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What's New > Archives > 2004

Status Date Page/Document Description
New 12/21/04 Important Notice to Providers!

HIPAA Exception Processing ends
December 29,2004.

New 11/02/04 Provider Manuals

Effective 10/30/2004, an enhanced 'Provider
Manuals' tab has been added to the Home page.
It includes Information for All Providers, and
both General and Supplemental Documentation.

New 11/02/04 Provider Enrollment Forms

Effective 10/30/2004, 'Fee For Service Provider
Forms' have been added to the Home page
'Information' tab.

New 10/30/04 eMedNY eXchange

Introducing eMedNY eXchange,
a new electronic file submission method!

Effective 11/01/2004 eMedNY eXchange
will be available for users to send and
receive the following HIPAA compliant
transaction files.

270/271 - Eligibility Inquiry and Response

278 - Service Authorization Request and
Response (except for DVS requests).

eMedNY eXchange is as easy as email:

  • Users can submit batches of HIPAA
    compliant transactions by "attaching"
    files and sending them for processing.
  • Users can pick up responses from the
    system by going to their "Inbox" and
    detaching files to their computers.

To access eMedNY eXchange you must first
enroll in ePACES/eXchange via
https://www.emedny.org/enroll/.
To activate your eXchange Inbox, call
eMedNY Provider Services at (800) 343-9000.

Please visit the October Medicaid Update at
http://www.health.state.ny.us/nysdoh/man
care/omm/2004/oct2004.htm#ex
for March
2005 eMedNY eXchange details.

New 10/15/04

Reject Reason
Code/MEVS
Denial Code

Effective 10/21/2004, Reject Reason
Code/MEVS Denial Code "024"-
"Software Upgrade Required",
means "Not HIPAA Compliant".

New 10/15/04 Reject Reason
Code/MEVS
Denial Code

Effective 10/21/2004, NCPDP,
MEVS Denial Code "999"- "Header
Field Error", used for various
Header Errors, is also used to
indicate non-HIPAA Compliance.

New 09/28/04 FOD 2005:
HIPAA Exception
Processing Application

HIPAA Exception Processing Application
Fax On Demand Document

New 08/13/04 Provider Letter

Medicaid Provider Letter for August 13,
2004. A reminder that the October 6,
HIPAA deadline is less than two months away.

New 08/12/04 Pharmacy Provider
Letter

A letter to Pharmacy Providers stating
that the NCPDP Version 5.1 standard
is required to meet the October 6 HIPAA
deadline.

New

08/12/04 Provider Letter on
planned Phase II
changes.

A letter to Providers stating that
Magnetic Media will not be supported
by eMedNY Phase II, scheduled for March
2005. Also announcing planned changes in
Paper Forms.

New 08/06/04 HIPAA Software
Vendor Listing

A list of known Software Vendors with
customers successfully submitting
HIPAA-compliant transactions with NY
Medicaid

New 08/11/04 Phase II Paper Forms

A preview of the new/modified
Paper Forms for eMedNY Phase II,
scheduled for March 2005.

New 08/11/04 Phase II -
No Magnetic Media

Magnetic Media will not be supported
in eMedNY Phase II

Changed 07/30/04 State Abbreviation
Codes

Update listed of valid state abbreviation
codes.

New 07/29/04 Provider Letter

Medicaid Provider Letter for July 29, 2004.
A reminder about the October 6, 2004
deadline and clarification that it does not
apply to outbound (835 & 820) or paper
submissions.

New 07/23/04 New Eligibility
Response Codes
and Managed
Care Enrollment
Software
NYSERRCD.ini File
Update (link removed)

Effective 08/23/2004, six new Medicaid
Eligibility Coverage Codes will be added.
Three of these new coverage codes will
be eligible to enroll in Managed Care.
Please note: PC users must update the
NYSERRCD.ini file in order to see these
changes (link removed)

Changed 07/23/04 Eligibility Response
Code and Managed
Care Enrollment
Software
NYSERRCD.ini File (link removed)
Update

Effective 07/24/2004, the response for
Eligibility Coverage Code 10 will be
changed to 'Eligible Except Nursing
Facility Services'. Please note: PC users
must update the NYSERRCD.ini (link removed) file in
order to see these changes.

Changed 07/23/04 MEVS Provider
Manual Update

Effective July 24, 2004, there will be a new
message for HIPAA reject code 84 -
(Certification Not Required for this
Service). New message "PA NOT
REQ/MEDIA TYPE INVALID" will be
returned except on the OMNI 3750.
The OMNI 3750 will continue to
return "DVS NUMBER NOT REQUIRED"

Changed 07/23/04 Medicaid Eligibility
Software NYSERRCD.ini (link removed)
File Update

Effective July 24, 2004, the description
for DVS Code '138' will be changed from
'DVS NUMBER NOT REQUIRED' to 'PA NOT
REQ/MEDIA TYPE INVALID'. Please note:
PC users must update the NYSERRCD.ini (link removed)
file in order to see these changes.

New 07/22/04 Eligibility Field
Software Letter

Letter to users of the NY Medicaid Eligibility
Field software. New York Medicaid will not
accept transactions from this software after
October 6, 2004.

New 07/15/04 Provider Letter

Medicaid Provider Letter for July 15, 2004.
A reminder about the October 6, 2004
deadline for submitting HIPAA compliant
claims and transactions.

New 06/28/04 Provider Letter

Medicaid Provider Newsletter for June 28.
October 6, 2004 established as the deadline
for submitting electronic claims and other
electronic transactions in a HIPAA compliant
format.

Changed 04/28/04 Manuals Updated

The following provider manuals have been
updated on the eMedNY website:
ProDUR/ECCA Provider Manual and
ProDUR/ECCA Standards Manual.

Deletion 04/28/04 Eligibility Software
(link removed)

The Field Eligibility Software is not HIPAA
compliant, and is no longer available for
download. The software has been replaced*
by ePACES. If you have questions, please
contact us so we may assist you.

* The import/export batch functionality has
not been replaced by ePACES. Providers
wishing to submit Eligibility and Service
Authorizations in a batch mode should
consider the FTP batch process described in
the MEVS Batch Authorization Manual.

New 03/18/04 PACES Termination
of Support Letter

This letter contains an important
announcement about New York Medicaid’s
termination of support for the Provider
Assisted Claim Entry System (PACES)
billing software. The Department of
Health through its fiscal agent, Computer
Sciences Corporation (CSC), has replaced
and enhanced PACES functionality with a
HIPAA-compliant web-based application
known as the Electronic Provider Assisted
Claim Entry System (ePACES). Medicaid
currently supports both PACES and ePACES,
but effective April 15, 2004 the PACES
billing software will no longer be supported.

Changed 03/18/04 Ordering Provider
Editing for
Out-of-State License
Numbers.

(click here for valid
State abbreviation
code list)

Effective March 21, 2004 Ordering
Provider Editing: 00940, 00943, 01237,
& 01243 (Denial Reason Codes 066, 067,
068 & 318) will be enhanced to ensure
Out-of-state Licenses contain a valid State
Abbreviation Code within the first two-digits
of the License Number.

New 02/13/04

Provider Letter

Medicaid Provider Letter for February.

New 02/11/04 ePACES User
System
Requirements

ePACES User System Requirements
for Optimal Performance.

 

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