Medicaid

Medicaid Fee-For-Service (FFS) to Systematically Enforce Legislation Limiting Initial Opioid Prescribing to a Seven Day Supply

8/14/2017

In accordance with New York State Public Health Law, effective August 24th, 2017, the Medicaid FFS program will be implementing a seven (7) day supply limit on initial opioid prescribing for acute pain. Read more ...

Billing for Clients Enrolled with Medicaid Coverage

Medicare Coinsurance and Deductible Only. Providers should be aware that when rendering services for Medicaid clients enrolled with Medicare Coinsurance and Deductible Only coverage, that Medicaid will only consider reimbursement of Medicare Coinsurance and Deductible amounts after Medicare. Read more ...

Medicaid Beneficiaries Cannot Be Billed

A reminder to all hospitals, free-standing clinics and individual practitioners about the requirements of the Medicaid program related to requesting compensation from Medicaid beneficiaries, including Medicaid beneficiaries who are enrolled in a Medicaid managed care or Family Health Plus (FHPlus) plan, or who have been found to be presumptively eligible for Medicaid or the Family Planning Benefit Program (FPBP). Read more ...

Medicaid Required by Federal Law to Change Electronic Remittance Delivery Date

Effective April 7, 2014, (Cycle 1911) eMedNY will no longer be permitted to make the X12 835 and the X12 820 electronic remittances available two weeks prior to release of payment. Read more ...

Continue to Refer Emergency Services Abusers to the Medicaid Program

Attention Ambulance Services: Per New York State Penal Code §240.50(2), it is a Class A Misdemeanor to report an emergency where none exists. Read more ...