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Available for PRACTITIONERS only
Additional provider types will be able to use this portal at a later time. Practitioners can submit certain maintenance transactions in the Provider Enrollment Portal instead of mailing a paper form. Click for more information.

Notices

May 12, 2022
Attention: The Utilization Threshold Program has been revised effective July 1, 2022. Click on the Link below for additional details.

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May 10, 2022
Attention: The DME Procedure Code Manual and DME Fee Schedule have been updated

The DME Procedure Code Manual and DME Fee Schedule have been updated for June 1, 2022. Any changes reflected in the manual are effective for dates of service beginning June 1, 2022. Questions related to coverage criteria and guidelines can be directed to the Office of Health Insurance Programs at OHIPMedPA@health.ny.gov. Billing related questions can be directed to GDIT at (800) 343-9000.
April 15, 2022
Attention: A Private Duty Nursing (PDN) provider communication was posted regarding the April 1, 2022, transition of the PDN Medically Fragile Children’s Program to the Medically Fragile Children and Adult (MFCA) Program

Effective April 1, 2022, the New York State Fee-for-Service (FFS) Medicaid Private Duty Nursing (PDN) Medically Fragile Children’s Program transitioned to the Medically Fragile Children and Adult (MFCA) Program. FFS Medicaid will offer PDN fee enhancements to all enrolled Medicaid PDN providers (enrolled Licensed Home Care Agencies, and independent Registered Nurses and Licensed Practical Nurses) who enroll in one or both components of the MFCA Program. The two components will consist of the Medically Fragile Children and Adult Training and Experience component and the Private Duty Nursing Medically Fragile Children and Adult Provider Directory component.

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April 1, 2022
Attention: New Provider Enrollment Portal Is Live!

Today, 4/1/2022, the new Provider Enrollment Portal is live and available to use for practitioners. Please visit our Provider Enrollment Portal page for information on how to sign up, log in and use the portal:

https://www.emedny.org/portal/
This new portal will enable practitioners to perform numerous maintenance transactions using an easy online process. This alternative to the current paper enrollment process will reduce turnaround time by the eliminating the need for United States Postal Service delivery. The portal also provides step-by-step on-screen instructions to guide practitioners through the process. Paper maintenance forms will continue to be accepted. Group, Business, and Institutional providers will have portal functionality in future releases.

Click Here to Read More
March 17, 2022
Attention: Policy Guidelines and Procedure Codes for the Hearing Aid manual have been updated for April 1, 2022

Please note, the policy guidelines and procedure codes for the Hearing Aid manual have been updated for April 1, 2022. Any changes reflected in the manual are effective for dates of service beginning April 1, 2022. Questions related to policy or coverage guidelines can be directed to the Office of Health Insurance Program’s Division of Operations and Systems at OHIPMedPA@health.ny.gov. Billing related questions can be directed to GDIT at (800) 343-9000.
February 17, 2022
Attention: Fee for Service DMEPOS Medical Supply Quantity Update

The following change in maximum quantities will be effective for dates of service on or after March 1, 2022.

Code Brief Description Maximum Quantity
A4353 Intermittent urinary catheter, with insertion supplies (each) Up to 90 per month
Current billing guidelines and reimbursement rates are still in effect.
Questions:
For questions related to policy and coverage guidelines contact the Bureau of Medical Review at 1-800-342-3005 or by email at OHIPMEDPA@health.ny.gov

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Archived Notices

Complete the EFT Form		Complete the ERA/PDF Form
*Please read the EFT Form instructions carefully.* An original voided check or original signed and notarized letter from your bank is required. The tax number entered on the form must match the tax number for the provider NPI on the form. Be sure to complete all fields. Only original signed forms will be processed. NOTE: Instead of filling out the EFT Authorization Form above, you can complete the form online at: https://portal.emedny.org/provider/		*Please read theERA/PDF Form instructions carefully.* Before submitting this form providers must be registered for either an eMedNY eXchange in-box or be registered for an FTP account with eMedNY. To register for an eXchange in-box the provider must be enrolled in ePACES. The ePACES account name is the same one used for eXchange. FTP users must have submitted a Security Packet B to establish the FTP account before submitting the ERA/PDF Request form. PDF remittances look like the paper remit but are delivered via the eXchange in-box. ERAs delivered via either eXchange or FTP requires software to interpret the HIPAA-formatted information. NOTE: Instead of filling out the Electronic or PDF Remittance Advice Request Form above, you can complete the form online at: https://portal.emedny.org/provider/

Code	Brief Description	Maximum Quantity
A4353	Intermittent urinary catheter, with insertion supplies (each)	Up to 90 per month

Notices

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