The federal regulation 42 CFR 455.414 requires providers to revalidate their enrollment with the New York State Medicaid Program. Providers have already received individual written reminders to revalidate, although some providers have not done so. The deadline for submission of revalidation packages was September 25, 2016.
Effective for eMedNY claims processing starting October 27, 2016, all claims from non-revalidating billing providers will be pended until the provider's revalidation package is received. To avoid interruption of claims payment, providers must revalidate immediately.
A recent change to New York Codes, Rules and Regulations (NYCRR), Title 10, Sections 763.7 & 766.4 now allows certified home health agencies (CHHAs), long term home health care programs (LTHHCPs), and licensed home care services agencies (LHCSAs) up to 12 months to obtain a physician's signature on orders for services, including verbal and telephone orders. The regulations can be found at: http://www.health.ny.gov/regulations/recently_adopted.
ATTENTION: MEDICAID NOW REQUIRES ALL BILLING PROVIDERS TO REGISTER FOR ELECTRONIC FUNDS TRANSFER (EFT) PAYMENTS AND EITHER ELECTRONIC REMITTANCE ADVICE (ERA) OR PDF REMITTANCES.
Billing providers who have not registered for EFT and ERA or PDF remittances will not be allowed to re-certify their Electronic Transmitter ID Number (ETIN). When the ETIN expires a provider's claims will be rejected by eMedNY. It is therefore very important that providers who have not registered for EFT and ERA or PDF remittances do so right away. Waiting for your ETIN to approach expiration will jeopardize your payments.
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