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Feb. 16	Attention: Ordering/Prescribing/Referring (OPR) Providers Must Revalidate for Claims to be Paid

Sept. 14	Attention: Private Duty Nursing Prior Approval Guidelines

June 14, 2017
Attention: Medical Supply Quantity Update

The following changes in maximum quantities will be effective for dates of service on or after August 1, 2017. Current reimbursement rates are still in effect.
DME Medical Supply Quantity Update
Pharmacy Medical Supply Quantity Update

April 25, 2017
Attention: 2017 DME Procedure Codes Section and Fee Schedule

Please note, the procedure codes section and fee schedule of the DME manual has been updated for May 1, 2017. Any changes reflected in the manual are effective for dates of service beginning May 1, 2017. 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 eMedNY at (800) 343-9000.
DME Procedure Codes
DME Fee Schedule

April 3, 2017
Attention: Incontinence Supply Management Program

The reimbursement rate changes for Incontinence Supply Management Program products scheduled to take effect April 3, 2017, have been postponed until May 17, 2017. For questions about the Incontinence Supply Management Program, contact the Bureau of Medical Review at 1-800-342-3005 or by email at OHIPMEDPA@health.ny.gov.
March 24, 2017
Attention: NEW Provider Communication added for DME and Pharmacy providers

2017 DURABLE MEDICAL EQUIPMENT FEE SCHEDULE CHANGES
March 9, 2017
Attention: Care at Home Waiver (CAH) III, IV, and VI Case Management Providers

New Billing Guidance Effective for Dates of Service Beginning April 1, 2017
March 6, 2017
Attention: NEW Provider Communications added for DME, Long Term Home Health Care, Managed Care and Pharmacy providers

Incontinence Supply Management Program Fee Schedule Changes
February 15, 2017
Attention: Incontinence Supply Management Program Update

Current proposed reductions in incontinence supply fees that were effective for dates of service on or after February 15, 2017 have been postponed until March 15, 2017. Additional information and guidance will be issued prior to effective date.

For questions about the Incontinence Supply Management Program, contact the Bureau of Medical Review at 1-800-342-3005 or by email at OHIPMEDPA@health.ny.gov.
February 14, 2017
Attention: NEW Provider Communication added for DME providers

E0445 - Pulse Oximeter Coverage Criteria Update

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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/

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