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Nurse Practitioner Archive

• Updated Provider Manuals (3/29/24, 147KB)
• Updated Fee Schedule (2/5/24, 216KB)
• Updated Fee Schedule (1/12/24, 184KB)
• Syphilis Screening During Pregnancy - A Call for Frequently Asked Questions (FAQs) (1/10/24, 140KB)
• Updated Fee Schedule (1/3/24, 142KB)
• Updated Fee Schedule (12/15/23, 142KB)
• A New Provider Communication is Available (12/4/23, 368KB)
• Information for Prescribing and Dispensing Providers of Enteral Products for Medicaid Members (10/23/23, 123KB)
• A New Provider Communication is Available (10/10/23, 242KB)
• Updated Continuous Glucose Monitoring Criteria (10/3/23, 148KB)
• Updated Fee Schedule (10/2/23, 142KB)
• Updated Fee Schedule (9/22/23, 277KB)
• Updated Fee Schedule (9/1/23, 211KB)
• Updated Fee Schedule (7/31/23, 166KB)
• Updated Fee Schedule (7/5/23, 143KB)
• Updated Fee Schedule (5/15/23, 142KB)
• Updated Fee Schedule (5/2/23, 142KB)
• A DMEPOS Provider Communication is Now Available (5/2/23, 321KB)
• A New Provider Communication is Available (4/21/23, 173KB)
• Enteral Policy/Enteral Web Portal Training Webinar (4/19/23, 196KB)
• NYRx, The Medicaid Pharmacy Program - Claims Submitted 4/1 - 4/4/2023 (4/5/2023, 143KB)
• Two (2) NEW Provider Communications have been Posted (3/31/2023, 147KB)
• Attention: NYS Medicaid Enteral Prior Authorization Enhancements - Web Portal Launch and Training Sessions (2/16/23, 203KB)
• Nurse Practitioner Fee Schedule Updated (2/13/23, 206KB)
• Nurse Practitioner Fee Schedule Updated (1/30/23, 161KB)
• Nurse Practitioner Fee Schedules Updated (1/4/23, 165KB)
• Nurse Practitioner Fee Schedule Updated (11/29/22, 168KB)
• Nurse Practitioner Fee Schedule Updated (11/7/22, 125KB)
• Nurse Practitioner Fee Schedule Updated (10/20/22, 126KB)
• Nurse Practitioner Fee Schedule Updated (10/6/22, 144KB)
• Nurse Practitioner Fee Schedule Updated (9/8/22, 144KB)
• Nurse Practitioner Fee Schedule Updated (8/16/22, 144KB)
• Nurse Practitioner Fee Schedule Updated (8/10/22, 145KB)
• Nurse Practitioner Fee Schedule Updated (8/3/22, 144KB)
• Nurse Practitioner Fee Schedule Updated (6/30/22, 144KB)
• Nurse Practitioner Fee Schedule Updated (3/15/22, 144KB)
• Nurse Practitioner Fee Schedule Updated (10/1/21, 237KB)
• Nurse Practitioner Fee Schedule Updated (9/8/21, 237KB)
• Nurse Practitioner Fee Schedule Updated (8/27/21, 237KB)
• Nurse Practitioner Fee Schedule Updated (8/3/21, 236KB)
• Nurse Practitioner Fee Schedule Updated (7/12/21, 236KB)
• The Issue That Caused Some Claims for Services Ordered by Nurse Practitioners to Incorrectly Deny has been Resolved (7/12/21, 251KB)
• Nurse Practitioner Procedure Codes and Fee Schedules Updated (7/2/21, 237KB)
• Nurse Practitioner Procedure Codes and Fee Schedules Updated (4/29/21, 237KB)
• IVR Enteral PA Webinar has been posted (4/22/21, 240KB)
• Webinars for the Interactive Voice Response System (IVR) for Medicaid Fee for Service (FFS) Enteral Product Authorizations (3/24/21, 260KB)
• A New Physician Provider Communication is Available (3/16/21, 240KB)
• Nurse Practitioner Fee Schedule Updated (1/14/21, 236KB)
• Nurse Practitioner Fee Schedule Updated (1/5/21, 236KB)
• Nurse Practitioner Procedure Codes and Fee Schedules Updated (9/8/20, 236KB)
• Nurse Practitioner Procedure Codes and Fee Schedules Updated (8/19/20, 237KB)
• Provider Communication Response to COVID-19 Telehealth PCMH Payment (5/22/19, 260KB)
• Nurse Practitioner Fee Schedule Updated (5/20/20, 235KB)
• Nurse Practitioner Fee Schedule Updated (4/30/20, 235KB)
• Nurse Practitioner Fee Schedule Updated (3/14/20, 235KB)
• National Diabetes Prevention Program Medicaid Enrollment Webinar is now Available (2/7/20, 148KB)
• National Diabetes Prevention Program has been Updated (2/5/20, 138KB)
• Nurse Practitioner Fee Schedule Updated (1/13/20, 132KB)
• Nurse Practitioner Procedure Codes and Fee Schedules Updated (3/22/19, 154KB)
• Nurse Practitioner Fee Schedule Updated (12/27/18, 154KB)
• Medicaid Fee-for-Service Providers Dispense Brand Name Drug when Less Expensive than Generic Program (10/26/18, 168KB)
• New Edit to Validate Submitted Procedure Codes and Associated National Drug Codes (NDC's) (9/18/18, 161KB)
• A New Provider Communication is Available (5/29/18, 153KB)
• UPDATE: New HCPCS Code to be Used When Billing for Axicabtagene Ciloleucel (brand name YESCARTA^TM) (4/24/18, 171KB)
• Nurse Practitioner Procedure Codes and Fee Schedule Updated (3/30/18, 154KB)
• Nurse Practitioner Fee Schedule Updated (12/27/17, 158KB)
• A New Provider Communication is Available (12/22/17, 158KB)
• A New Provider Communication is Available (11/8/17, 177KB)
• ATTENTION: Topical Oxygen Wound Therapy (TOWT) Continues to be Covered Until Further Notice (6/26/17, 178KB)
• Nurse Practitioner Procedures Codes Updated (3/23/17, 177KB)
• A New Provider Communication is Available (3/7/17, 188KB)
• Nurse Practitioner Fee Schedule Updated (12/29/16, 176KB)
• A New Nurse Practitioner Provider Communication is now available (12/28/16, 177KB)
• Radiology Consult Procedure Code List Updated (5/4/16, 177KB)
• Procedure Codes Now Requiring Prior Approval (2/12/16, 176KB)
• Attention: Revised Reimbursement Methodology for Medicare/Medicaid Dually Eligible Clients (2/9/16, 178KB)
• Attention: Providers of Reproductive Health Services (2/1/16, 204KB)
• Nurse Practitioner Fee Schedule Updated (12/31/15, 76KB)
• A Nurse Practitioner Provider Communication is Now Available (12/29/15, 76KB)
• A Nurse Practitioner Provider Communication is Now Available (12/24/15, 75KB)
• Threshold Override Applications (TOA) Require ICD10 Diagnosis Codes (10/14/15, 76KB)
• A Nurse Practitioner Provider Communication is Now Available (10/2/15, 75KB)
• A Nurse Practitioner Provider Communication is Now Available (9/30/15, 76KB)
• Notification to Ordering and Billing Providers of Enteral Formula Products (9/29/15, 77KB)
• A New Provider Communication is Now Available (9/23/15, 76KB)
• Attention: Nurse Practitioner Collaboration Requirements NYS Medicaid eMedNY System Changes Being Made (8/27/15, 79KB)
• A Nurse Practitioner Provider Communication is Now Available (6/3/15, 76KB)
• Important Information Regarding ICD-10 Implementation on October 1, 2015 (5/14/15, 86KB)
• Clarification on Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Post-Partum Service (4/9/15, 86KB)
• Nurse Practioner Manual and Fee Schedule has been updated (4/1/15, 76KB)
• Reminder: Reporting of the National Drug Code (NDC) is required for all Physician Administered Drugs for Medicaid Managed Care Plans (3/30/15, 77KB)
• Nurse Practitioner Fee Schedule Updated (3/11/15, 76KB)
• A Provider Communication for Nurse Practitioner Providers is Now Available (2/6/15, 159KB)
• A New Provider Communication for Nurse Practitioners is Now Available (12/31/14, 159KB)
• A Provider Communication for Nurse Practitioner Providers is Now Available (12/22/14, 159KB)
• Claims Submitted with Add-on codes without Primary Procedure may Deny (12/19/14, 79KB)
• NCCI Updated Edits Effective 10/1/2014 (10/7/14, 80KB)
• Attention Prescribers: Final e-Prescriber Payments to be Issued By eMedNY (9/12/14, 188KB)
• Attention Prescribers: Final e-Prescriber Payments to be Issued By eMedNY (8/26/14, 76KB)
• Durable Medical Equipment Procedure Code and Fee Schedule Updates (7/21/14, 66KB)
• 2014 PCRI Fee Schedules Are Now Available (7/7/14, 67KB)
• Ankle Foot Orthotics (AFOs) Allowed Frequency Update (6/12/14, 66KB)
• Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Post-Partum Service (5/28/14, 76KB)
• Edit 02166 - Delay Reason 11 (Other Delay) Invalid will pend Professional and Dental Paper Claims (4/29/14, 110KB)
• Screening, Brief Intervention, and Referral to Treatment Webinar for Practitioners, Clinics and Emergency Departments (4/14/14, 78KB)
• Electronic Prescribing Incentive Payments Discontinued Effective April 1, 2014 (4/9/14, 66KB)
• Nurse Practitioner Procedures Codes & Fee Schedule Updated (4/4/14, 65KB)
• 2014 DME procedure codes section and fee schedule (3/28/14, 66KB)
• Quarterly National Correct Coding Initiative (NCCI) Edits Updated (3/24/14, 71KB)
• e-Prescriber Payments to be Issued By eMedNY (3/13/14, 67KB)
• Web Training Scheduled To Guide Providers Especially Practitioners and Group Practices in Submitting Newly Required EFT and ERA or PDF Remittance Advice Requests Forms (2/12/14, 68KB)
• Guidance To Group Practices For Correct Completion Of The Electronic Funds Transfer (EFT) Authorization Form (2/7/14, 74KB)
• Updated Quarterly National Correct Coding Initiative (NCCI) Edits (1/15/14, 70KB)
• Extension of the Medicaid Primary Care Rate Increase Attestation Deadline (1/14/14, 76KB)
• Provider Training Schedule Available (1/8/14, 99KB)
• Nurse Practitioner Fee Schedule Updated (Corrected) (1/2/14, 65KB)
• Medicaid Prescription Footwear and Stocking Benefit Update (12/12/13, 72KB)
• Attention Professional and Dental Providers: Claims Submitted With Delay Reason 2 - "Litigation" or Delay Reason 3 – "Authorization Delay" to Pend/Deny (12/5/13, 73KB)
• Primary Care Rate Increase Retroactive Payments Now Available (12/03/2013, 64KB)
• Web Training Scheduled To Guide Enrolled Practitioners and Group Practices in Submitting Newly Required EFT and ERA or PDF Remittance Advice Requests Forms (10/30/2013, 156KB)
• NY Medicaid Guidance for Enrolled Practitioners Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) or PDF Remittance Advice (10/25/13, 263KB)
• ATTENTION: Correction to the September 2013 Medicaid Update (10/17/13, 154KB)
• Provider Training Schedule Available (10/07/13, 65KB)
• Enteral Nutritional Formula Phone Line (09/27/13, 151KB)
• Attention: Influenza Vaccine Coverage Expanded (09/23/13, 66KB)
• Updated Primary Care Rate Increase Attestation FAQs Now Available (09/19/13, 173KB)
• Attention All Providers: MRT 3 Initiatives to Begin (09/13/13, 54KB)
• Enteral Nutritional Formula Webinar Power Point Presentation (07/29/13, 52KB)
• Webinar: Enteral Nutritional Formula Regulation and Utilization Management Update (07/23/13, 52KB)
• Enteral Formula Prior Authorization Phone System Update (07/18/13, 54KB)
• Provider Training Schedule Available (07/16/13, 52KB)
• Enteral Formula Telephone Authorization System Update (07/11/13, 52KB)
• Fee for Service Enteral Formula Prior Authorization (07/01/13, 54KB)
• Incontinence Prescriber Communication ICD-9 Quantity Tool (06/28/13, 52KB)
• Primary Care Rate Increase (PCRI) Fee Schedule is Now Available (06/20/13, 51KB)
• Enteral Nutritional Formula Benefit Update (06/14/13, 61KB)
• Webinar Invitation for Primary Care Rate Increase (05/29/13, 54KB)
• Nurse_Practitioner_Primary_Care_Rate_Increase_Attestation_Now_Available_05-02-13 (5/02/13 , 54KB)
• Primacy Care Rate Increase (PCRI) Attestation Form Error (4/16/13 , 60KB)
• Updated Nurse Practitioner Fee Schedule and Procedure Codes are Now Available (4/09/13, 52KB)
• Provider Training Schedule Available (3/06/13, 52KB )
• Additional Billing Information for Vaccine Administration Codes (1/15/13 52KB)
• Updated Nurse Practitioner Fee Schedule is Now Available (1/15/13 52KB)
• Nurse Practitioner Fee Schedule Updated (1/3/12, 51KB)
• 2013 Nurse Practitioner Procedure Code Changes Are Now Available (12/28/12, 65KB)
• Changes in Medicaid Billing For Vaccine Administration (12/26/12, 51KB)
• Prescriber Prevails in Medicaid Managed Care for Atypical Antipsychotics (12/24/12, 62KB)
• Changes In Medicaid Billing For Vaccine Administration (12/11/12, 51KB)
• New Family Planning Benefit Program Service Available November 1, 2012 (10/29/12, 52KB)
• e-Prescriber Payments to be Issued By eMedNY (09/27/12, 52KB)
• New Website Portal Available to Initiate Fee-for-Service Pharmacy Prior Authorization Requests (09/06/12, 62KB)
• Important Reminder for All Ordering and Billing Providers of Incontinence Supplies (08/30/12, 52KB)
• Attention Prescribers: ePrescribing Payments To Be Issued by eMedNY (04/10/12, 52KB)
• Improve Modifier Editing (02/22/12, 57KB)
• Nurse Practitioner Fee Schedule Updated (12/29/11, 38KB)
• Procedure Code Changes Effective January 1, 2012 (12/27/11, 38KB)
• Upcoming Changes to the Fee-for-Service Pharmacy Prior Authorization Process (12/15/11, 48KB)
• EHR Incentive Program Announcement (10/26/11, 39KB)
• Attention Pharmacies and Prescribers: Eligibility Transaction Update (10/05/11, 38KB)
• Update to the Medicaid Drug Rebate Program (07/08/11, 38KB)
• Enteral Formula Prior Authorization Prescriber Worksheet Revised (05/04/11, 38KB)
• Enteral Nutritional Formula Benefit Update (04/19/11, 40KB)