Modifications have been made to the following:

• MEVS Provider Manual

New Provider Communication:

• DME
• Pharmacy

New Provider Communication:

• Physician

Modifications have been made to the following:

• Posting Provider List

Claim Form eMedNY-150002 Billing Guidelines have been added to the following Provider Manuals.

• Chiropractor
• DME
• Hearing Aid
• Private Duty Nursing

Third Party - Information for All Providers has been updated to include new insurance code. Please see:

• Information for All Providers - Third Party Information

The following 2009 Fee Schedule and Procedure Codes sections have been updated:

• DME 2009 Fee Schedule
• DME 2009 Procedure Codes

Claim Form eMedNY-150001 Billing Guidelines have been archived for the following Provider Manuals:

• Midwife
• Ordered Ambulatory
• Nurse Practitioner
• Physician

Third Party - Information for All Providers has been updated. Managed Care Plan Codes were deleted. Please see:

• Information for All Providers - Third Party Information

The following Fee Schedule has been updated:

• Physician Fee Schedules Medicine

The Service Line section has been updated with screen shots showing where to enter NDC information in the following Claim Reference Guides:

• ePACES Institutional Claim Reference Guide
• ePACES Professional Claim Reference Guide
• ePACES Professional Real-time Claim Reference Guide

The following Transportation Prior Approval form replaces both the eMedNY 389701 and the Group form eMedNY 410601:

• Transportation Prior Approval Request Form - eMedNY 389702

The following 2009 Procedure Codes section has been updated:

• Transportation 2009 Procedure Codes

The following document has been updated to reflect the new CSC phone number:

• Out-of-State High Level Care (HLC) - Special Level of Care (SPC) Prior Approval Guidelines

The new Transportation Contact List has been added for the Transportation Manual Prior Authorization Guidelines. This document is a contact list for counties across the State.

• Transportation Contact List

Third Party - Information for All Providers has been updated. Insurance Code B5 description has changed and codes CV and ACA were removed. Please see:

• Information for All Providers - Third Party Information

New Provider Communication:

• DME

The DME Prescription Footwear Form was added to the following:

• DME Enrollment Packet

New Provider Communications:

• DME
• Pharmacy
• Physician
• Nurse Practitioner
• Nurse Midwife

Modifications have been made to the following:

• Posting Provider List

HCBS/TBI Waiver Services Manual Policy Guidelines have been updated. All information regarding the New York State Traumatic Brain Injury (TBI) Program is now available on the New York State Department of Health's website at http://www.nyhealth.gov/health_care/
medicaid/reference/tbi/. The policy manual has been updated to reflect this new website. Please see:

• HCBS/TBI Waiver Services

Third Party - Information for All Providers has been updated. New Insurance Codes added. Please see:

• Information for All Providers - Third Party Information

The following Provider Maintenance forms have been added:

• Clinic Certification of Staff Certified as Asthma Educators
• Clinic Certification of Staff Certified as Diabetes Educators

Third Party - Information for All Providers has been updated. Please note the Key for the Prepaid Capitation Plan listing with information from the Office of Managed Care was updated. Please see:

• Information for All Providers - Third Party Information

The following document that addresses new HIPAA regulations has been added to the Notifications section:

• HIPAA-2 Announcement

Claim Form eMedNY-150002 Billing Guidelines have been added to the following Provider Manuals.

• Midwife
• Ordered Ambulatory
• Nurse Practitioner

The following 2009 Fee Schedule has been updated:

• Dental Fee Schedule

Zip + 4 added to the Application Form address for the following:

• Electronic/Paper Transmitter Identification Number (TSN/Provider)
• Electronic Transmitter Identification Number (TSN/Service Bureau)

The following Provider Maintenance forms have been added in order to allow already enrolled Fee for Service Providers to have the appropriate specialty code added to their file:

• Certified Asthma Educator Enrollment Questionnaire
• Employment Certification for Certified Asthma Educator
• Certified Diabetes Educator Enrollment Questionnaire
• Employment Certification for Certified Diabetes Educator

New Provider Communications:

• Clinical Psychology
• Hearing Aid
• Midwife
• Nurse Practitioner
• Physician
• Rehabilitation Services
• Vision Care

The following 2009 Fee Schedules and Procedure Codes sections have been updated and reposted:

• Physician Drugs 2009 Fee Schedule
• Physician Medicine 2009 Fee Schedule
• Physician Radiology 2009 Fee Schedule
• Physician Surgery 2009 Fee Schedule
• Hearing Aid 2009 Fee Schedule
• Vision Care 2009 Fee Schedule
• Midwife 2009 Fee Schedule
• Nurse Practitioner 2009 Fee Schedule

New Provider Communications:

• DME
• Midwife
• Nurse Practitioner
• Ordered Ambulatory
• Physician
• Pharmacy

New Provider Communications:

• DME
• Pharmacy

New Provider Communications:

• Physician
• Nurse Practitioner
• Rehabilitation Services

Modifications have been made to the following:

• ProDUR-ECCA Provider Manual
• ProDUR-ECCA Standards Manual

Modifications have been made to the listed billing guidelines as follows:
The line that contained the 8 digit MMIS Provider ID, NPI Number and Check Issue Date that appeared above the Provider Name in the address area on the paper check sample has been removed.

• Assisted Living (ALP)
• Bridges to Health
• Child (Foster) Care Agency
• Chiropractor
• Clinic
• Clinical Psychology
• Clinical Social Worker
• Comprehensive Medicaid Case Management
• Day Treatment
• DME
• Dental
• HCBS/TBI Waiver Services
• Home and Community Based  Services (HCBS Waiver)
• Hearing Aid
• Home Health
• Hospice
• Intermediate Care Facility Dev.  Disabled (ICF/DD)
• Inpatient
• Laboratory
• Limited Licensed Home Care
• Long Term Home Healthcare
• Managed Care
• Midwife
• OMH Certified Rehabilitation Services
• Ordered Ambulatory
• Personal Care
• Personal Emergency Response System (PERS)
• Pharmacy
• Physician
• Podiatry
• Private Duty Nursing
• Rehabilitation Services
• Residential Health
• School Supportive Health Services Program (SSHSP)
• Transportation
• Vision Care

New Provider Enrollment Packets:

• Certified Asthma Educator (CAE)
• Certified Diabetes Educator (CDE)

New Provider Communications:

• Pharmacy