January 13, 2023Attention: An Updated DME Provider Communication is Now Available
The document, "Correction-2023 Coding Changes for Continuous Glucose Monitoring" effective January 1,2023 has been posted.
Click here to access the document.
- January 12, 2023
Attention: Medicaid Fee-for-Service Providers Dispense Brand Name Drug when Less Expensive than Generic Program
Effective 1/19/2023, the following changes will be made to the Dispense Brand Name Drug When Less Expensive Than the Generic Program:
- Glumetza will be ADDED to the program
Click Here to Read More
- December 12, 2022
Attention: Medicaid Pharmacy Benefit Transition - MU Special Edition
Effective April 1, 2023, NYS Medicaid members enrolled in mainstream Medicaid Managed Care (MMC) Plans, Health and Recovery Plans (HARPs), and HIV-Special Needs Plans (SNPs) will receive their pharmacy benefits through the NYRx Pharmacy program instead of through their MMC Plan. The pharmacy benefit transition to NYRx does not apply to NYS Medicaid members enrolled in Managed Long-Term Care (MLTC) Plans [e.g., MLTC, Programs of All-Inclusive Care for the Elderly (PACE), Medicaid Advantage Plus (MAP), the Essential Plan, or Child Health Plus (CHP)]. Transitioning the pharmacy benefit from MMC to NYRx will provide NYS with full visibility into prescription drug costs, allow centralization of the benefit, leverage negotiation power, and provide a uniform list of covered drugs with standardized utilization management protocols simplifying and streamlining the drug benefit for NYS Medicaid members. NYS Medicaid consumers have comprehensive drug coverage and equitable access to an extensive network of over 5,000 pharmacy providers.
For more information on the Medicaid Pharmacy Benefit Transition please see the New York State Medicaid Update - October 2022 Medicaid Pharmacy Prescription Drug Benefit Transition Part One: Special Edition
- November 10, 2022
Attention: Help's Provider Satisfaction Survey is going out to providers and facilities beginning November 29, 2022
As a user of Consult, specialty benefits management services administered by Health Help, your feedback is vital for improving our processes. Health Help provides easy ways for you to obtain authorizations: online web application, fax, phone authorization through call center, and IVR automated touch phone system. We would like your input on any of the methods you have used to contact Health Help.
Please participate to help us improve our processes with your feedback. The survey takes about five minutes to complete.
Please help us make the most of this opportunity by encouraging participation that helps us improve the provider experience! Visit HealthHelp.com/Survey to participate. The survey link will be active beginning on November 29th. We look forward to hearing from you!
- October 6, 2022
Attention: Healthcare Worker Bonus (HWB) Program – Vesting Period Two
The New York State Department of Health (NYSDOH) is pleased to announce that the HWB Program Portal is now open to facilitate submission by eligible employers on behalf of their employees who qualify for bonus payments for Vesting Period 2. Vesting Period 2 is the timespan between April 1, 2022 and September 30, 2022. The HWB Program Portal will be open for submission for a period of thirty (30) days.
For more information on the Healthcare Worker Bonus (HWB) Program, please visit the NYSDOH HWB Program webpage which also includes a Frequently Asked Questions (FAQ) page. Qualified employers are encouraged to routinely review these resources for the latest information. The FAQ page will continue to be updated as additional information becomes available.
- 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.
Complete the EFT Form