TABLE OF CONTENTS
Section
1.2 Availability
of eMedNY.. 1.0.
2.0 Obtaining an eMedNY Access
3.0 File Format Specifications
4.0 FTP FILE PREPARATION PROCEDURES
Provider
Electronic Transmission Identification Number (ETIN) Application
AGREEMENT for eMedNY System ACCESS
The New York State Medicaid Eligibility Verification System (MEVS) requires the use of the HIPAA compliant Eligibility transaction formats. The formats will be accepted via File Transfer Protocol (FTP) or CPU-CPU link.
This method is the standard process for batch authorization transmissions. FTP allows users to transfer files from their computer to another computer (upload) or from another computer to their computer (download). Each batch file transmission sent to the eMedNY contractor is required to be completed within two hours. Any transmission exceeding two hours will be disconnected.
The eMedNY system is available 24 X 7. In the event of a system problem, you may call CSC’s Provider Services Department at 800 343-9000. User support is available Monday through Friday between 7:00 AM and 10:00 PM, and 8:30 AM to 5:30 PM on Saturday, Sunday and holidays. You may contact CSC’s Provider Services Department at 800 343-9000.
While the intent has been to provide sufficient concurrent telephone connections, it is possible that you may encounter a busy signal. Please try again at a later time.
Upon completion and subsequent filing of the electronic certification statement you will be given two pieces of information. The first is your user identifier and the second is your initial password. You will be required to change your password when you access the eMedNY the first time. Make sure you record your new password and store it in a secure place.
If you lose or forget any component of your access key, or suspect an unauthorized person may have knowledge of your access key, please call the CSC Provider Services Department immediately. You are responsible for any action taken on behalf of your account.
Refer to Security Packet B containing the forms to obtain an eMedNY user access key.
Please refer to the Companion Guides on the eMedNY.org website for the following HIPAA Medicaid Eligibility companion guides to obtain the correct file and record formats.
Access the Companion Guides by referring to www.hipaadesk.com/?nymedicaid under the "News and Resources" tab.
· 270: 270 Eligibility Inquiry Request NYSDOH Companion Guide (4010X092A1)
· 271: 271 Eligibility Inquiry Response NYSDOH Companion Guide (4010X092A1)
· 278: 278 Services Request NYSDOH Companion Guide (4010X094A1)
· 278: 278 Services Response NYSDOH Companion Guide (4010X094A1)
The electronic specifications contain the requirements and procedures that must be followed when submitting electronic media
- The “Binary” option must be activated prior to sending or receiving files. Therefore, following your logon to the FTP ID, type “Binary” at the FTP prompt and hit enter.
- To send files type, “Send” at the FTP prompt and hit enter. To receive files type “Recv” at the FTP prompt and hit enter.
- Using PKZIP or WinZIP, a file must be zipped prior to sending files to the FTP ID.
- Using PKZIP or WinZIP, a file must be unzipped after downloading a response file from the FTP ID.
- When sending a file, the following Dataset Naming Standard for the remote file is required:
Node1.Node2.Node3
where,
Node1 = ‘P’
followed by the first seven digits of your provider number (i.e. P1234567)
Node2 = ZIP
Node3 = Generation/File
number in the following format (G000?V00), where ? = the file you are sending
for the day.
Using
the example above, the completed remote
file would be:
P1234567.ZIP.G0001V00
(1st file for the day)
P1234567.ZIP.G0002V00
(2nd file for the day)
P1234567.ZIP.G0003V00
(3rd file for the day)
- When receiving a file, the remote file will be entered using the following naming standard:
NodeA.NodeB.NodeC
where,
NodeA = ‘P’
followed by the first seven digits of your provider number (i.e. P1234567)
NodeB = ‘D’
followed by the date in the YYMMDD format.
NodeC = ZIP
The following forms are included in the manual:
·
Provider Electronic Transmission Identification Number
(ETIN) Application
· AGREEMENT for eMedNY System ACCESS (Security Packet B)
To apply for your Electronic Transmission Identification Number (ETIN), which is required in order to submit data electronically for processing by the New York State MMIS or eMedNY, please complete the items below and forward along with a Certification Statement to:
ATTN: MAGNETIC
MEDIA LIAISON - FIRST FLOOR
CSC HEALTHCARE
SERVICES
800 NORTH PEARL
STREET
ALBANY, NY 12204