 New |
12/29/11 |
Provider Manuals |
New Provider Communication. Please see:
|
Changed |
12/29/11 |
Provider Manuals |
The following 2012 Fee Schedules have been updated:
|
| Changed |
12/28/11 |
Provider Manuals |
The following manuals have been updated. Please note that DOH has added a modification tracking list to track changes made to the documents. (Modification tracking appears on the last page of each document.) Please see:
|
| New |
12/23/11 |
Provider Manuals |
New Provider Communications. Please see:
|
| New |
12/23/11 |
Provider Manuals |
New Provider Policy Guidelines. Please see:
|
| Changed |
12/21/11 |
Provider Manuals |
The following manual has been updated. Please note that DOH has added a modification tracking list to track changes made to the document. (Modification tracking appears on the last page.) Please see:
|
| Changed |
12/20/11 |
Provider Manuals |
The Transportation Contact List has been updated. Please see:
|
| Changed |
12/16/11 |
Provider Manuals |
The following manual has been updated. Please note that DOH has added a modification tracking list to track changes made to the document. (Modification tracking appears on the last page.) Please see:
|
| New |
12/08/11 |
EHR Incentive Program Information |
New and updated provider materials have been posted for the NYS Medicaid EHR (Electronic Health Records) Incentive Program:
Additional information about the Program will be released on a regular basis. To be notified of important events and new information via email, click here to sign up for the new eMedNY LISTSERV® categories dedicated to the EHR Incentive Program.
For more details on the Medicaid EHR Incentive Program, please visit the following page on the Department of Health website:
http://nyhealth.gov/health_care/medicaid/program/
medicaid_ehr_incentive_prog/.
|
| New |
12/06/11 |
Provider Manuals |
New Provider Communications. Please see:
|
| Changed |
12/01/11 |
Provider Manuals |
Modifications have been made to the following:
|
|
Changed |
11/23/11 |
Information for All Providers |
The following manual has been updated. Changes were made to MVP's phone number. Please see:
|
|
New |
11/21/11 |
Provider Manuals |
New Provider Communications. Please see:
|
|
New |
11/10/11 |
Provider Manuals |
New Provider Communications. Please see:
|
|
New |
11/07/11 |
EHR Incentive Program Information |
Please review new information regarding the forthcoming NY Medicaid EHR (Electronic Health Records) Incentive Program.
|
|
New |
11/01/11 |
Provider Manuals |
New Provider Communications. Please see:
|
|
New |
10/26/11 |
eMedNY LISTSERV® |
Registration will open soon for the NY Medicaid EHR (Electronic Health Records) Incentive Program. Providers and staff, who wish to be informed as further information is released, are encouraged to register for one or both of the new eMedNY LISTSERV® categories set up for the EHR Incentive Program.
|
|
Changed |
10/25/11 |
Provider Manuals |
The following manuals have been updated. Information has been added to the General Policy Manual concerning the requirement that Medicaid providers develop, adopt and implement effective compliance programs aimed at detecting fraud, waste, and abuse in the Medicaid program. Telephone numbers and provider enrollment information has been updated in the Inquiry Manual. Please see:
|
|
New |
10/20/11 |
Provider Manuals |
New Provider Communications. The Out of State Non-Specialized Skilled Nursing Facility Prior Authorization Information document and form have been updated. Please see:
|
|
Changed |
10/20/11 |
Provider Manuals |
The Out of State Non-Specialized Skilled Nursing Facility Prior Authorization Information document and form have been updated. Please see:
|
| Changed |
10/13/11 |
Provider Manuals |
Modifications have been made to the MEVS / DVS Provider Manual [Version 4.2] as follows:
- 6.1 Eligibility Benefit Descriptions -
Modified description for Benefit Plan "Eligible PCP".
- 6.3 Decision Reason Codes -
Removed Code and Description for '0E' as it no longer applies.
- Added "Modification Tracking" Section
- MEVS / DVS Provider Manual
|
| Changed |
10/11/11 |
Provider Enrollment Forms |
The following Provider Enrollment Packets were updated:
|
| Changed |
10/11/11 |
Provider Enrollment Forms |
The following Provider Maintenance form was updated:
|
|
New |
10/06/11 |
Provider Manuals |
New Pharmacy Provider Communications. Please see:
|
| Changed |
09/30/11 |
Provider Manuals |
Modifications have been made to the following:
|
| Changed |
09/26/11 |
Provider Manuals |
The following ProDUR-ECCA D.0 Provider Manual reflects changes for reimbursement reporting. (See Basis of Cost Determination reporting):
|
|
New |
09/23/11 |
Provider Manuals |
The B2H Billing Guidelines were updated to provide instructions for billing for services when the client loses eligibility before the first of the following month for which services were rendered. (See Page 6).
|
|
New |
09/22/11 |
Provider Manuals |
New Provider Communications. Attention: Prior Authorization for Out of State Skilled Nursing Facilities:
|
|
New |
09/22/11 |
Provider Manuals |
Attention: Prior Authorization for Out of State Skilled Nursing Facilities:
|
|
New |
09/20/11 |
Provider Manuals |
New Provider Communications. Attention Institutional Providers: Edit 02068 to Deny Starting in October. Please see:
|
|
New |
09/15/11 |
Self Help |
A new reference sheet describing how to balance your claim in ePACES is now available in the ePACES section of the Self Help page:
|
|
Changed |
09/13/11 |
Provider Manuals |
The following manual has been updated. The acronym was changed to correctly state OPWDD instead of OMRDD. Please see:
|
|
Changed |
09/13/11 |
Provider Manuals |
The following manuals have been updated. The Utilization Threshold process has changed, and the Post & Clear information deleted. There is updated policy information on the Nursing Home Pharmacy Carve In. Please see:
|
|
Changed |
09/07/11 |
Provider Manuals |
The Transportation Prior Authorization Guidelines Manual has been updated. Please see:
|
|
Changed |
09/01/11 |
Provider Enrollment Forms |
The following Provider Maintenance form was updated:
|
| New |
09/01/11 |
Provider Manuals |
New Provider Communications:
|
| Changed |
08/25/11 |
Provider Manuals |
The Transportation Contact List has been updated. It contains updated contact information reflecting changes made for September 1, 2011. Please see:
|
| Changed |
08/18/11 |
Provider Manuals |
The following manual has been updated. There was a change to the Elderserve, Elderplan, Inc. dba Homefirst and Wellcare phone number. Please see:
|
| New |
08/10/11 |
Provider Manuals |
New Provider Communications:
|
| Changed |
08/09/11 |
Provider Manuals |
The following manual has been updated with information from recent Medicaid Update articles published by the Department:
|
|
Changed |
07/27/11 |
Provider Enrollment Forms |
The following Provider Enrollment Packets were updated:
|
| Changed |
07/21/11 |
Provider Manuals Update |
The Transportation Contact List has been updated. It contains updated contact information reflecting changes made for August 1, 2011. Please see:
|
| Changed |
07/19/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
| Changed |
07/19/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
| New |
07/19/11 |
Self Help |
ePACES 5010 Instructional Presentations have been posted for the July 21, 2011 transition and are located on the Self Help Page under ePACES.
|
| New |
07/15/11 |
Self Help |
ePACES Reference Sheets, formerly known as FODs, have been updated for the July 21, 2011 transition and moved to the Self Help Page under ePACES.
|
| New |
07/14/11 |
Self Help |
The following has been updated to reflect changes to ePACES effective July 21, 2011:
|
| Changed |
7/13/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
| Changed |
7/12/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
| New |
7/08/11 |
Provider Manuals Update |
New Provider Communications:
|
| New |
07/07/11 |
Self Help |
A new link has been added to the Self Help area of the website in the POS Device section:
|
| New |
07/07/11 |
Self Help |
The following WebEx Presentations for the Vx610 POS Device have been added to the NYS Medicaid Terminal POS Information section:
The following Printable Self-Help Guides for the Vx610 POS Device have been added to the NYS Medicaid Terminal POS Information section:
The following WebEx Presentations for the Vx570 POS Device have been added to the NYS Medicaid Terminal POS Information section:
The following Printable Self-Help Guides for the Vx570 POS Device have been added to the NYS Medicaid Terminal POS Information section:
The following WebEx Presentation for the Omni3750 POS Device has been added to the NYS Medicaid Terminal POS Information section:
The following Printable Self-Help Guide for the Omni3750 POS Device has been added to the NYS Medicaid Terminal POS Information section:
|
| Changed |
7/07/11 |
Provider Manuals Update |
The following 2011 Fee Schedule & Procedure Codes have been updated:
|
|
Changed |
7/06/11 |
Provider Enrollment Forms |
The following Provider Enrollment Packets were updated:
|
| Changed |
06/30/11 |
Provider Manuals Update |
The following 2011 Fee Schedule has been updated:
|
| New |
06/29/11 |
Self Help |
ePACES Claim Quick Reference Guides have been updated to reflect changes to ePACES effective July 21, 2011:
ePACES PA-DVS Quick Reference Guide will replace all current ePACES Prior Approval Reference Guides effective July 21, 2011:
|
| Changed |
6/28/11 |
Provider Manuals Update |
The Transportation Contact List has been updated. It contains updated contact information reflecting changes made for July 1, 2011. Please see:
|
| New |
06/24/11 |
NYS Medicaid POS Device |
An update to the Notification section of the POS page of the website contains new POS Provider letters. Providers should print and review the appropriate POS down-load letter.
|
| Changed |
6/17/11 |
Provider Manuals Update |
NYSDOH has reformatted all Billing Guidelines. Along with adding General Billing Guideline documents for Institutional and Professional claim formats, billing guidelines specific to individual provider types are now available. The General Billing Guidelines have been enhanced to include information pertinent to electronic billing formats. In addition, remittance information has been formatted in a separate document.
|
| Changed |
06/13/11 |
Provider Enrollment Forms |
The following Provider Maintenance form was updated:
|
| Changed |
06/09/11 |
Provider Enrollment Forms |
The following Provider Enrollment Packets were updated:
|
| New |
06/09/11 |
Provider Enrollment Forms |
The following Provider Maintenance forms were added:
|
| Changed |
06/07/11 |
eMedNY Paper Forms |
The following has been updated with 5010 information:
|
|
New |
06/06/11 |
Provider Enrollment Forms |
Please see the new 5010 Electronic Remittance Request Form which will allow providers/submitters to request a 5010 version electronic remittances in Test and/or Production. eMedNY's Test System for 5010 opens 6/13/2011 and the Production 5010 remittances will be available as of 7/21/2011. Please click on the eMedNYHIPAASupport Home Page link to read the announcement.
|
|
Changed |
06/03/11 |
Training Page |
Please see the updated Training Page:
|
| Changed |
6/03/11 |
Provider Manuals Update |
The following manuals have been updated with 5010 information:
|
|
New |
06/03/11 |
Provider Manuals Update |
Major changes will be made to eMedNY's Eligibility process beginning on July 21, 2011. Please review the new MEVS Quick Reference Guides in order to prepare for these changes:
|
| New |
5/27/11 |
Provider Manuals Update |
The new ProDUR-ECCA D.0 Provider Manual has been posted and reflects the 5010 changes that will be effective July 21, 2011.
|
|
Changed |
5/27/11 |
Provider Enrollment Forms |
The following Provider Enrollment Packets were updated:
|
|
Changed |
5/26/11 |
Provider Enrollment Forms |
The following enrollment checklist page was changed for the following:
|
| Changed |
5/26/11 |
Provider Manuals Update |
The following 2011 Fee Schedule has been updated:
|
| Changed |
5/25/11 |
Provider Manuals Update |
The new Dental Policy and Procedure Manual combines the old "Policy Guidelines" and "Procedure Codes" into one document. Please see:
|
| New |
5/25/11 |
Provider Manuals Update |
New Provider Communications:
|
| New |
5/25/11 |
Provider Manuals Update |
New Provider Communication:
|
| New |
05/19/11 |
Provider Manuals Update |
New Provider Communication:
|
|
Changed |
05/11/11 |
Provider Manuals Update |
The following 2011 Fee Schedules & Procedure Codes have been updated:
|
|
New |
05/10/11 |
Provider Manuals Update |
Major changes will be made to eMedNY's Eligibility process beginning on July 21, 2011. Please review the new MEVS / DVS Provider Manual in order to prepare for these changes:
|
|
Changed |
05/10/11 |
Provider Manuals Update |
The following has been updated:
|
|
Changed |
05/10/11 |
Provider Enrollment Forms |
The following Provider Maintenance form was updated:
|
|
New |
05/10/11 |
Provider Manuals Update |
New Provider Communication:
|
| Changed |
05/09/11 |
Provider Manuals Update |
The following manual has been updated. There was a change to the Amida Care Inc. Plan phone number. Please see:
|
Changed |
05/06/11 |
Provider Manuals Update |
The Comprehensive Medicaid Case Management policy manual has been updated to include information for first-time mothers and newborns:
|
|
Changed |
05/05/11 |
Provider Manuals Update |
The following 2011 Fee Schedules & Procedure Codes have been updated:
|
| New |
05/04/11 |
Provider Manuals Update |
New Provider Communication:
|
|
Changed |
05/03/11 |
Provider Manuals Update |
The following Schedule of HealthHelp Webinars has been updated:
|
|
Changed |
04/27/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
|
Changed |
04/22/11 |
Provider Manuals Update |
Modifications have been made to the following regarding Radiology Prior Approval:
|
|
Changed |
04/21/11 |
Training Page |
Please see the updated Training Page:
|
|
New |
04/18/11 |
Provider Manuals Update |
New Provider Communication:
|
|
Changed |
04/12/11 |
Provider Manuals Update |
The following Schedule of HealthHelp Webinars has been updated:
|
|
Changed |
04/06/11 |
Provider Manuals Update |
The following 2011 Fee Schedule has been updated:
|
|
Changed |
04/06/11 |
Provider Manuals Update |
The New York State Department of Health has developed the Stop-Loss Policy and Procedure Manual, to be used as a reference and instructional tool by managed care providers:
|
|
New |
04/05/11 |
Provider Manuals Update |
New Provider Communications:
|
|
Changed |
04/05/11 |
Provider Manuals Update |
The Ambulatory Patient Groups (APG) link has been replaced with the following:
|
|
Changed |
04/04/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
|
Changed |
04/01/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
|
New |
03/30/11 |
Provider Manuals Update |
New Provider Communications:
|
|
Changed |
03/30/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
| New |
03/28/11 |
Training for Providers |
The training session search has been improved, including a new clickable map. Please see:
|
|
New |
03/28/11 |
Provider Manuals Update |
New Provider Communication:
Note: The address for the submission of the form was removed, as there is no longer a mail room at One Commerce Plaza.
|
|
New |
03/24/11 |
Provider Manuals Update |
New Provider Communication:
|
|
New |
03/23/11 |
Provider Manuals Update |
New Provider Communication:
|
|
Changed |
03/23/11 |
Provider Enrollment Forms |
The following Provider Maintenance forms were updated:
|
|
Changed |
03/21/11 |
Provider Enrollment Forms |
The following Provider Maintenance forms were updated:
|
|
Changed |
3/18/11 |
Provider Enrollment Forms |
The following Provider Enrollment Packets were updated:
|
|
Changed |
03/14/11 |
NYS Medicaid: POS Device |
Information for using NYS Medicaid Terminals (POS Devices) will change significantly in coming months. Please review new web section detailing these changes; stay tuned for more information coming your way via this website and other communications:
|
|
New |
03/14/11 |
Provider Manuals Update |
New Provider Communication:
|
|
Changed |
03/10/11 |
Provider Enrollment Forms |
The following Provider Enrollment Packets were updated:
|
|
Changed |
03/10/11 |
Provider Enrollment Forms |
The following Provider Maintenance form was updated:
|
|
Changed |
03/10/11 |
Provider Manuals Update |
New Important Documents section added to Radiology PA Manual page, displaying:
A new section called Upcoming Health Webinars was added, displaying:
Additionally, there are hyper-links to the Radiology PA Manual page from Provider Communications sections of the following Provider Types:
|
|
Changed |
03/08/11 |
Provider Manuals Update |
Information for All Providers – Managed Care Information Manual has been updated. There was a change to the Capital District Physician’s Health Plan phone number. Please see:
|
|
Changed |
03/07/11 |
Information |
Modifications have been made to the following:
|
|
Changed |
02/22/11 |
Provider Manuals Update |
The following Billing Guideline has been updated with clarification on the use of Locator Codes when billing for Capitation payments.
|
|
Changed |
02/10/11 |
Provider Manuals Update |
The following Billing Guidelines have been updated with the new 150003 claim form exhibits which are now included within the manuals:
|
|
Changed |
02/08/11 |
Provider Manuals Update |
The Transportation Prior Authorization Guidelines Manual has been updated. Please see:
|
|
Changed |
02/08/11 |
Provider Manuals Update |
The Transportation Contact List has been updated. Please see:
|
|
Changed |
02/08/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
|
Changed |
02/07/11 |
Provider Manuals Update |
Modifications have been made to the following:
|
|
New |
02/03/11 |
Provider Manuals Update |
New Provider Communications:
|
|
Changed |
1/28/11 |
Provider Enrollment Forms |
The following Provider Enrollment Packets were updated:
|
|
Changed |
01/28/11 |
Provider Enrollment Forms |
The eMedNY Physician Enrollment Page and the Physician Request for Enrollment Form have been updated with new instructions for enrolling in CAQH® Universal Provider Datasource® (UPD®). Please see:
|
|
Changed |
01/25/11 |
Provider Manuals Update |
The Transportation Policy Manual has been updated to include recently released Medicaid Update articles and policy clarification. Please see:
|
Changed |
01/21/11 |
Provider Manuals Update |
The following Billing Guideline has been updated with amended instructions regarding billing First-time Mothers/Newborns:
|
|
Changed |
01/19/11 |
Provider Manuals Update |
The following 2011 Fee Schedule has been updated:
|
|
Changed |
01/12/11 |
Provider Manuals Update |
The Physician Billing Guideline has been updated with new instructions for Anesthesiology Services and CAQH Locator Code. Please see:
|
|
New |
01/12/11 |
Provider Manuals Update |
New Provider Communication:
|
|
Changed |
01/12/11 |
Provider Manuals Update |
Information for All Providers – Managed Care Information has been updated. Please see:
|
Changed |
01/11/11 |
Provider Manuals Update |
The following Billing Guidelines have been updated with new instructions for Anesthesiology Services. Also new 150003 claim form exhibits are now included within the manuals:
|
|
Changed |
01/06/11 |
Provider Manuals Update |
Information for All Providers – General Billing manual has been updated. The text on the Voice Interactive Phone System was revised to remove the note about the phone charge. Please see:
|
|
Changed |
01/06/11 |
Provider Manuals Update |
The following Billing Guidelines have been updated with new instructions for Anesthesiology Services. Also new 150003 claim form exhibits are now included within the manuals:
|
|
Changed |
01/05/11 |
Provider Manuals Update |
The following 2011 Fee Schedules have been updated:
|
| Changed |
01/04/11 |
Provider Enrollment Forms |
The following Maintenance Forms have been modified to be typeable. This enhancement will alleviate problems related to legibility of the information entered on the forms. See instructions at the top of the Maintenance Forms page:
|
|
Changed |
01/04/11 |
Provider Enrollment Forms |
The following Provider Maintenance form was updated. All references to the eMedNY Gateway (BBS) have been removed:
|
|
New |
01/03/11 |
Provider Enrollment Forms |
The following has been added to Provider Enrollment Forms in order to implement the CAQH enrollment process for physicians (please see note at top of page):
|
