette Staff September 2002
- Medicaid Co-Payment Policy January 2002
- Medicaid Co-Payment Policy July 2001
- Attention: Optometrists & Ophthalmic Dispensers March 2000
- NYS Medicaid Viagra Edit Change February 2000
- Attention Hospitals: Enrollment Of Newborns Into Medicaid October 1999
- Attention Pharmacists: Policy On Faxed, Electronic & Transferred Prescriptions July 1999
- Attention Pharmacists-Guaranteed Eligibility June 1999
- Submission Of Claims Over 2 Years Old to Medicaid May 1999
- EMEVS Provider Manual January 1999
POS
- Medicaid to Discontinue Use of the Omni 3750 Point of Service (POS) Device - 09-2012
- Medicaid to Discontinue Use of the Omni 3750 Point of Service (POS) Device
- Omni 3750 Medicaid Terminal Continues Warranty June 2008
- New Medicaid POS Terminal Now Available January 2008
- Omni 3750 POS Terminal Discontinuance October 2007
- Omni 3750 Terminal May Not Function With Digital Telephone Service October 2006
- Omni 3750 Point of Service Device Users August 2006
- Pharmacists! July 2006
- Urgent Medicaid HIPAA Update July 2004
- OMNI 3750 Deployment Continues December 2003
- Providers - Are You HIPAA Compliant? October 2003
- HIPAA News: New Omni 3750 POS Deployment On Track September 2003
- HIPAA News: Have You Ordered Your New POS Device? August 2003
- HIPAA News - Have You Replaced Your Old 330 POS Device? July 2003
- New POS Verifone Available June 2003
- Point Of Service Device Users May 2003
- Point Of Service Device Users: New Verifone April 2003
PPAC
- Preferred Physicians and Children's Program September 2005
- Preferred Physicians & Children's Program Billing Guidelines March 2004
- Common Physician Practice: Locum Tenens Arrangements March 2004
- HIPAA News - New Codes For PPAC Providers July 2003
- Medicaid Practitioner Fee Increase November 2000
- CSC Billing Bulletin October 2000
Preferred Drug Program
- Preferred Drug Program (PDP) Update May 2011
- Medicaid Pharmacy Prior Authorization Update June 2010
- Medicaid Preferred Drug Program Change in Provider Notification - May 2010
- New York State Medicaid and Family Health Plus Providers - May 2010
- Mandatory Generic Drug Program Update: New York Medicaid mandatory generic drug program requires prior authorization for brand-name prescriptions with an A-rated generic equivalent March 2010
- Medicaid Pharmacy Prior Authorization Programs Update December 2009
- Preferred Drug Program Update September 2009
- Medicaid and Family Health Plus Prescribers July 2009
- Preferred Drug Program Update June 2009
- Preferred Drug Program Update May 2009
- Reminder: Second Generation Antihistamines April 2009
- Mandatory Generic Drug Program Update April 2009
- Preferred Drug Program Update January 2009
- Preferred Drug Program News December 2008
- Prior Authorization Will Change For Some Drugs September 2008
- Preferred Drug Program Update August 2008
- Preferred Drug Program Update Options May 2008
- Preferred Drug Program Update April 2008
- Preferred Drug Program Update February 2008
- Preferred Drug Program News November 2007
- Preferred Drug Program News October 2007
- NYS Medicaid Preferred Drug List September 2007
- Preferred Drug Program News September 2007
- Preferred Drug Program News August 2007
- Preferred Drug Program June 2007
- Preferred Drug List May 2007
- Preferred Drug Program News May 2007
- Preferred Drug Program April 2007
- Preferred Drug Quick List March 2007
- Preferred Drug Program News March 2007
- NYS Medicaid Preferred Drug List February 2007
- Expansion of the Preferred Drug Program February 2007
- Preferred Drug Program January 2007
- Please Consult The Medicaid Preferred Drug List (PDL) December 2006
- Preferred Drug Program Fax Requests November 2006
- NYS Medicaid Program Prior Authorization Instructions For Pharmacy October 2006
- NYS Medicaid Program Prior Authorization Instructions For Prescribers October 2006
- NYS Medicaid Preferred Drug Quick List October 2006
- NYS Medicaid Preferred Drug List October 2006
- Expansion of the Preferred Drug Program October 2006
- NYS Medicaid Preferred Drug Quick List September 2006
- NYS Medicaid Preferred Drug List September 2006
- Helpful Tips for Pharmacists When Validating Prior Authorization Numbers September 2006
- Helpful Prior Authorization Tips for Prescribers September 2006
- Expansion of the Preferred Drug Program September 2006
- Preferred Drug Program Update August 2006
- Prescriber Prior Authorization Request Fax Form July 2006
- Preferred Drug Program Prior Authorization July 2006
- Preferred Drug List July 2006
- Preferred Drug Quick List July 2006
- Preferred Drug Program Implementation July 2006
- Medicaid Preferred Drug Quick List Program June 2006
- Implementation of the Medicaid Preferred Drug Program June 2006
- The Medicaid Preferred Drug Program Is Coming This Summer! May 2006
Prenatal
- Prenatal Care Providers Update - June 2011
- Provider Requirements in Medicaid Prenatal Care Standards Amended for Nurse Practitioner(s) June 2010
- New York State Medicaid Prenatal Care Standards February 2010
- New Prenatal Care Legislation Enacted February 2010
- Coverage for Fetal Nuchal Translucency Measurement Ultrasound Screening Test Approved March 2009
- Prenatal Care Special Services April 2008 Special Edition
- First in Nation Oral Health Care During Pregnancy & Early Childhood January 2007
- Implementation of the Family Planning Benefit Program February 2003
- Attention: Laboratories, Physicians & Other Ordering Providers April 2001
- Attention: Prenatal Care Providers August 2000
- Attention: All PCAPS February 1999
Prepaid Mental Health Plans (PMHP)
- Avoid Billing Errors: Medicaid's Prepaid Mental Health Plans July 2001
- All Providers - Managed Care Information September 1999
Prepayment Review
- Physician Billing for Critical Care June 2007
- Prepayment Review Has Ended for Procedure Code 92568 November 2006
- Prepayment Review Will End For Some Procedures September 2006
- Prepayment Review Has Ended For Some Procedures August 2006
- Bill and Payment for Intensity Modulated Radiation Treatment July 2006
- Procedure Code Review Information April 2006
- Procedure Code Review Information August 2005
- Reimbursement and Coding Changes for Enteral Formula August 2005
- Reimbursement for Physician-Administered Drugs November 2004
Prescribers
- Change in Coverage of Benzodiazepines and Barbiturates for Dual Eligible Population - December 2012
- Prescriber Prevails in Medicaid Managed Care for Atypical Antipsychotics - December 2012
- Addressing the Recent Fungal Meningitis Outbreak - December 2012
- Addressing a Clinical Comparison of Glyburide and Glipizide - 10-2012
- Addressing Calcium Channel Blocker-Induced Peripheral Edema - 09-2012
- e-Prescriber Payments to be Issued By eMedNY - 09-2012
- Palivizumab (Synagis®) Clinical Drug Review Program (CDRP) Process - 09-2012
- Change in Coverage of Benzodiazepines and Barbiturates for Dual Eligible Population
- OMH Residential Treatment Facility Prescription Drug Carve-Out FAQ's
- OMH Residential Treatment Facility Prescription Drug Carve-Out
- Attention: New York State Medicaid and Family Health Plus Prescribers Growth Hormones for Beneficiaries 21 and Older - January 2011
- Additional Information/Reminder: Prescriber's Individual National Provider Identifier (NPI) Required on All Pharmacy Claim Submissions - November 2010
- UPDATE: Prescriber's National Provider Identifier (NPI) October 2010
- Prescribers of Injectable Prescriptions and Ancillary Supplies - May 2010
- New Edit Code Implemented - May 2010
- Automatic Refills Update - May 2010
- Mandatory Generic Drug Program Update November 2009
- NY Medicaid Electronic Prescribing Incentive Program November (Special) 2009
- NY Medicaid Implements Preferred Diabetic Supply Program (PDSP) October 2009
- Get Ready for NY Medicaid's E-Prescribing Incentive Program July 2009
- Medicaid and Family Health Plus Prescribers July 2009
- DOH and OMH Partnering to Improve Psychotropic Prescribing in NYS July 2009
- Web-based continuing medical education courses for psychotropic prescribing April 2009
- New York's Prescription Program For Seniors October 2008
- Prescriber Education April 2008 Special Edition
- Prior Authorization Requirements of the Mandatory Generic Drug Program January 2008
- Transitioning to New Medicare Part D Drug Plans December 2007
- Backdating Prescriptions and Fiscal Orders November 2007
- NYS Medicaid Preferred Drug List September 2007
- Preferred Drug Program News September 2007
- Preferred Drug Program News August 2007
- Antibiotic Resistance and the Judicious Use of Antibiotics June 2007
- Preferred Drug Program News May 2007
- Hospital Prescribing Exemption Update May 2007
- Record-Keeping Requirements for Telephone Orders May 2007
- Drug Utilization Review Override Documentation May 2007
- Preferred Drug Program April 2007
- Expiration Of Exemption From Using Official NYS Prescriptions April 2007
- Preferred Drug Program News March 2007
- Expansion of the Preferred Drug Program February 2007
- Preferred Drug Program January 2007
- Using Serialized Prescription Forms for Medical-Surgical Supply Fiscal Orders November 2006
- Approval of Darbepoetin Alfa for Dialysis Patients November 2006
- Palivizumab Medicaid Coverage For Children at Risk November 2006
- Medicare Part B Drug Coverage/Billing Issues November 2006
- Medicare Part D Wrap-around Benefit Changes Starting 1/1/07 November 2006
- Official Prescription Program October 2006
- NYS Medicaid Program Prior Authorization Instructions For Prescribers October 2006
- NYS Medicaid Program Prior Authorization Instructions For Prescribers October 2006
- Prescription Writing Requirements October 2006
- NYS Medicaid Preferred Drug Quick List October 2006
- NYS Medicaid Preferred Drug List October 2006
- The Medicaid Pharmacy Clinical Drug Review Program Begins 10/18/06 October 2006
- Proton Pump Inhibitor Changes October 2006
- Official Prescription Program Update September 2006
- NYS Medicaid Preferred Drug Quick List September 2006
- Helpful Prior Authorization Tips for Prescribers September 2006
- Preferred Drug Program Update August 2006
- Change Of Implementation Date For The New Medicaid Limited Wrap-around Benefit August 2006
- Changes To The Dispensing Validation System July 2006
- Changes to Wrap-around Coverage For Medicare Part D Delayed Until Jan 1, 2007 July 2006
- Part D Contact Information for Prescribers June 2006 Special Edition
- Exceptions, Coverage Determinations, and Appeals June 2006 Special Edition
- Medicare Part D Prescription Drug Program June 2006 Special Edition
- Problems Identified During Credential Verification Reviews June 2006
- Erectile Dysfunction Drugs No Longer Covered June 2006
- New Official NYS Prescription Law Now In Effect May 2006
- The Medicaid Preferred Drug Program Is Coming This Summer! May 2006
- Contact Information for Prescribers: Medicare Part D May 2006
- Physician Part D Resource Fact Sheet May 2006
- Letter from the Commissioner of Health May 2006
- Guidance for Prescribers and Pharmacists on Part B vs. Part D Drugs May 2006
- Medicare Part D Drug Plan Information February 2006
- New Prescription Forms April 19, 2006 Deadline Approaching! February 2006
- Medicare Prescription Drug Benefit to Start January 1, 2006 December 2005 Special Edition
- Omeprazole OTC Coverage September 2005
- Hints for Using the Pharmacy Prior Authorization System September 2005
- Prescription Proton Pump Inhibitors Need Prior Authorization September 2005
- Medicaid Prescription Requirements September 2005
- Enteral Products Classification List May 2005
- Update to Forge Proof Prescriptions April 2005
- A Tip on Prior Authorization of Pharmacy Items March 2005 Special Edition
- Ask the Pharmacist... March 2005
- Mandatory Generic Drug Program Update January 2005
- Forge Proof Prescriptions January 2005
- Second Generation Antihistamine Prior Authorization Reminder October 2004
- Prilosec OTC Coverage September 2004
- Prescribers of Erectile Dysfunction Drugs August 2004
- Medicaid Policy For Erectile Dysfunction Drugs August 2004
- Prior Authorization Tips For Prescribers... May 2004
- Prescribers & Pharmacy Providers Medicaid Prescription Requirements Reminder March 2004
- Enteral Products Classification List February 2004
- Prescribers & Pharmacists - Cialis Information February 2004
- Medicaid Prescription Requirements December 2003
- Prescribers & Pharmacists: Fax Orders Allowed For OTC Products October 2003
- Prescribers and Dispensers: Answers Regarding Antihistamines June 2003
- Prescribers and Pharmacists: Prior Authorization Required for Certain Antihistamines April 2003
- Prescribers and Pharmacists: FAX Orders for OTC Products Allowed April 2003
- Prescribers & Pharmacists: Hints For Using the Prior Authorization System December 2002
- Instructions For Prescribers: How To Obtain a Prior Authorization October 2002 Special Edition
- Prescribers & Pharmacists - Serostim & Zyvox Billing August 2002
- Prescriber & Pharmacy Requirements For Prior Authorization Of Zyvox November 2000
- Prescriber Overview Of The Zyvox Prior Authorization System November 2000
- Attention All Pharmacies, DME Vendors, Labs & Other Providers Of Ordered Services March 2000
- Forged Prescription Information for Prescribers/Pharmacists December 1999
- Attention Medical Prescribers & Pharmacy Providers June 1999
Present on Admission
- Inpatient Medicaid Claims Require Present on Admission (POA) Indicator August 2008
- Medicaid Claims Will Require Present on Admission (POA) Indicator June 2008
Prior Authorization
- Retroactive Prior Authorization (PA) for Point-of-Service Medicaid Fee-for-Service Pharmacy claims- September 2015
- NYS Medicaid Pharmacy Prior Authorization Programs Update - 10-2012
- Discontinuance of Transportation Request Form: Prior Authorization of Non-Emergency Transportation Services - 10-2012
- Prior Authorization Changes to PDP Classes
- Effective February 23, 2012: Rehabilitation Visits Will Require Prior Authorization- December 2011
- New York Medicaid and Family Health Plus Pharmacy Providers: Important reminder about Medicaid pharmacy prior authorization programs March 2010
- Medicaid Pharmacy Prior Authorization Programs Update December 2009
- Mandatory Generic Drug Program Update November 2009
- NY Medicaid Electronic Prescribing Incentive Program November (Special) 2009
- Preferred Drug Program Update September 2009
- Dental Update: Fluoride Varnish Applications Covered for Children up to Seven Years of Age September 2009
- Medicaid and Family Health Plus Prescribers July 2009
- Transportation Billing For Multiple Dates of Service July 2009
- Preferred Drug Program Update May 2009
- Ambulance Providers - Claim Modifiers Required Effective July 1, 2009 May 2009
- NPI Update: To Ensure Prompt Processing of Claims Providers Must Use NPI May 2009
- Mandatory Generic Drug Program Update April 2009
- Preferred Drug Program News December 2008
- Are You New to the Medicaid Pharmacy Prior Authorization Process or Just Looking for More Information? November 2008
- Dispensing validation system (DVS) update October 2008
- Are you new to the Medicaid Pharmacy Prior Authorization (PA) process? October 2008
- Prior Authorization Will Change For Some Drugs September 2008
- New Drugs Added to Clinical Drug Review Program July 2008
- Computer Sciences Corporation Offers Seminars - Sign Up Today! June 2008
- Dental Sealants will Soon Require Prior Authorization June 2008
- New Site Edits for Dental Prior Approval February 2008
- Preferred Drug Program Update February 2008
- Pharmacy Prior Authorization General Information December 2007
- Requesting Individual Provider Training December 2007
- Prior Approval Submission Deadline for Care At Home Waiver Enrollees November 2007
- Enhanced Prior Approval Inquiry November 2007
- Provider Update Forms For Electronic Transactions October 2007
- Seminar Schedule and Registration September 2007
- Introducing the Medicaid NYC Prior Authorization Guidelines Manual! September 2007
- Preferred Drug Program News August 2007
- Using the eMedNY 361501 Prior Approval Request Form June 2007
- Reviewing Your Transportation Rosters June 2007
- Individual Provider Training is Available June 2007
- Would You Like to receive Your Prior Approval Rosters Electronically? May 2007
- New Prior Approval Requirements For Private Duty Nursing Services For Care At Home Waiver Clients March 2007
- NYS Medicaid Preferred Drug List February 2007
- ePaces Enrollment January 2007
- Mandatory Generic Drug Program Update January 2007
- Please Consult The Medicaid Preferred Drug List (PDL) December 2006
- Preferred Drug Program Fax Requests November 2006
- Mandatory Generic Drug Program November 2006
- NYS Medicaid Program Prior Authorization Instructions For Pharmacy October 2006
- NYS Medicaid Program Prior Authorization Instructions For Prescribers October 2006
- NYS Medicaid Preferred Drug List October 2006
- The Medicaid Pharmacy Clinical Drug Review Program Begins 10/18/06 October 2006
- Proton Pump Inhibitor Changes October 2006
- New Process for Orthodontic Prior Approval In Nassau and Suffolk Counties September 2006
- Integrated Voice Response System for Prior Authorization Programs September 2006
- NYS Medicaid Preferred Drug List September 2006
- Helpful Tips for Pharmacists When Validating Prior Authorization Numbers September 2006
- Helpful Prior Authorization Tips for Prescribers September 2006
- Expansion of the Preferred Drug Program September 2006
- The Clinical Drug Review Program September 2006
- Pharmacy Prior Authorization Changes September 2006
- Prior Approval Reviews For Clients Residing In Western NY August 2006
- Prior Approval Fax Capability for Dental, Physician, Hearing Aid, Eye Care, Nursing, and DME/Supplies August 2006
- Changes To The Dispensing Validation System July 2006
- Changes to Pharmacy Reimbursement Effective July 15, 2006 July 2006
- Prescriber Prior Authorization Request Fax Form July 2006
- Preferred Drug Program Prior Authorization July 2006
- Preferred Drug Quick List July 2006
- Preferred Drug Program Implementation July 2006
- Exceptions, Coverage Determinations, and Appeals June 2006 Special Edition
- Preferred Drug Program Prior Authorization June 2006
- Implementation of the Medicaid Preferred Drug Program June 2006
- The Medicaid Preferred Drug Program Is Coming This Summer! May 2006
- Emergency Procedures for Durable Medical Equipment Requiring Prior Approval February 2006
- New Prior Approval Fax Capability January 2006
- Emergency Procedures for Durable Medical Equipment Requiring Prior Approval January 2006
- ePACES The Alternative To Paper! January 2006
- Erectile Dysfunction Procedures Now Require Prior Approval January 2006
- Phase II Compliance Deadline December 31, 2005 November 2005
- Orthodontia Prior Approval Numbers on eMedny Claim October 2005
- eMedNY Transition Extended To Dec. 31, 2005 October 2005
- Hints for Using the Pharmacy Prior Authorization System September 2005
- Prescription Proton Pump Inhibitors Need Prior Authorization September 2005
- Did You Know that Medicaid Pharmacy Information Can Be Found on the DOH Website? August 2005
- Dental Prior Approval Reminders July 2005
- Mandatory Generic Drug Program Update July 2005
- Mandatory Generic Drug Program Update May 2005
- Prior Approval Rosters May 2005
- Prior Authorization Rosters Available Electronically March 2005
- A Tip on Prior Authorization of Pharmacy Items March 2005 Special Edition
- Changes Affecting Prior Approvals/Prior Authorizations March 2005 Special Edition
- Do You Submit Paper Claim Forms? February 2005
- ePACES Enhancements for Phase II January 2005
- Changes Affecting Prior Approvals/Prior Authorizations January 2005
- Mandatory Generic Drug Program Update January 2005
- Durable Medical Equipment Prior Approval Requests November 2004
- Changes Affecting Prior Approvals/Prior Authorizations November 2004
- Changes In Durable Medical Equipment Prior Approval, Rental, and Pricing October 2004
- Changes In Prior Approval Codes Physician and Ophthalmic Providers October 2004
- Second Generation Antihistamine Prior Authorization Reminder October 2004
- Prior Approval Of Orthodontic Services September 2004
- Mandatory Generic Drug Program Update September 2004
- Medicaid's Fee-For-Service Vision Care Policy August 2004
- Important Pharmacy and DME Contact Numbers July 2004
- Prior Authorization Tips For Prescribers... May 2004
- Enteral Formula Prior Authorization February 2004
- Decimal Billing Required For 5.1 Billing Format November 2003
- Medicaid Coverage Of Oral Enteral Formulas October 2003
- Private Duty Nursing Providers September 2003
- Prior Authorization Tips July 2003
- Prescribers and Dispensers: Answers Regarding Antihistamines June 2003
- Helpful Hints For The Enteral Voice Interactive Telephone Prior Authorization System April 2003
- Prescribers and Pharmacists: Prior Authorization Required for Certain Antihistamines April 2003
- Private Duty Nursing Prior Approval For Suffolk County February 2003
- Enteral Formula Prior Authorization Program February 2003
- Pharmacy Reminder When Billing A Prior Authorization Number January 2003
- Help For Providers Using The Pharmacy Prior Authorization System January 2003
- Information For Pharmacists October 2002 Special Edition
- Frequently Asked Questions about the Mandatory Generic Drug Program October 2002 Special Edition
- Prior Authorization For an Emergency Supply or When Generic is not Available October 2002 Special Edition
- Instructions For Prescribers: How To Obtain a Prior Authorization October 2002 Special Edition
- Prescribers & Pharmacists: Hints For Using the Prior Authorization System December 2002
- Prior Approval for Private Duty Nursing September 2002
- Provider Manual Update: Prior Approval Contact & Inquiry June 2002
- Serostim Prior Authorization: Pharmacy Overview February 2002
- Serostim Prior Authorization: Prescriber Overview February 2002
- Serostim Added to the Pharmacy Prior Authorization Program December 2001
- When You Request Prior Approval Or Medical Review From Medicaid August 2001
- Home Drug Infusion & Administration Supplies Now Require DVS Authorization April 2001
- Prescriber & Pharmacy Requirements For Prior Authorization Of Zyvox November 2000
- Prescriber Overview Of The Zyvox Prior Authorization System November 2000
- Pharmacy Overview Of The Zyvox Prior Authorization System November 2000
- Prior Approval For Polycarbonate Lenses October 2000
- Prior Approval Submission Requirements May 2000
- Attention: Durable Equipment Providers January 1999
Private Duty Nursing
- Card Swipe Program Expanding to Include Selected Private Duty Nurses and Transportation Providers December 2009
- Distribution of Medically Fragile Enhanced Rate November 2009
- Prior Approval Submission Deadline for Care At Home Waiver Enrollees November 2007
- Fee Increase for Medically Fragile Children November 2007
- CSC Call Center Contact Information September 2007
- New Prior Approval Requirements For Private Duty Nursing Services For Care At Home Waiver Clients March 2007
- Billing Reminders January 2007
- Your Provider Manual is Going Online! October 2006
- Prior Approval Reviews For Clients Residing In Western NY August 2006
- Faxed Or Mailed Nursing Assessments Will No Longer Be Accepted October 2005
- Licensed Home Care Services Agencies And Independent Providers Of Private Duty Nursing Services June 2004
- Care At Home Providers Entitled To 3% Retroactive Payment October 2003
- Correction To Private Duty Nursing Manual October 2003
- Private Duty Nursing Providers September 2003
- Private Duty Nursing Prior Approval For Suffolk County February 2003
- Prior Approval for Private Duty Nursing September 2002
- Counties Processing Private Duty Nursing Prior Approvals August 2001
- Nursing Providers & The Care At Home Waiver April 2001
- Private Duty Nursing Providers October 2000
- Attention: Nursing Registries May 2000
Proton Pump Inhibitor
Provider
- Provider Directory - September 2015
- Medicaid and ICD-10 Implementation - February 2014
- Provider Directory - February 2014
- Providers Urged to Submit Correct Coordination of Benefits (COB) Information to Medicaid - February 2014
- Request for Medicaid Provider Documentation - January 2014
- Provider Directory - December 2013
- New Medicaid Provider Outreach, Education and Support Services for Electronic Health Records Adoption and Meaningful Use - December 2013
- Practitioner Notice for Medical Groups, Hospitals, Clinics, etc.- Special Edition December 2013
- Providers Subject to the Requirements Under Title 42 of the United States Code Section 1396A(68), [42 USC §1396A(68)]- October 2013
- Providers Subject to the NYS Social Services Law Section 363-d Mandatory Compliance Program Requirement- October 2013
- Training Available for Providers - October 2013
- Provider Directory - October 2013
- Provider Training - December 2012
- Provider Directory - December 2012
- New York Medicaid to End Payments for Level 1 PCMH Recognition by End of Year - 10-2012
- Dispense Brand Drugs When Less Expensive Program
- Provider Directory - December 2011
- 5010 Remittances Begin January 1, 2012 - December 2011
- Update on Federal Medical Assistance Percentage (FMAP) Contingency Reduction - Provider Restoration Payments February 2011
- Providers are responsible for all submitted claims January 2011
- ePACES offers significant benefits over paper claims March 2010
- H1N1 Influenza Vaccine Provider Update March 2010
- New York Medicaid to receive federal matching funds for EHR incentives program March 2010
- Requirement for pharmacies to enter dispensing pharmacist NPI on claims delayed March 2010
- Attention Providers: The NPI submitted on your claim to Medicare must be enrolled with New York Medicaid March 2010
- New York State Medicaid Prenatal Care Standards February 2010
- CSC Offers Medicaid Provider Seminars December 2009
- Medicare Automed Claim Crossover Update December 2009
- Attention: Providers Who Have Patients with Medicare Part D 2010 New York State Part D Medicare Prescription Drug Plans For People with both Medicare and NYS Medicaid December 2009
- Attention: Swiping Providers October 2009
- Providers Enrolled In Or Ordering Services Payable By NY Medicaid October 2009
- New York Medicaid Does Not Reimburse Providers for Administrative Fees September 2009
- NY Announces Mandatory Compliance Programs For Providers Participating In Medicaid July 2009
- Easy tips to reduce cancellations and no-show rates June 2009
- Quick Reference Guide May 2009
- Providers Who Submit Batch Transactions May 2009
- Provider Services March 2009
- eMedNY Provider Support March 2009
- OMIG Lists Disqualified Individuals and Entities on Website March 2009
- Provider Bulletins March 2009
- Important Change With Issuance of IRS Form 1099 February 2009
- Important Change With Issuance of IRS Form 1099 January 2009
- Attention Providers January 2009
- Provider Services December 2008
- Important Change With Issuance of IRS Form 1099 December 2008
- Billing instructions for physician administered drugs (J-codes) submitted on paper claims December 2008
- Billing Instructions for Physician Administered Drugs (J-codes) submitted on Electronic claims December 2008
- Updated Annual Ambulette 2009 Survey December 2008
- Is Your Provider Address and Contact Information Up to Date? December 2008
- Smoking Cessation Medication Coverage Policy for Medicaid October 2008
- Dispensing validation system (DVS) update October 2008
- CBIC card is valid statewide for Medicaid October 2008
- Sign Up For Electronic Funds Transfer Today! September 2008
- Provider Services June 2008
- Providers Must Report National Drug Code on Claims for Physician Administered Drugs June 2008
- Medicaid Enrollees Cannot be Billed June 2008
- Unclassified Drug Code Now Available for Billing June 2008
- Important National Provider Identifier Information for Hospitals, Clinics, and other Facilities June 2008
- NYSDOH to Implement National Provider Identifier Requirement June 2008
- Omni 3750 Medicaid Terminal Continues Warranty June 2008
- Bridge & Tunnel Toll Change May 2008
- Obtaining Payment May Require a Medicaid Subrogation Notice April 2008
- Responsibility for Transportation Provider Reimbursement April 2008
- Disclosure of Ownership and Control Information April 2008
- Adjusting Previously Paid Claims with Multiple Claim Lines February 2008
- Physician Case Management Provider Number No Longer Acceptable as the Referring Provider January 2008
- Use the Correct Provider Indentification Number of Medicaid Claims January 2008
- Requirements and Responsibilities in the Medicaid Program January 2008
- Inappropriate Billing for "Show-Up Time" January 2008
- Internal Revenue Service 1099 Forms for Calendar Year 2007 January 2008
- Annual Ambulette Survey for 2008 January 2008
- Care at Home Case Management Rate Increase December 2007
- Electronic Remittances Will Now Include Paper Claims December 2007
- Requesting Individual Provider Training December 2007
- Electronic Remittances May Not Always Equal the Total Weekly Paid Amount November 2007
- What You Should Know About Internal Revenue Service 1099 Forms November 2007
- Your Provider Manual is Going Online! November 2007
- Provider Services October 2007
- Provider Update Forms For Electronic Transactions October 2007
- Payment Error Rate Measurement Program October 2007
- CSC Call Center Contact Information September 2007
- Fee-for-Service Enrollment and Maintenance Form Packets Will Soon Change! September 2007
- National Provider Identifier Registration Requirement September 2007
- CSC Call Center Contact Information August 2007
- Seminar Schedule and Registration August 2007
- Individual Provider Training Is Avaliable August 2007
- Tools for Evaluation, Ordering, Provision of Manual and Powered Wheeled Mobility Equipment August 2007
- Treatment of an Emergency Medical Condition August 2007
- Preferred Drug Program News August 2007
- Your Provider Manual is Online August 2007
- Important Information about Available Electronic Tools August 2007
- Submission of Medicaid Claims Over Two Years Old June 2007
- Claims Pended for Review by the Office of the State Comptroller June 2007
- Are You Receiving Medicaid Correspondence at the Appropriate Address? June 2007
- Disqualified Provider List June 2007
- Restricted Recipient Program Information June 2007
- What You Should Know About 1099's May 2007
- Provider Services April 2007
- NYS Medicaid Seating and Positioning Guidelines April 2007
- Replacement of the UB-92 Claim Form with the UB-04 Claim Form April 2007
- National Provider Identifier Implementation-Urgent April 2007
- Many of Your Patients May Benefit From Earned Income Tax Credit! March 2007
- Changes to Paper Claim Forms March 2007
- Converting To The UB-04 Paper Claim Form March 2007
- National Provider Identifier Implementation March 2007
- National Provider Identifier Implementation Delay February 2007
- Mandatory Medicaid Managed Care Program Expansion February 2007
- Family Planning Benefit Program Change in Reimbursement Requirement February 2007
- ePaces Enrollment January 2007
- UB92 Form to be Replaced by UB04 Form January 2007
- Comprehensive Medicaid Case Management Providers January 2007
- Preferred Drug Program January 2007
- Upcoming Changes To Paper Claim Forms December 2006
- Annual Recertification Notices For Billing December 2006
- Portable X-Ray Demonstration Project Reinstated December 2006
- National Provider Identifier November 2006
- Rejection of Paper Claim Forms November 2006
- Approval of Darbepoetin Alfa for Dialysis Patients November 2006
- Omni 3750 Terminal May Not Function With Digital Telephone Service October 2006
- Dates Recorded as Paid October 2006
- Disclosure of Ownership Document September 2006
- Medicaid Requires Providers to Stay Informed of Policy and Claiming Rules September 2006
- Long Term Home Health Care Program Reference Manual September 2006
- Annual Recertification for Providers Submitting Electronic Claims September 2006
- Your Provider Manual Is Going Online! August 2006
- Fee Schedule Changes For Prosthetics August 2006
- Receive Your Remittance Two And A Half Weeks Earlier! July 2006
- May is Asthma Awareness Month May 2006
- Adjustments of Multiple Line Claims May 2006
- Provider Manual Updates May 2006
- Documentation Requirements for Ordered Services May 2006
- Physician Part D Resource Fact Sheet May 2006
- Medicaid Recipients Cannot Be Billed April 2006
- Procedure Code Review Information April 2006
- New Insurance Balancing Edit to be Activated April 2006
- Electronic Remittance Advices April 2006
- Provider Services February 2006
- 1099 Forms For Calendar Year 2005 February 2006
- Information Available Online February 2006
- New Prescription Forms April 19, 2006 Deadline Approaching! February 2006
- Provider Services January 2006
- 1099 Forms Are Based on Check Date of Release! January 2006
- Do You Need Rate Code and Rate Amount Printouts? January 2006
- Added Benefit to the NYC Managed Care Package January 2006
- Annual Ambulette Survey for 2006 January 2006
- Medicare Prescription Drug Benefit to Start January 1, 2006 December 2005 Special Edition
- Provider Services December 2005
- New eMedNY Help Desk Hours of Operation December 2005
- Department Onsite Visits For Credential Verification Reviews December 2005
- 2006 Healthcare Common Procedure Coding System Is Released December 2005
- Seminar Schedule and Registration December 2005
- Billing Requirements for Patients Eligible for Both Medicare and Medicaid December 2005
- New EPSDT/CTHP Manual Available for Providers December 2005
- Provider Services November 2005
- Timeliness of Electronic Remittances November 2005
- Electronic Remittances to Provide Retroactive Rate Adjustment Detail November 2005
- Electronic Remittance Advices eMedNY Transactions 820 and 835 October 2005
- National Provider Identifier October 2005
- Seminar Schedule and Registration October 2005
- Provider Services September 2005
- Seminar Schedule and Registration September 2005
- New State Education Department Profession Codes September 2005
- Mandatory Generic Pharmacy Clarification September 2005
- Medicaid Prescription Requirements September 2005
- Wondering About The Status of Your Submitted Claims? September 2005
- Seminar Schedule and Registration August 2005
- NYS Occupational Health Clinic Network August 2005
- Using the LT and RT Modifiers August 2005
- Procedure Code Review Information August 2005
- Sort Order of Paper Remittances August 2005
- Provider Services July 2005
- Dental Prior Approval Reminders July 2005
- Medicaid Information Available Online! July 2005
- Get Timely Access To Important Communications July 2005
- Rate Increase Effective May 15, 2005 July 2005
- Provider Services June 2005
- Nursing Homes and Pharmacy Providers - Correction to May 2005 Article on Aranesp Coverage June 2005
- Phase II Provider Training Seminars June 2005
- Provider Credentialing PVR-292 Listing June 2005
- Your Provider Manual Is Going Online! June 2005
- Phase II Transition Plan Ending June 2005
- Provider Services May 2005
- Your Provider Manual Is Going Online! May 2005
- eMedNY Phase II Provider Training Seminars May 2005
- Electronic Remittances May 2005
- Provider Services April 2005
- 2005 Fee Schedules April 2005
- Provider Credentialing April 2005
- NYS Education Department Profession Codes April 2005
- How and Where Can I Access the List of Medicaid Reimbursable Drugs? March 2005
- eMedNY Transition Plan Now Available March 2005
- New CSC Mailing Addresses Follows Phase II Implementation March 2005 Special Edition
- Have You Received Training? March 2005 Special Edition
- eMedNY Phase II Beginning March 24, 2005 March 2005 Special Edition
- Gifts, Inducements and Remuneration February 2005
- Ordering Transportation Services In New York City February 2005
- Your Provider Manual Is Going Online! February 2005
- Aliessa/Adamolekun et. al. v Novello February 2005
- Remittance Advices eMedNY Transactions 820 and 835 February 2005
- Electronic Billing Changes for Ambulatory Services January 2005
- Many of Your Patients May Benefit From the Earned Income Tax Credit! January 2005
- Magnetic Media Processing Will Change in March 2005 January 2005
- Durable Medical Equipment Changes January 2005
- Providers of Traumatic Brain Injury Waiver Services Documentation and Billing Requirements January 2005
- The Electronic Gateway To Be Eliminated March 2005! January 2005
- Pharmacy Providers - Bill Medicare First! January 2005
- Enteral Formula Reimbursement Change January 2005
- Encounter Data Submission December 2004
- Paper Claim Forms December 2004
- Change In Graphics of the Common Benefit Identification Card December 2004
- HIPAA Compliance Deadline December 29, 2004 December 2004
- Denial Report Created! December 2004
- Provider Services November 2004
- Medicaid Coverage For Wireless Capsule Endoscopy November 2004
- HIPAA Companion Guides For eMedNY Phase II November 2004
- Provider Services October 2004
- Expansion Of Managed Care Special Needs Plans Service Areas October 2004
- Provider Services Fax-On-Demand System Now Available! October 2004
- Service Provider Number September 2004
- Provider Services August 2004
- Pharmacy Providers Reminder To Enroll In Medicare August 2004
- Companion Guides For eMedny Startup August 2004
- eMedny Update August 2004
- Provider Services July 2004
- New Coverage Codes - Resource Attestation To Be Implemented July 2004
- Provider Services June 2004
- Voluntary Medicaid Managed Care For SSI June 2004
- Group Practice Reminders To Physicians, Dentists And Other Practitioners June 2004
- Provider Services May 2004
- Pharmacy Providers Are You Enrolled In Medicare Yet? May 2004
- Provider Services April 2004
- Provider Services March 2004
- DME & Pharmacy Fee Schedule Revisions March 2004
- Providers Of Group Practices: Requirements & Responsibilities In The Medicaid Program March 2004
- Provider Audit Protocols March 2004
- Providers! Are You Changing Your Correspondence Address or Pay to Address? February 2004
- Fee-For-Service Providers January 2004
- Where Can I Access The List Of Medicaid Reimbursable Drugs? December 2003
- Provider Reminder: 1099 Forms December 2003
- Important HIPAA Reminders For All Providers December 2003
- Providers: Are You HIPAA Compliant? December 2003
- You May Now Enroll In ePACES December 2003
- Providers! Are You Changing Your Correspondence Address or Pay to Address? November 2003
- Use Of Electronic Records By Medicaid Providers November 2003
- Required Medical Documentation For Supervising/Teaching Physicians November 2003
- Managed Care Or Fee-For-Service November 2003
- Providers - Are You HIPAA Compliant? November 2003
- HIPAA News: New Omni 3750 POS Deployment On Track September 2003
- HIPAA News: Transactions And Code Sets Compliance Date Is Coming September 2003
- All Providers: Changing Your Address? June 2003
- Provider Manual Updates: Dentist, DME, Lab & Pharmacy March 2003
- Medicaid Increases Fees for Mammography Services October 2002
- Are Your Patients Taking Their Medication? September 2002
- Our 900 Service Line Telephone Number Has Been Changed August 2002
- All Providers: Changing Your Address? July 2002
- All Providers Must Disclose Ownership & Control Changes April 2002
- Hearing Services Providers December 2001
- Need Help Getting Answers to Your Questions? November 2001
- Revised Medicaid Fee Schedules May 2001
- Home Drug Infusion & Administration Supplies Now Require DVS Authorization April 2001
- Nursing Providers & The Care At Home Waiver (CAH) April 2001
- Attention Laboratories, Physicians, & Other Ordering Providers April 2001
- A Message For Providers Using Service Agents March 2001
- Attention Pharmacy, DME And Other Service Providers January 2001
- Provider Reminder: Entry Of Copayment Information December 2000
- Medicaid Practitioner Fee Increase: Answers To Frequently Asked Questions November 2000
- Attention: Pharmacy & DME Providers & Other Services Providers November 2000
- Repair Of Orthotic Device July 2000
- Reminder to All Pharmacies, DME Vendors, Labs & Other Providers of Ordered Services May 2000
- Attention: Hospital/Laboratory Providers May 2000
- Remittance Statement Replacement April 2000
- New State PC Software Policy April 2000
- Referrals Of Medicaid Recipients Enrolled In An HMO or a PCP April 2000
- Attention: Durable Medical Equipment Providers April 2000
- Attention All Pharmacies, DME Vendors, Labs & Other Providers Of Ordered Services March 2000
- Request For Provider Suggestions February 2000
- Attention: Mental Health Providers Serving Managed Care Recipients January 2000
- Attention: Hospital Providers January 2000
- Attention All EMEVS Users November 1999
- All Ambulance Providers November 1999
- All Providers - MMIS Y2K Update September 1999
- Attention: Durable Medical Equipment Providers August 1999
- Attention: Providers of Inpatient Substance Abuse Services July 1999
- All Providers - Managed Care Information May 1999
- Attention: Pharmacy Providers May 1999
- CSC Billing Bulletin to All Providers May 1999
- Attention All Providers April 1999
- Attention: All Providers March 1999
- Physicians, Nurse Practitioners & Ordered Ambulatory Providers February 1999
- Medicaid Provider Enrollment: Changes to Pharmacy Density Criteria January 1999
Provider Manual
- Your Provider Manual is Online May 2008
- NYS Medicaid Online January 2008
- Provider Manual Changes November 2007
- Your Provider Manual is Online! December 2007
- Your Provider Manual is Online! September 2007
- Your Provider Manual is Online August 2007
- Your Provider Manual is Online July 2007
- Your Provider Manual is Online! May 2007
- Your Provider Manual is Online! March 2007
- Billing Reminders January 2007
- Your Provider Manual is Going Online! October 2006
- Medicaid Requires Providers to Stay Informed of Policy and Claiming Rules September 2006
- Medicaid Information Available Online August 2006
- Your Provider Manual Is Going Online! August 2006
- Provider Manual Updates May 2006
- Procedure Code Review Information April 2006
- Your Provider Manual Is Going Online! February 2006
- New EPSDT/CTHP Manual Available for Providers December 2005
- Fee Schedule Changes! August 2005
- Get Timely Access To Important Communications July 2005
- Your Provider Manual Is Going Online! June 2005
- Your Provider Manual Is Going Online! May 2005
- 2005 Fee Schedules April 2005
- Your Provider Manual Is Going Online! April 2005
- Your Provider Manual Is Going Online! March 2005
- Your Provider Manual Is Going Online! February 2005
- Reimbursement for Physician-Administered Drugs November 2004
- Changes In Durable Medical Equipment Prior Approval, Rental, and Pricing October 2004
- Quantity Changes For Infusion Supplies October 2004
- Consult Your Medicaid Eligibility Verification System Manual June 2004
- Requirements & Expectations Of Dental Clinics March 2004
- Enteral Products Classification List February 2004
- DME Providers December 2003
- Correction To Private Duty Nursing Manual October 2003
- Correction To Laboratory Services Manual October 2003
- Provider Manual Update: Prior Approval Contact & Inquiry June 2002
- Pharmacy and DME Provider Manual Revisions March 2002
- Laboratory Services Providers - Provider Manual Change August 2001
- You Need To Correct Your Provider Manual July 2001
- DME Providers Corrections To 11/00 Policy Section Revision December 2000
- Repair Of Orthotic Device July 2000
- Attention: DME Providers January 2000
- Attention: Pharmacy Providers April 1999
- Attention: DME Providers April 1999
- EMEVS Provider Manual January 1999
Proxy Form
Psychotherapy
The Medicaid Update: Your Window Into The Medicaid Program
The State Department of Health welcomes your comments or suggestions regarding the Medicaid Update.
Please send suggestions to the editor, Kelli Kudlack:
NYS Department of HealthOffice of Health Insurance Programs
Corning Tower, Room 2029
Albany, NY 12210
(e-mail MedicaidUpdate@health.state.ny.us )
The Medicaid Update, along with past issues of the Medicaid Update, can be accessed online at the New York State Department of Health web site: http://www.nyhealth.gov/health_care/medicaid/program/main.htm