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Inpatient Provider Communications

Referral Form for Prior Approval - OOS Medical Treatment - June 30, 2023 (PDF 181KB)

NYS Medicaid Family Planing & Reproductive Health Services FAQS - April 21, 2023 (PDF 701KB)

UPDATE: New HCPCS Code to be Used When Billing for Axicabtagene Ciloleucel (brand name YESCARTA^TM) - April 26, 2018 (PDF 60KB)

OBSTETRICAL DELIVERIES PRIOR TO 39 WEEKS GESTATION - November 8, 2017 (PDF 106KB)

ATTENTION Topical Oxygen Wound Therapy (TOWT) Continues to be Covered Until Further Notice - June 26, 2017 (PDF 48KB)

CPT Codes Now Requiring Prior Approval - February 12, 2016 (PDF 64KB)

Additional ICD-10 Acceptable Diagnosis Codes Elective Deliveries Under 39 Weeks - January 5, 2015 (PDF 44KB)

ICD-10 CODING CHANGES for Medicaid Redesign Team (MRT) Basic Benefit Initiatives - October 1, 2015 (PDF 166KB)

Prior Authorization for Out of State Skilled Nursing Facilities - January 24, 2012 (PDF 33KB)

Prior Authorization for Out of State Skilled Nursing Facilities Form - January 24, 2012 (PDF 184KB)

Prior Authorization for Out of State Skilled Nursing Facilities (Archive) - January 17, 2012 (PDF 22KB)

Prior Authorization for Out of State Skilled Nursing Facilities Form (Archive) - January 17, 2012 (PDF 177KB)

Prior Authorization for Out of State Skilled Nursing Facilities (Archive) - October 20, 2011 (PDF 21KB)

Prior Authorization for Out of State Skilled Nursing Facilities Form (Archive) - October 20, 2011 (PDF 436KB)

Prior Authorization for Out of State Skilled Nursing Facilities (Archive) - September 22, 2011 (PDF 35KB)

Prior Authorization for Out of State Skilled Nursing Facilities Form (Archive) - September 22, 2011 (PDF 440KB)

Edit 02068 to Deny Starting in October - September 20, 2011 (PDF 13KB)

Attention Out-of-State Hospitals: Inpatient Claims Adjustment May be Needed - April 23, 2010 (PDF 13KB)

Inpatient Care Provided Outside of New York State - February 25, 2010 (PDF 25KB)

DRGs for Out-of-State Hospitals - December 15, 2009 (PDF 13KB)