Managed Care Archive

• Attention! Important Notice About Medicaid Revalidation of Managed Care Plans (4/4/25, 157KB)
• Capitation Payments in FY 2025 for MCOs (3/26/25, 132KB)
• Addition to Universal Billing Codes for Home Care and Adult Day Health Care Services (8/6/24, 151KB)
• Updated MCE 834 Companion Guide and Sample Files (8/2/24, 161KB)
• A New Provider Communication is Available (3/12/24, 144KB)
• 2024 NYS Medicaid Dental Policy and Procedure Code Manual and Updated Fee Schedule (1/31/24, 331KB)
• Changes for Webinar for New NYS Medicaid Dental Policies (12/26/23, 183KB)
• Updated MCE 834 Companion Guide (12/8/23, 168KB)
• New Webinar on NYS New Medicaid Dental Policies (12/4/23, 145KB)
• Updated Provider Manual (11/21/23, 143KB)
• A New Provider Communication is Available (11/17/23, 230KB)
• A New Provider Communication is Available (11/8/23, 147KB)
• Updated Continuous Glucose Monitoring Criteria (10/3/23, 148KB)
• 834 File Delay (5/16/23, 144KB)
• Updated MCE 834 Companion Guide (3/22/23, 172KB)
• Attention: NYS Medicaid Enteral Prior Authorization Enhancements - Web Portal Launch and Training Sessions (2/16/23, 203KB)
• Provider Manual Has Been Updated (12/8/22, 163KB)
• Notice for 2022 Wage Parity Updates (10/7/22, 190KB)
• 2022 Annual Certification of Compliance with Home Care Worker Wage Parity Forms Available on eMedNY Provider Enrollment (PE) Portal (10/3/22, 206KB)
• An updated version of the eMedNY MCE 834 Companion Guide (version 3.0) is available (9/26/22, 157KB)
• An updated version of the eMedNY MCE 834 Companion Guide (version 2.9) is available (4/29/22, 164KB)
• eMedNY to Update Pre-Adjudication Messaging (4/22/22, 206KB)
• Dental Fee Schedule and Policy and Procedures Codes Manual have been updated (2/18/22, 146KB)
• Attention Managed Care Plans: 834 Enrollment File Naming Convention Change (12/17/2021, 295KB)
• New FAQs Added for 834 Managed Care Transactions (6/23/2021, 242KB)
• Wage Parity Attestation Webinar Posted (6/1/21, 237KB)
• Wage Parity information now available on eMedNY.org (5/21/21, 247KB)
• Wage Parity Attestation Webinar (5/21/21, 244KB)
• New FAQs Added for 834 Managed Care Transactions (4/13/2021, 242KB)
• New FAQs Added for 834 Managed Care Transactions (4/6/2021, 242KB)
• Webinars for the Interactive Voice Response System (IVR) for Medicaid Fee for Service (FFS) Enteral Product Authorizations (3/24/21, 260KB)
• New FAQs Added for 834 Managed Care Transactions (3/22/2021, 243KB)
• New FAQs Added for 834 Managed Care Transactions (3/17/2021, 243KB)
• New FAQs Added for 834 Managed Care Transactions (2/23/2021, 242KB)
• New FAQs Added for 834 Managed Care Transactions (2/17/2021, 242KB)
• An updated DMEPOS Policy Manual has been posted (2/10/21, 245KB)
• New FAQs Added for 834 Managed Care Transactions (1/12/2021, 256KB)
• New FAQs Added for 834 Managed Care Transactions (12/8/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (11/24/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (11/3/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (10/27/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (10/19/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (10/6/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (9/28/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (9/22/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (9/11/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (9/9/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (8/31/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (8/24/2020, 243KB)
• A new 'Go Live' date has been officially set for the WMS Roster Replacement Project (8/21/2020, 251KB)
• New FAQs Added for 834 Managed Care Transactions (8/17/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (7/20/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (7/8/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (6/30/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (6/9/2020, 239KB)
• New FAQs Added for 834 Managed Care Transactions (6/4/2020, 239KB)
• New FAQs Added for 834 Managed Care Transactions (5/27/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (5/12/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (5/4/2020, 241KB)
• Extension of WMS Roster Replacement Plan launch date (COVID-19) (4/28/2020, 257KB)
• New FAQs Added for 834 Managed Care Transactions (4/27/2020, 133KB)
• New FAQs Added for 834 Managed Care Transactions (4/20/2020, 242KB)
• New FAQs Added for 834 Managed Care Transactions (4/15/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (4/8/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (4/1/2020, 241KB)
• New FAQs Added for 834 Managed Care Transactions (3/23/2020, 240KB)
• eMedNY Business Rules for 834 Transaction Processing Sequence (3/20/2020, 263KB)
• New FAQs Added for 834 Managed Care Transactions (3/18/2020, 241KB)
• Attention: Medicaid Managed Care Network Provider Enrollment PowerPoint Added (2/28/2020, 239KB)
• New FAQs Added for 834 Managed Care Transactions (2/25/2020, 132KB)
• New FAQs Added for 834 Managed Care Transactions (2/20/2020, 137KB)
• New FAQs Added for 834 Managed Care Transactions (1/30/2020, 132KB)
• New FAQs Added for 834 Managed Care Transactions (1/16/2020, 159KB)
• Attention: 834 Test Scenarios & Sample Files Posted (1/15/2020, 163KB)
• New FAQs Added for 834 Managed Care Transactions (1/8/2020, 137KB)
• Attention: Medicaid Managed Care Network Provider Enrollment PowerPoint Added (12/13/19, 160KB)
• New FAQs Added for 834 Managed Care Transactions (12/10/19, 137KB)
• NEW Medicaid Managed Care Enrollment 834 Frequently Asked Questions (11/1/19, 258KB)
• Attention: Medicaid Managed Care Network Provider Enrollment PowerPoint Updated (10/29/19, 220KB)
• Attention: Medicaid Managed Care Network Provider Enrollment PowerPoint Updated (8/16/19, 154KB)
• Corrected Managed Care Information for All Providers Now Available (3/22/19, 155KB)
• Updated Managed Care Information Document is Now Available (3/1/19, 154KB)
• Updated Dental Provider Manuals and New Provider Communications are Available (2/12/19, 140KB)
• Attention: Updated Versions of the Dental Policy and Procedure Code Manual and Fee Schedule are Available (11/19/18, 98KB)
• Attention: Medicaid Managed Care Network Provider Enrollment PowerPoint Updated (11/28/17, 181KB)
• ATTENTION: Topical Oxygen Wound Therapy (TOWT) Continues to be Covered Until Further Notice (6/26/17, 178KB)
• Important Incontinence Supply Management Program Rate Change Update (5/16/17, 177KB)
• Incontinence Supply Rate Change Postponement (4/3/17, 181KB)
• A New Managed Care Provider Communication is Available. (2/15/17, 177KB)
• A new Managed Care provider communication is available. (11/11/16, 180KB)
• A Managed Care Provider Communication is Now Available (10/26/16, 182KB)
• A Managed Care Provider Communication is Now Available (8/18/15, 172KB)
• Important Notice Regarding New Managed Care Nursing Home (NH) Rate Codes (1821 - 1826) (10/15/15, 75KB)
• Important ICD-10 Information for Managed Care Providers (10/8/15, 76KB)
• Important ICD-10 Information for Managed Care Providers (8/17/15, 77KB)
• eMedNY File Transfer Issues Affecting Managed Care Updates (4/03/15, 159KB)
• eMedNY File Transfer issues affecting Managed Care updates (4/02/15, 75KB)
• Attention: Possible Processing Issue for Cycle 1890 (11/01/13, 65KB)
• Edit 02042 "Referring MMIS Provider ID Can Not Be Derived" (07/05/12, 26KB)
• Updated MEDS II Data Dictionary Is Now Available (02/29/12, 52KB)