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What's New > Archives > 2011

Status Date Page/Document Description
New 12/29/11 Provider Manuals

New Provider Communication. Please see:

Changed 12/29/11 Provider Manuals

The following 2012 Fee Schedules have been updated:

Changed 12/28/11 Provider Manuals

The following manuals have been updated. Please note that DOH has added a modification tracking list to track changes made to the documents. (Modification tracking appears on the last page of each document.) Please see:

New 12/23/11 Provider Manuals

New Provider Communications. Please see:

New 12/23/11 Provider Manuals

New Provider Policy Guidelines. Please see:

Changed 12/21/11 Provider Manuals

The following manual has been updated. Please note that DOH has added a modification tracking list to track changes made to the document. (Modification tracking appears on the last page.) Please see:

Changed 12/20/11 Provider Manuals

The Transportation Contact List has been updated. Please see:

Changed 12/16/11 Provider Manuals

The following manual has been updated. Please note that DOH has added a modification tracking list to track changes made to the document. (Modification tracking appears on the last page.) Please see:

New 12/08/11 EHR Incentive Program Information

New and updated provider materials have been posted for the NYS Medicaid EHR (Electronic Health Records) Incentive Program:

Additional information about the Program will be released on a regular basis. To be notified of important events and new information via email, click here to sign up for the new eMedNY LISTSERV® categories dedicated to the EHR Incentive Program.

For more details on the Medicaid EHR Incentive Program, please visit the following page on the Department of Health website:
http://nyhealth.gov/health_care/medicaid/program/
medicaid_ehr_incentive_prog/
.

New 12/06/11 Provider Manuals

New Provider Communications. Please see:

Changed 12/01/11 Provider Manuals

Modifications have been made to the following:

Changed 11/23/11 Information for All Providers

The following manual has been updated. Changes were made to MVP's phone number. Please see:

New 11/21/11 Provider Manuals

New Provider Communications. Please see:

New 11/10/11 Provider Manuals

New Provider Communications. Please see:

New 11/07/11 EHR Incentive Program Information

Please review new information regarding the forthcoming NY Medicaid EHR (Electronic Health Records) Incentive Program.

New 11/01/11 Provider Manuals

New Provider Communications. Please see:

New 10/26/11 eMedNY LISTSERV®

Registration will open soon for the NY Medicaid EHR (Electronic Health Records) Incentive Program. Providers and staff, who wish to be informed as further information is released, are encouraged to register for one or both of the new eMedNY LISTSERV® categories set up for the EHR Incentive Program.

Changed 10/25/11 Provider Manuals

The following manuals have been updated. Information has been added to the General Policy Manual concerning the requirement that Medicaid providers develop, adopt and implement effective compliance programs aimed at detecting fraud, waste, and abuse in the Medicaid program. Telephone numbers and provider enrollment information has been updated in the Inquiry Manual. Please see:

New 10/20/11 Provider Manuals

New Provider Communications. The Out of State Non-Specialized Skilled Nursing Facility Prior Authorization Information document and form have been updated. Please see:

Changed 10/20/11 Provider Manuals

The Out of State Non-Specialized Skilled Nursing Facility Prior Authorization Information document and form have been updated. Please see:

Changed 10/13/11 Provider Manuals

Modifications have been made to the MEVS / DVS Provider Manual [Version 4.2] as follows:

  • 6.1 Eligibility Benefit Descriptions - Modified description for Benefit Plan "Eligible PCP".
  • 6.3 Decision Reason Codes - Removed Code and Description for '0E' as it no longer applies.
  • Added "Modification Tracking" Section
  • MEVS / DVS Provider Manual
Changed 10/11/11 Provider Enrollment Forms

The following Provider Enrollment Packets were updated:

Changed 10/11/11 Provider Enrollment Forms

The following Provider Maintenance form was updated:

New 10/06/11 Provider Manuals

New Pharmacy Provider Communications. Please see:

Changed 09/30/11 Provider Manuals

Modifications have been made to the following:

Changed 09/26/11 Provider Manuals

The following ProDUR-ECCA D.0 Provider Manual reflects changes for reimbursement reporting. (See Basis of Cost Determination reporting):

New 09/23/11 Provider Manuals

The B2H Billing Guidelines were updated to provide instructions for billing for services when the client loses eligibility before the first of the following month for which services were rendered. (See Page 6).

New 09/22/11 Provider Manuals

New Provider Communications. Attention: Prior Authorization for Out of State Skilled Nursing Facilities:

New 09/22/11 Provider Manuals

Attention: Prior Authorization for Out of State Skilled Nursing Facilities:

New 09/20/11 Provider Manuals

New Provider Communications. Attention Institutional Providers: Edit 02068 to Deny Starting in October. Please see:

New 09/15/11 Self Help

A new reference sheet describing how to balance your claim in ePACES is now available in the ePACES section of the Self Help page:

Changed 09/13/11 Provider Manuals

The following manual has been updated. The acronym was changed to correctly state OPWDD instead of OMRDD. Please see:

Changed 09/13/11 Provider Manuals

The following manuals have been updated. The Utilization Threshold process has changed, and the Post & Clear information deleted. There is updated policy information on the Nursing Home Pharmacy Carve In. Please see:

Changed 09/07/11 Provider Manuals

The Transportation Prior Authorization Guidelines Manual has been updated. Please see:

Changed 09/01/11 Provider Enrollment Forms

The following Provider Maintenance form was updated:

New 09/01/11 Provider Manuals

New Provider Communications:

Changed 08/25/11 Provider Manuals

The Transportation Contact List has been updated. It contains updated contact information reflecting changes made for September 1, 2011. Please see:

Changed 08/18/11 Provider Manuals The following manual has been updated. There was a change to the Elderserve, Elderplan, Inc. dba Homefirst and Wellcare phone number. Please see:
New 08/10/11 Provider Manuals

New Provider Communications:

Changed 08/09/11 Provider Manuals

The following manual has been updated with information from recent Medicaid Update articles published by the Department:

Changed 07/27/11 Provider Enrollment Forms

The following Provider Enrollment Packets were updated:

Changed 07/21/11 Provider Manuals Update

The Transportation Contact List has been updated. It contains updated contact information reflecting changes made for August 1, 2011. Please see:

Changed 07/19/11 Provider Manuals Update

Modifications have been made to the following:

Changed 07/19/11 Provider Manuals Update

Modifications have been made to the following:

New 07/19/11 Self Help

ePACES 5010 Instructional Presentations have been posted for the July 21, 2011 transition and are located on the Self Help Page under ePACES.

New 07/15/11 Self Help

ePACES Reference Sheets, formerly known as FODs, have been updated for the July 21, 2011 transition and moved to the Self Help Page under ePACES.

New 07/14/11 Self Help

The following has been updated to reflect changes to ePACES effective July 21, 2011:

Changed 7/13/11 Provider Manuals Update

Modifications have been made to the following:

Changed 7/12/11 Provider Manuals Update

Modifications have been made to the following:

New 7/08/11 Provider Manuals Update

New Provider Communications:

New 07/07/11 Self Help

A new link has been added to the Self Help area of the website in the POS Device section:

New 07/07/11 Self Help

The following WebEx Presentations for the Vx610 POS Device have been added to the NYS Medicaid Terminal POS Information section:

The following Printable Self-Help Guides for the Vx610 POS Device have been added to the NYS Medicaid Terminal POS Information section:

The following WebEx Presentations for the Vx570 POS Device have been added to the NYS Medicaid Terminal POS Information section:

The following Printable Self-Help Guides for the Vx570 POS Device have been added to the NYS Medicaid Terminal POS Information section:

The following WebEx Presentation for the Omni3750 POS Device has been added to the NYS Medicaid Terminal POS Information section:

The following Printable Self-Help Guide for the Omni3750 POS Device has been added to the NYS Medicaid Terminal POS Information section:

Changed 7/07/11 Provider Manuals Update

The following 2011 Fee Schedule & Procedure Codes have been updated:

Changed 7/06/11 Provider Enrollment Forms

The following Provider Enrollment Packets were updated:

Changed 06/30/11 Provider Manuals Update

The following 2011 Fee Schedule has been updated:

New 06/29/11 Self Help

ePACES Claim Quick Reference Guides have been updated to reflect changes to ePACES effective July 21, 2011:

ePACES PA-DVS Quick Reference Guide will replace all current ePACES Prior Approval Reference Guides effective July 21, 2011:

Changed 6/28/11 Provider Manuals Update

The Transportation Contact List has been updated. It contains updated contact information reflecting changes made for July 1, 2011. Please see:

New 06/24/11 NYS Medicaid POS Device

An update to the Notification section of the POS page of the website contains new POS Provider letters. Providers should print and review the appropriate POS down-load letter.

Changed 6/17/11 Provider Manuals Update

NYSDOH has reformatted all Billing Guidelines. Along with adding General Billing Guideline documents for Institutional and Professional claim formats, billing guidelines specific to individual provider types are now available. The General Billing Guidelines have been enhanced to include information pertinent to electronic billing formats. In addition, remittance information has been formatted in a separate document.

Changed 06/13/11 Provider Enrollment Forms

The following Provider Maintenance form was updated:

Changed 06/09/11 Provider Enrollment Forms

The following Provider Enrollment Packets were updated:

New 06/09/11 Provider Enrollment Forms

The following Provider Maintenance forms were added:

Changed 06/07/11 eMedNY Paper Forms

The following has been updated with 5010 information:

New 06/06/11 Provider Enrollment Forms

Please see the new 5010 Electronic Remittance Request Form which will allow providers/submitters to request a 5010 version electronic remittances in Test and/or Production. eMedNY's Test System for 5010 opens 6/13/2011 and the Production 5010 remittances will be available as of 7/21/2011. Please click on the eMedNYHIPAASupport Home Page link to read the announcement.

Changed 06/03/11 Training Page

Please see the updated Training Page:

Changed 6/03/11 Provider Manuals Update

The following manuals have been updated with 5010 information:

New 06/03/11 Provider Manuals Update

Major changes will be made to eMedNY's Eligibility process beginning on July 21, 2011. Please review the new MEVS Quick Reference Guides in order to prepare for these changes:

New 5/27/11 Provider Manuals Update

The new ProDUR-ECCA D.0 Provider Manual has been posted and reflects the 5010 changes that will be effective July 21, 2011.

Changed 5/27/11 Provider Enrollment Forms

The following Provider Enrollment Packets were updated:

Changed 5/26/11 Provider Enrollment Forms

The following enrollment checklist page was changed for the following:

Changed 5/26/11 Provider Manuals Update

The following 2011 Fee Schedule has been updated:

Changed 5/25/11 Provider Manuals Update

The new Dental Policy and Procedure Manual combines the old "Policy Guidelines" and "Procedure Codes" into one document. Please see:

New 5/25/11 Provider Manuals Update

New Provider Communications:

New 5/25/11 Provider Manuals Update

New Provider Communication:

New 05/19/11 Provider Manuals Update

New Provider Communication:

Changed 05/11/11 Provider Manuals Update

The following 2011 Fee Schedules & Procedure Codes have been updated:

New 05/10/11 Provider Manuals Update

Major changes will be made to eMedNY's Eligibility process beginning on July 21, 2011. Please review the new MEVS / DVS Provider Manual in order to prepare for these changes:

Changed 05/10/11 Provider Manuals Update

The following has been updated:

Changed 05/10/11 Provider Enrollment Forms

The following Provider Maintenance form was updated:

New 05/10/11 Provider Manuals Update

New Provider Communication:

Changed 05/09/11 Provider Manuals Update

The following manual has been updated. There was a change to the Amida Care Inc. Plan phone number. Please see:

Changed 05/06/11 Provider Manuals Update

The Comprehensive Medicaid Case Management policy manual has been updated to include information for first-time mothers and newborns:

Changed 05/05/11 Provider Manuals Update

The following 2011 Fee Schedules & Procedure Codes have been updated:

New 05/04/11 Provider Manuals Update

New Provider Communication:

Changed 05/03/11 Provider Manuals Update

The following Schedule of HealthHelp Webinars has been updated:

Changed 04/27/11 Provider Manuals Update

Modifications have been made to the following:

Changed 04/22/11 Provider Manuals Update

Modifications have been made to the following regarding Radiology Prior Approval:

Changed 04/21/11 Training Page

Please see the updated Training Page:

New 04/18/11 Provider Manuals Update

New Provider Communication:

Changed 04/12/11 Provider Manuals Update

The following Schedule of HealthHelp Webinars has been updated:

Changed 04/06/11 Provider Manuals Update

The following 2011 Fee Schedule has been updated:

Changed 04/06/11 Provider Manuals Update

The New York State Department of Health has developed the Stop-Loss Policy and Procedure Manual, to be used as a reference and instructional tool by managed care providers:

New 04/05/11 Provider Manuals Update

New Provider Communications:

Changed 04/05/11 Provider Manuals Update

The Ambulatory Patient Groups (APG) link has been replaced with the following:

Changed 04/04/11 Provider Manuals Update

Modifications have been made to the following:

Changed 04/01/11 Provider Manuals Update

Modifications have been made to the following:

New 03/30/11 Provider Manuals Update

New Provider Communications:

Changed 03/30/11 Provider Manuals Update

Modifications have been made to the following:

New 03/28/11 Training for Providers

The training session search has been improved, including a new clickable map. Please see:

New 03/28/11 Provider Manuals Update

New Provider Communication:

Note: The address for the submission of the form was removed, as there is no longer a mail room at One Commerce Plaza.

New 03/24/11 Provider Manuals Update

New Provider Communication:

New 03/23/11 Provider Manuals Update

New Provider Communication:

Changed 03/23/11 Provider Enrollment Forms

The following Provider Maintenance forms were updated:

Changed 03/21/11 Provider Enrollment Forms

The following Provider Maintenance forms were updated:

Changed 3/18/11 Provider Enrollment Forms

The following Provider Enrollment Packets were updated:

Changed 03/14/11

NYS Medicaid: POS Device

Information for using NYS Medicaid Terminals (POS Devices) will change significantly in coming months. Please review new web section detailing these changes; stay tuned for more information coming your way via this website and other communications:

New 03/14/11 Provider Manuals Update

New Provider Communication:

Changed 03/10/11 Provider Enrollment Forms

The following Provider Enrollment Packets were updated:

Changed 03/10/11 Provider Enrollment Forms

The following Provider Maintenance form was updated:

Changed 03/10/11 Provider Manuals Update

New Important Documents section added to Radiology PA Manual page, displaying:

A new section called Upcoming Health Webinars was added, displaying:

Additionally, there are hyper-links to the Radiology PA Manual page from Provider Communications sections of the following Provider Types:

Changed 03/08/11 Provider Manuals Update

Information for All Providers – Managed Care Information Manual has been updated. There was a change to the Capital District Physician’s Health Plan phone number. Please see:

Changed 03/07/11 Information

Modifications have been made to the following:

Changed 02/22/11 Provider Manuals Update

The following Billing Guideline has been updated with clarification on the use of Locator Codes when billing for Capitation payments.

Changed 02/10/11 Provider Manuals Update

The following Billing Guidelines have been updated with the new 150003 claim form exhibits which are now included within the manuals:

Changed 02/08/11 Provider Manuals Update

The Transportation Prior Authorization Guidelines Manual has been updated. Please see:

Changed 02/08/11 Provider Manuals Update

The Transportation Contact List has been updated. Please see:

Changed 02/08/11 Provider Manuals Update

Modifications have been made to the following:

Changed 02/07/11 Provider Manuals Update

Modifications have been made to the following:

New 02/03/11 Provider Manuals Update

New Provider Communications:

Changed 1/28/11 Provider Enrollment Forms

The following Provider Enrollment Packets were updated:

Changed 01/28/11 Provider Enrollment Forms

The eMedNY Physician Enrollment Page and the Physician Request for Enrollment Form have been updated with new instructions for enrolling in CAQH® Universal Provider Datasource® (UPD®). Please see:

Changed 01/25/11 Provider Manuals Update

The Transportation Policy Manual has been updated to include recently released Medicaid Update articles and policy clarification. Please see:

Changed 01/21/11 Provider Manuals Update

The following Billing Guideline has been updated with amended instructions regarding billing First-time Mothers/Newborns:

Changed 01/19/11 Provider Manuals Update

The following 2011 Fee Schedule has been updated:

Changed 01/12/11 Provider Manuals Update

The Physician Billing Guideline has been updated with new instructions for Anesthesiology Services and CAQH Locator Code. Please see:

New 01/12/11 Provider Manuals Update

New Provider Communication:

Changed 01/12/11 Provider Manuals Update

Information for All Providers – Managed Care Information has been updated. Please see:

Changed 01/11/11 Provider Manuals Update

The following Billing Guidelines have been updated with new instructions for Anesthesiology Services. Also new 150003 claim form exhibits are now included within the manuals:

Changed 01/06/11 Provider Manuals Update

Information for All Providers – General Billing manual has been updated. The text on the Voice Interactive Phone System was revised to remove the note about the phone charge. Please see:

Changed 01/06/11 Provider Manuals Update

The following Billing Guidelines have been updated with new instructions for Anesthesiology Services. Also new 150003 claim form exhibits are now included within the manuals:

Changed 01/05/11 Provider Manuals Update

The following 2011 Fee Schedules have been updated:

Changed 01/04/11 Provider Enrollment Forms

The following Maintenance Forms have been modified to be typeable. This enhancement will alleviate problems related to legibility of the information entered on the forms. See instructions at the top of the Maintenance Forms page:

Changed 01/04/11 Provider Enrollment Forms

The following Provider Maintenance form was updated. All references to the eMedNY Gateway (BBS) have been removed:

New 01/03/11 Provider Enrollment Forms

The following has been added to Provider Enrollment Forms in order to implement the CAQH enrollment process for physicians (please see note at top of page):

 

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