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Notices

May 16, 2018
Attention: Updated DME Provider Manual: Fee Schedule

Please note, the fee schedule of the DME Provider has been updated for May 16, 2018. Any changes reflected in the fee schedule are effective for dates of service beginning April 1, 2018. Questions related to this update 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 Fee Schedule
April 9, 2018
Attention: Private Duty Nursing Assessment - Clarification of Acceptable Assessment for Prior Approval of Services

NYCRR Title 10 and Title 18 contains regulations for the provision of Medicaid coverage of Private Duty Nursing (PDN) services in the patient's home. Private duty nursing services may be provided when a written assessment indicates that the member needs either continuous nursing services which are beyond the scope of care available from a certified home health agency, or intermittent nursing services which are normally provided by the certified home health agency but which are unavailable.

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March 16, 2018
Attention: Updated DME Provider Manuals: Procedure Codes and Fee Schedule

Please note, the procedure codes section and fee schedule of the DME Procedure Code manual has been updated for April 1, 2018. Any changes reflected in the manual are effective for dates of service beginning April 1, 2018. 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.
March 13, 2018
Attention: 2018 Hearing Aid Procedure Codes Section and Fee Schedule

Please note, the procedure codes section and fee schedule of the Hearing Aid manual has been updated for April 1, 2018. Any changes reflected in the manual are effective for dates of service beginning April 1, 2018. 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.
March 7, 2018
Attention: New Medicare Card Replacement Initiative: Important Update to Medicare Cards

In an effort to combat identity theft and safeguard taxpayer dollars, the United States Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 directing the Centers for Medicare & Medicaid Services (CMS) to remove any reference to Social Security Numbers (SSNs) from all Medicare cards by April 2019. This mandated national undertaking, formerly referred to by CMS as the Social Security Number Removal Initiative (SSNRI), is now known simply as the New Medicare Card replacement initiative.

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December 29, 2017
Attention: 340B Providers: 340B Drugs and Modifier "UD"

Effective Jan 1, 2018:
Hospitals and clinics should continue to identify 340B drugs by entering a value of "UD" on Medicaid Fee for Service claims.
Medicare cross-over (dual eligible) claims should include "UD" in addition to Medicare modifiers: JG or TB.

For billing questions: eMedNY Call Center (800) 343-9000
For policy questions: Division of Program Development and Management
(518) 473-2160.

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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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