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Clinic Archive

• APG 168 Phosphate Binder Weight Adjustment — Systematic Claim Reprocessing (July 1, 2025 – December 31, 2025) (10/20/26, 139KB)
• Billing for Hemodiafiltration on  ESRD and AKI  Claims: No  Change to NYS  Medicaid FFS Billing (8/6/26, 131KB)
• Access to the Dental Manual page of emedny (3/27/26, 106KB)
• New York State Medicaid Prior Approval Requirements for Lung Cancer Screening (2/26/26, 129KB)
• A New Provider Communication is Available (2/24/26, 221KB)
• New York State Medicaid Coverage of the COVID-19 Vaccine for Children Under 19 Years of Age (10/17/25, 99KB)
• Updated Implementation Date for APG Weight Adjustment for Phosphate Binders (10/16/25, 106KB)
• New York State Medicaid Coverage for COVID-19 Vaccinations Administered by Providers (9/22/25, 191KB)
• APG Weight Adjustment for Dialysis Clinics for Phosphate Binder Costs (9/16/25, 142KB)
• Outreach to CDPAP Consumers and Caregivers Ahead of April 1 Transition to Statewide FI (3/10/25, 141KB)
• Family Planning Services Fee Schedule and System Changes (11/19/24, 135KB)
• A New Provider Communication is Available (3/12/24, 144KB)
• End State Renal Disease Dialysis for Emergency Service Only Recipients UPDATE (2/15/24, 278KB)
• End State Renal Disease Dialysis for Emergency Service Only Recipients (2/12/24, 137KB)
• 2024 NYS Medicaid Dental Policy and Procedure Code Manual and Updated Fee Schedule (1/31/24, 331KB)
• Changes for Webinar for New NYS Medicaid Dental Policies (12/26/23, 183KB)
• New Webinar on NYS New Medicaid Dental Policies (12/4/23, 145KB)
• A New Provider Communication is Available (11/17/23, 230KB)
• A New Provider Communication is Available (11/8/23, 147KB)
• A New Provider Communication is Available (4/21/23, 173KB)
• Enteral Policy/Enteral Web Portal Training Webinar (4/19/23, 196KB)
• NYRx, The Medicaid Pharmacy Program - Claims Submitted 4/1 - 4/4/2023 (4/5/2023, 143KB)
• Two (2) NEW Provider Communications have been Posted (3/31/2023, 147KB)
• Handicapping Labio–Lingual Deviation (HLD) Index Report Updated (4/18/22, 144KB)
• Dental Fee Schedule and Policy and Procedures Codes Manual have been updated (2/18/22, 146KB)
• Dental Clinic (Article 28) Billing Procedure Code Change Effective 7/1/2020 (9/16/20, 271KB)
• National Diabetes Prevention Program Medicaid Enrollment Webinar is now Available (2/7/20, 148KB)
• National Diabetes Prevention Program has been Updated (2/5/20, 138KB)
• UPDATE: Credentialed Alcoholism and Substance Abuse Counselor Now Approved for Billing Within an Article 28 Setting for DSRIP Project 3.a.i and Integrated Outpatient Services (8/1/19, 255KB)
• Updated Dental Provider Manuals and New Provider Communications are Available (2/12/19, 140KB)
• Attention: Updated Versions of the Dental Policy and Procedure Code Manual and Fee Schedule are Available (11/19/18, 98KB)
• A New Clinic Provider Communication is Available (11/5/18, 154KB)
• Update: New York State Medicaid Program Dental Policy and Procedure Code Manual (9/11/18, 171KB)
• Update - Clinic and Inpatient Claims Pending Review for Edit 02159 (9/10/18, 156KB)
• UPDATE: New HCPCS Code to be Used When Billing for Axicabtagene Ciloleucel (brand name YESCARTA^TM) (4/24/18, 171KB)
• New Dental Policy Mailbox (3/13/18, 159KB)
• A New Provider Communication is Available (11/8/17, 177KB)
• ATTENTION: Topical Oxygen Wound Therapy (TOWT) Continues to be Covered Until Further Notice (6/26/17, 178KB)
• A New Provider Communication is Available (3/7/17, 188KB)
• Attention: Federally Qualified Health Centers (1/6/17, 183KB)
• Attention: Providers of Reproductive Health Services (2/1/16, 204KB)
• A Clinic Provider Communication is Now Available (12/24/15, 75KB)
• Threshold Override Applications (TOA) Require ICD10 Diagnosis Codes (10/14/15, 76KB)
• A Clinic Provider Communication is Now Available (10/2/15, 74KB)
• OPRA Prescription Requirements for Unlicensed Residents, Interns and Foreign Physicians in Training (6/17/15, 90KB)
• A Clinic Provider Communication is Now Available (6/3/15, 76KB)
• Reminder: Billing Instructions for 340B Drug Claims (2/24/15, 77KB)
• A Provider Communication for Clinic Providers is Now Available (2/6/15, 159KB)
• Your Medicaid Enrollment – Clinics, Clinical Social Workers (CSW) (1/15/15,76KB)
• NCCI Updated Edits Effective 10/1/2014 (10/7/14, 80KB)
• ATTENTION: Article 28 Hospital Outpatient Departments (HOPDs) New Billing Requirements for Ordered Ambulatory Services provided to Medicare/Medicaid Dually Eligible Beneficiaries (8/22/14, 195KB)
• Error in July 1, 2014 APG Grouper (8/6/14, 156KB)
• Durable Medical Equipment Procedure Code and Fee Schedule Updates (7/21/14, 66KB)
• Ankle Foot Orthotics (AFOs) Allowed Frequency Update (6/12/14, 66KB)
• Screening, Brief Intervention, and Referral to Treatment Webinar for Practitioners, Clinics and Emergency Departments (4/14/14, 77KB)
• 2014 DME procedure codes section and fee schedule (3/28/14, 66KB)
• Quarterly National Correct Coding Initiative (NCCI) Edits Updated (3/24/14, 71KB)
• Updated Quarterly National Correct Coding Initiative (NCCI) Edits (1/15/14, 70KB)
• Provider Training Schedule Available (1/8/14, 99KB)
• Medicaid Prescription Footwear and Stocking Benefit Update (12/12/13, 72KB)
• ATTENTION: Correction to the September 2013 Medicaid Update (10/17/13, 154KB)
• Provider Training Schedule Available (10/07/13, 65KB)
• Enteral Nutritional Formula Phone Line (09/27/13, 66KB)
• Attention All Providers: MRT 3 Initiatives to Begin (09/16/13, 10216KB)
• Attention All Providers: MRT 3 Initiatives to Begin (09/13/13, 54KB)
• Enteral Formula Prior Authorization Phone System Update (07/18/13, 54KB)
• Provider Training Schedule Available (07/16/13, 52KB)
• Enteral Formula Telephone Authorization System Update (07/11/13, 52KB)
• Fee for Service Enteral Formula Prior Authorization (07/01/13, 58KB)
• Enteral Nutritional Formula Benefit Update (06/14/13, 61KB)
• Edit 02166 'Delay Reason 11(Other Delay) Invalid' Will Deny Claims Beginning April 25, 2013 (04/25/13, 75KB)
• Provider Training Schedule Available (04/05/13, 48KB)
• New Family Planning Benefit Program Service Available November 1, 2012 (10/29/12, 52KB)
• Attention DME Providers of Speech Generating Devices (10/10/12, 58KB)
• Update to Dental Provider Manual (10/02/12, 56KB)
• New Website Portal Available to Initiate Fee-for-Service Pharmacy Prior Authorization Requests (09/06/12, 62KB)
• Orthodontia Transition into Medicaid Managed Care Webinar (08/24/12, 52KB)
• Revised Requirements for Determining a Severe Physically Handicapping Malocclusion (07/27/12, 58KB)
• Upcoming NYS DOH "eDental" Webinar (07/13/12, 117KB)
• Information on Dental and Orthodontia Benefit Transition to Managed Care (07/02/12, 58KB)
• Reminder for Dental Providers (06/28/12, 52KB)
• Transition of Dental and Orthodontia Coverage from Fee for Service to Medicaid Managed Care Training for Providers (06/21/12, 58KB)
• Register for Dental & Orthodontia Transition to Managed Care June 12th Webinar (05/31/12, 52KB)
• DVS to be Required for Occupational, Physical, and Speech Therapy Effective 2/23/2012 (02/17/12, 54KB)
• Attention: All Hospital Outpatient Department and Freestanding Clinics (12/19/11, 49KB)
• Upcoming Changes to the Fee-for-Service Pharmacy Prior Authorization Process (12/15/11, 48KB)
• Ambulatory Patient Group (APG) List Now Available (07/27/11, 38KB)
• Billing Reminder for Institutional Providers Required to Use NPI: Incorrect Service Address Information WILL CAUSE Future Claim Denials (04/11/11, 33.43KB)
• Clinic and Ambulatory Surgery Activation Beginning April 1, 2011 (03/25/11, 34KB)