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Provider Manuals

 

Welcome! Your Provider Manual to the New York Medicaid Program offers you a wealth of information about Medicaid, as well as specific instructions on how to submit a claim for rendered services.

"Information for All Providers" gives you pertinent policy and resource information!

Click on the your provider manual below, and read about specific rules governing the provision of your care and service to Medicaid recipients. This section also contains billing instructions, as well as pertinent procedure codes and fee schedules.

Click on the link to the Department of Health's Medicaid Update website. This monthly publication is mailed to active providers, and informs providers of up-to-date changes in the Medicaid Program. This website has an index that makes finding relevant articles an easy task!

Your provider manual, along with recent Medicaid Update articles, will act as an effective guide to your participation in Medicaid

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 Medicaid Eligibility Verification System (MEVS) Reference Material
The following information is a list of MEVS resources, including quick reference guides and the full manual.

 Supplemental Documentation
The following information is not part of your provider manual. However, it may be useful information, and is placed here for your convenience.
Click here for important information about the UB04 Billing Manuals and Claim Form Submission Requirements.
Select a Provider Manual
Ambulatory Patient Groups (APG) Assisted Living (ALP)
 
Bridges to Health Child (Foster) Care Agency
 
Chiropractor and Portable X-Ray Clinic
 
Clinical Psychology Clinical Social Worker
 
Comprehensive Medicaid Case Management Day Treatment
 
Dental DME
 
Early Periodic Screening Diagnosis and Treatment for Child Health Plus A (Medicaid) Free Standing or Hospital Based Ordered Ambulatory
 
HCBS/TBI Waiver Services Hearing Aid
 
Home and Community Based Services (HCBS Waiver) Home Health
 
Hospice Inpatient
 
Intermediate Care Facility Dev. Disabled (ICF/DD) Laboratory
 
Limited Licensed Home Care Long Term Home Healthcare
 
Managed Care Midwife
 
Nurse Practitioner OMH Certified Rehabilitation Services
 
Personal Care Personal Emergency Response System (PERS)
 
Pharmacy Physician
 
Podiatry Prenatal
 
Private Duty Nursing Rehabilitation Services
 
Residential Health School Supportive Health Services Program (SSHSP)
 
Transportation Vision Care
 
 
 
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