Inpatient Archive

• Updated Provider Manual (7/17/25, 284KB)
• Updated Provider Manual (5/30/25, 227KB)
• New Provider Manual Posted (5/14/25, 174KB)
• New Provider Manual Posted (7/24/23, 148KB)
• Updated Provider Manual and Provider Communication Posted (6/30/23, 182KB)
• A DMEPOS Provider Communication is Now Available (5/2/23, 321KB)
• A New Provider Communication is Available (4/21/23, 173KB)
• Enteral Policy/Enteral Web Portal Training Webinar (4/19/23, 196KB)
• Attention: NYS Medicaid Enteral Prior Authorization Enhancements - Web Portal Launch and Training Sessions (2/16/23, 203KB)
• Webinars for Private Duty Nursing (PDN) New PDN Directory and Updates to Fee Schedule (9/2/20, 267KB)
• 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)
• 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: Providers of Reproductive Health Services (2/1/16, 204KB)
• An Inpatient Provider Communication is Now Available (1/5/16, 76KB)
• A Inpatient 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)
• An Inpatient Provider Communication is Now Available (6/3/15, 76KB)
• Clarification on Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Post-Partum Service (4/9/15, 86KB)
• Fee-for-Service Provider Enrollment for Physicians (10/17/14, 188KB)
• 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)
• Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Post-Partum Service (5/28/14, 76KB)
• Inpatient Provider Manual Updated (04/21/14, 154KB)
• Edit 02166 'Delay Reason 11(Other Delay) Invalid' Will Deny Claims Beginning April 25, 2013 (4/25/13, 75KB)
• Providers are urged to sign up for Electronic Funds Transfer and Electronic or PDF Remittances NOW (4/04/13, 63KB)
• Edit 02042 "Referring MMIS Provider ID Can Not Be Derived" (7/05/12, 26KB)
• Prior Authorization Process Update for Out of State Skilled Nursing Facilities (1/25/12, 52KB)
• Out of State Non-Specialized Skilled Nursing Facility Prior Authorization Has Been Updated (10/21/11, 40KB)
• Edit 02068 "Provider Rate Found Without Matching Zip/Locator Code" (10/12/11, 38KB)
• Attention: Changes to Prior Authorization for Out of State Skilled Nursing Facilities (9/26/11, 35KB)
• Attention Institutional Providers: Edit 02068 to Deny Starting in October (09/21/11, 38KB)
• Billing Reminder for Institutional Providers Required to Use NPI: Incorrect Service Address Information WILL CAUSE Future Claim Denials (4/11/11, 33.43KB)