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Notices

September 27, 2022
Attention: Healthcare Worker Bonus (HWB) Program Frequently Asked Questions have been updated

The Healthcare Worker Bonus (HWB) Program Frequently Asked Questions have been updated on the Frequently Asked Questions page. Qualified employers are encouraged to routinely review these resources for the latest information.

The Department is committed to updating the information it has provided as new questions come in and are answered. To this end, the Department has established an email address (NYSWorkersBonus@health.ny.gov) dedicated to the HWB program. Please direct your inquiry to this inbox to make sure your questions are received and processed. The Department has also established the HWB Call Center dedicated to answering questions about the online claims portal and assisting qualified employers with submitting their claims. The HWB Call Center can be reached at 1 (866) 682-0077.
August 31, 2022
Attention: Healthcare Worker Bonus (HWB) Program Town Hall Series

A new slide deck from the Healthcare Worker Bonus (HWB) Program Town Hall Series is now available on the New York State HWB Home Page. Additionally, please see the Frequently Asked Questions page where many new FAQs have been added. Qualified employers are encouraged to routinely review these resources for the latest information, which will be updated on a regular basis.

The Department is committed to updating the information it has provided as new questions come in and are answered. To this end, the Department has established an email address (NYSWorkersBonus@health.ny.gov) dedicated to the HWB program. Please direct your inquiry to this inbox to make sure your questions are received and processed. The Department has also established the HWB Call Center dedicated to answering questions about the online claims portal and assisting qualified employers with submitting their claims. The HWB Call Center can be reached at 1 (866) 682-0077.
August 3, 2022
Attention: New York State Launches Health Care and Mental Hygiene Worker Bonus (HWB) Program and Submission Portal

Dear Provider:

New York's essential frontline health care and mental hygiene workers have seen us through a once-in-a-century public health crisis that transformed our state into a model for battling and beating COVID-19. As part of the Fiscal Year 2023 New York State Executive Budget legislation, $1.2 billion has been allocated by Governor Hochul and the State Legislature via the Health Care and Mental Hygiene Worker Bonus (HWB) Program for the payment of bonuses to "recruit, retain, and reward health care and mental hygiene workers" who meet specified eligibility requirements.

Click Here to Read More
June 6, 2022
Attention: Electronic Visit Verification (EVV) Implementation – Private Duty Nursing (PDN)

The 21st Century Cures Act (the Cures Act) was signed into law on December 13, 2016, mandating that states implement Electronic Visit Verification (EVV) for all Medicaid-funded personal care services (PCS) and home health care services (HHCS) that require an in-home visit by a provider. New York State’s Department of Health (Department) implemented EVV use for all Medicaid-funded PCS on January 1, 2021 and will implement EVV use for all Medicaid-funded HHCS on January 1, 2023, which include skilled nursing and private duty nursing (PDN). To confirm that the services you provide are within the scope of EVV, please see the EVV Applicable Billing Codes document for procedure and rate codes that are impacted. EVV is required for both Medicaid Managed Care and Fee-for-Service

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June 6, 2022
Attention: Medicaid FFS Practitioners Administering Drugs: Updated Practitioner Administered Drug Policies, Billing Guidance and Clinical Criteria Worksheets for Certain Drug(s)/Drug Classes

The New York State (NYS) Medicaid program has issued policies and billing guidance for certain drugs/drug classes for physicians, nurse practitioners (NPs), and midwives. These drugs are eligible for reimbursement when the clinical criteria outlined on the NYS Department of Health (DOH) “New York State Medicaid Fee-for-Service Practitioner Administered Drug Policies and Billing Guidance” web page, located here, and listed web page Medicaid Update articles, are met. Drug claims must include documentation of clinical criteria as well as the following:

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

Click Here to Read More
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.

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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/

Notices

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