STATE OF NEW YORK

DEPARTMENT OF HEALTH

eMedNY

MEVS Provider Manual

November 8, 2005

Version 1.10

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Table of Contents

Section

1.0 INTRODUCTION TO THE NEW YORK STATE MEDICAID ELIGIBILITY VERIFICATION SYSTEM 1.0.1

2.0 BENEFIT IDENTIFICATION CARDS/FORMS. 2.0.1

2.1 Permanent Common Benefit Identification Photo Card2.1.1

2.2 Permanent Common Benefit Identification Non-Photo Card.. 2.2.1

2.3 Replacement Common Benefit Identification Card.. 2.3.1

3.0 INTRODUCTION TO TELEPHONE (Audio Response Unit) VERIFICATION.. 3.0.1

3.1 Telephone Equipment Specifications. 3.1.1

3.2 Telephone Verification Using the Access Number or Medicaid Number (CIN) 3.2.1

3.3 Telephone Verification Input Section.. 3.3.1

3.4 Telephone Verification Response Section.. 3.4.1

3.5 Telephone Verification Error and Denial Responses. 3.5.1

4.0 INTRODUCTION TO THE Verifone Omni 3750 MEVS Terminal.. 4.0.1

5.0 Quick Start.. 5.0.1

6.0 VeriFone Omni 3750 Terminal.. 6.0.1

6.1 VeriFone Omni 3750 Terminal - Front. 6.0.1

6.1.1 VeriFone Omni 3750 Terminal Description - Front. 6.0.2

6.2 VeriFone Omni 3750 Terminal – Back.. 6.0.3

7.0