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Dental Manual Archive

Dental Provider Communications

NYS Department of Health Rules and Regulations, Title 10

NYS Department of Health Rules and Regulations, Title 18


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DOH Medicaid Update Website
Provides up-to-date changes that may affect your participation in the Medicaid Program.
 
MEVS and Supplemental Documentation
This information is not part of your provider manual, however, it may be useful information and is placed here for your convenience.
 
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Contact information you can use to order hard (paper-based) copies of eMedNY manuals.

Provider Manuals > Dental Manual

Dental Manual

Manual Contents

Information for All Providers
Policy and Procedure Codes Manual
Handicapping Labio–Lingual Deviation (HLD) Index Report
Evaluation of the Dental Implant Patient Form
Justification of Need for Replacement Prosthesis Form
Fee Schedule
Billing Guidelines
Dental Billing Guidelines
General Remittance Guidelines
Prior Approval Guidelines
Prior Approval Business Location Chart
Webinar for New NYS Medicaid Dental Policies


Medicaid Managed Care

Managed Care Benefit Transition - MRT 1458

Click on the above link for information on the dental and orthodontia transition to Medicaid Managed Care, including Webinars, Q&A and Dental Vendor Contact Information. Scroll down to MRT 1458: Care Management Population and Benefit Expansion, Access to Services and Consumer Rights. To view Dental Vendor Contact Information, click here.

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Click on the above link in order to sign up and receive notification of updates to manuals, communications and other pertinent information for your provider type.

Participating Drug Companies for Medicaid Drug Rebate Program

Click here for the list of Medicaid Drug Rebate Program Participating Drug Companies

The list of participating drug companies provides a tool for practitioners to identify drug labelers/vendors that participate in the Medicaid Drug Rebate Program. Please note that the first 5 digits of the National Drug Code (NDC) represent the labeler/vendor. If the labeler code is not on this list, the labeler's drug is not reimbursable by Medicaid. Please refer to this list periodically, as the list of covered labelers/vendors is continually being updated. For billing and reimbursement of practitioner administered drugs, refer to your Provider Manual Procedure Code and Fee Schedule sections for Drugs, and Provider Communications, listed above.

Formulary File

Medicaid Pharmacy List of Reimbursable Drugs (Formulary File)

As a reference tool for pharmacies and prescribers, the Formulary File contains prescription and over the counter drugs, as well as glucometer and home blood glucose test strip products, covered through the Pharmacy benefit. For billing and reimbursement of practitioner administered drugs, refer your Provider Manual Procedure Code and Fee Schedule sections for Drugs, and Provider Communications, listed above.

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