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| Out-of-State Provider FAQ |
Out-of-State Providers frequently find themselves asking questions other providers may not have to consider, as several aspects of New York Medicaid may pertain to them in a different manner. Here we answer some of the most frequent questions asked of us, in order to help out-of-state providers use the eMedNY system more effectively. If you have a questions that you feel should be included here, please let us know.
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 Pharmacy Claims |
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| Q: |
How do I enter an out-of-state license number in the ordering provider field? |
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| A: |
Choose the appropriate 2-digit profession code from the list in the MEVS Provider Manual and add a zero at the left. After entering the profession code, enter the appropriate 2-character state code followed by six digits of the license number. If the license number is longer than six digits send the leftmost six digits. If shorter than six digits, zero-fill to the left. The resulting identifier must be eleven characters long.
After the eMedNY NPI implementation of September 1, 2008, a license number can only be used:
- In a non-healthcare (non-HIPAA regulated) transaction, or
- To identify an Atypical Provider, or
- To identify the referring provider, if the NPI is not known. However the referring provider should be contacted to obtain their NPI.
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Out-of-State