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What's New > Archives > 2012

Status Date Page/Document Description
Changed 12/31/12 Provider Manuals: Dental

Updated Dental Provider Manual Documents.
The following manuals has been updated. Please see:

New 12/28/12 Provider Manuals

New Provider Communications. Please see:

Changed 12/28/12 Provider Enrollment Forms

The following Provider Enrollment form instructions were updated:

Changed 12/21/12 Provider Manuals

New Provider Communications. Please see:

Changed 12/19/12 Provider Manuals

The following manual has been updated. Please see:

Changed 12/17/12 Provider Manuals

The following manual has been updated. Please see:

New 12/10/12 Provider Manuals

New Provider Communications. Please see:

New 12/07/12 Provider Enrollment Forms

The following Provider Enrollment form was added:

Changed 11/26/12 Provider Manuals

The following has been updated for Inpatient. The last page of the manual indicates the change to this new version. Please see:

New 11/20/12 Provider Manuals

New Provider Communications. Please see:

Changed 11/16/12 Provider Manuals

The Managed Care Manual was updated to include information for AgeWell New York LLC and United Healthcare Personal Assist. Please see:

New 11/15/12 Provider Manuals

New Provider Communications. Please see:

Changed 11/13/12 Provider Manuals

The following manual has been updated. Changes were made to the WellCare of New York Managed Care plan phone number. Please see:

Changed 11/13/12 Provider Enrollment Forms

The following Provider Maintenance form was updated:

New 11/12/12 Provider Manuals

New Provider Communications. Please see:

Changed 11/07/12 Provider Manuals

Updated MEDS III Data Element Dictionary (Effective September 2012):

Changed 11/06/12 Provider Maintenance Forms

The following has been updated. Please see:

Changed 11/06/12 Provider Manuals

Modifications have been made to the following:

Changed 11/06/12 Provider Enrollment Forms

The following Provider Enrollment form instructions were updated:

New 10/16/12 Provider Manuals

New Provider Communications. Please see:

Changed 10/15/12 Provider Manuals

The following manual has been updated. Additional Managed Care Plans were added. Please see:

Changed 10/15/12 Provider Manuals

The following has been updated for Transportation. DOH inserted links to various Medicaid Update articles regarding availability of livery and stretcher ambulette service in New York City; and updated information related to the DOH's transportation management contractors. Please see:

New 10/12/12 Provider Manuals

New Provider Communication. Please see:

Changed 10/11/12 Provider Manuals

The following have been updated for Transportation. Please see:

New 10/08/12 Provider Manuals

New Provider Communications. Please see:

New 10/02/12 Featured Links

The New York State Medicaid Managed Care and Family Health Plus Pharmacy Information Center new website is located at http://pbic.nysdoh.suny.edu/". This link has been listed as a featured link on eMedNY.org.

New 10/01/12 Provider Manuals

New Provider Communications. Please see:

Changed 10/01/12 Provider Manuals

Modifications have been made to the following for Dental. Please note that the effective date for both is 10/01/2012:

New 10/01/12 Provider Manuals

New Provider Communication. Please see:

Changed 09/26/12 Provider Manuals

Modifications have been made to the following:

New 09/19/12 Provider Manuals

New Provider Communication. Please see:

New 09/18/12 Provider Manuals

New Provider Communication. Please see:

New 09/06/12 Provider Manuals

Effective today Medicaid enrolled prescribers can initiate prior authorization (PA) requests using a web-based application maintained by Health Information Design (HID). * This PA request/response application is accessible through a new button "PAXpress" located on the eMedNY.org homepage under the MEIPASS button. Please see:

Changed 09/06/12 EHR Incentive Program Information The NY Medicaid EHR Incentive Program has posted the following updates, available at https://www.emedny.org/meipass/
  • October Webinar Schedule for EHs and EPs
  • Program Prerequisites Presentation
  • EP Participation Year 1 (A/I/U) Presentation
  • EP Participation Year 1 Walkthrough
  • EP Participation Year 1 Walkthrough (FQHC/RHC)
  • EP Participation Year 2 (MU) Presentation
  • EH Participation Year 1 (A/I/U) Presentation
  • EH Participation Year 2 (MU) Presentation
  • New Eligible Professional FAQ
Changed 09/05/12 Provider Maintenance Forms

The following Provider Maintenance form was updated:

Changed 09/05/12 Provider Manuals

The following have been updated for Transportation. Please see:

New 09/04/12 Provider Manuals

New Provider Communication. See the following link for updated information on changes to the Dental place of service payment methodology and prior approval requirements for dentures and orthodontia treatment.

New 09/04/12 Provider Manuals

New Provider Communication. Please see:

Changed 08/31/12 Information for All Providers

The following manual has been updated. Changes were made to several Managed Care plan phone numbers. Please see:

New 08/30/12 Provider Manuals

New Provider Communication. Please see:

Changed 08/29/12 Provider Maintenance Forms

The following has been updated. Please see:

Changed 07/24/12 eMedNY Paper Forms

The following has been updated. Please see:

Changed 06/21/12 Provider Manuals

Modifications have been made to the following:

Changed 06/21/12 Provider Manuals

The following have been updated for Transportation. Please see:

Changed 06/01/12 Provider Maintenance Forms

New versions of the Electronic Funds Transfer Application have been posted to the website. In addition the Electronic Remittance Request form and the PDF Paper Remittance Request form have been combined into one request form.

Changed 05/23/12 Provider Enrollment Forms

The following Provider Maintenance form was updated:

Changed 05/22/12 Provider Enrollment Forms

The following Provider Maintenance form was updated:

Changed 05/16/12 Self Help

The following have been updated under Claim Quick Reference Guides. Please see:

Changed 05/15/12 eMedNY Paper Forms

The following has been updated. Please see:

New 05/15/12 Provider Manuals

New Provider Communications. Please see:

Changed 05/11/12 Self Help

The following has been updated under ePACES Reference Sheets. Please see:

Changed 05/08/12 Provider Manuals

The following has been updated for Home Health. Please see:

Changed 05/03/12 Provider Manuals

The following have been updated for Transportation. Please see:

New 05/03/12 Provider Manuals

New Provider Communication. Please see:

Changed 05/02/12 Provider Manuals

The following 2012 Fee Schedule has been updated:

New 04/25/12 Provider Manuals

The following manual has been added to the Home Health section. Please see:

Changed 04/23/12 Dashboard Information

The following manual has been updated. Please see:

Changed 04/19/12 Go Green

The Electronic Prior Approval Request Form was added to the Go Green page to allow providers to sign up for Prior Approval determinations via eMedNY eXchange

Changed 04/18/12 Provider Manuals

MEDS III Data Dictionary (NOT EFFECTIVE UNTIL SEPT. 2012) added for:

Changed 04/12/12 Provider Manuals

The following manuals have been updated. Please see:

Changed 04/11/12 Provider Enrollment Forms

The following Provider Enrollment Packet was updated:

Changed 04/11/12 Provider Enrollment Forms

The following Provider Maintenance form was updated:

New 04/09/12 Edit / Error Knowledge Base

A new version of the Edit Error Knowledge Base (EEKB) has been posted to the eMedNYHIPAASupport area of this website to assist providers with understanding why a claim denied or pended and the related resolution.

Changed 04/05/12 Provider Manuals

The following 2012 Fee Schedules & Procedure Codes have been updated:

New 04/04/12 Provider Manuals

New Provider Communications. Please see:

Changed 04/03/12 Provider Manuals

The following 2012 Fee Schedule & Procedure Codes have been updated:

Changed 04/02/12 Provider Manuals

The following 2012 Fee Schedule & Procedure Codes have been updated:

New 04/02/12 Provider Maintenance Forms

Medicaid to require Electronic Funds Transfer (EFT) for provider payments and Electronic Remittance Advice (ERA) or PDF version of paper remittances.

Changed 03/26/12 Information for All Providers

The following manuals have been updated. For the Managed Care Manual, ElderPlan has been changed to ElderServe and the plan's phone number has changed. For the Inquiry Manual, the Name Search Information has been removed as this service is no longer available. Please see:

Changed 03/23/12 Provider Manuals

The Transportation Contact List has been updated. Please see:

New 03/23/12 Provider Manuals

DOH has created a new transportation provider manual specific to Brooklyn-based medical practitioners who will begin requesting transportation on
May 1, 2012. Please see:

New 03/20/12 Self Help

Please read the Provider Check Line article in order to review the requirements and phone number that allow most providers to learn their check amount:

Changed 03/13/12 Provider Manuals

Modifications have been made to the MEVS / DVS Provider Manual [Version 4.4] as follows:

  • 3.3 Telephone Verification Response Section
    Modified Message Sequence for Member's Medicaid Coverage to include:
    Eligible PCP with Pharmacy Carve out
    Eligible PCP with Behavioral Health Services and Pharmacy Carve Out
    Family Health Plus with Pharmacy Carve Out
  • 6.1 Eligibility Benefit Descriptions
    Modified benefit Plan and Medicaid Covered Services for Eligible PCP and Family Health Plus
    MEVS / DVS Provider Manual
New 03/07/12 Provider Manuals

New Provider Communication. Please see:

New 03/06/12 Self Help

A new section has been added to the website called Web Services (see Self Help). At the current time this is comprised of SOAP (Simple Access Object Protocol) information. Please see the new SOAP Web Services page as well as the 4 new manuals:

Changed 03/01/12 Provider Manuals

Modifications have been made to the following:

Changed 02/29/12 Provider Manuals

MEDS II Data Element Dictionary updated for:

Changed 02/29/12 Self Help

The ePACES Institutional Claim Reference Guide has been updated to include descriptions of the Submission Reasons, Interim, Partial and Final, that will be available to Certified Home Health Agencies beginning April 1, 2012.

Changed 02/23/12 Provider Manuals

Modifications have been made to the MEVS / DVS Provider Manual [Version 4.3] as follows:

  • 1.0 Introduction to NYS MEVS-DVS
    Modified to include information about Speech, Occupational, and Physical Therapy under DVS
  • 3.0 Introduction to Telephone (ARU) Verification Section
    Removed information about the ARU back-up number
  • 4.2.2 Instructions for Completing Tran Type 4
    Modified heading to include Speech Therapy, Occupational Therapy and Physical Therapy
  • 4.2.3 Instructions for Completing Tran Type 6
    Added DVS instructions for Speech Therapy, Occupational Therapy and Physical Therapy
  • 5.1 Fields on eMedNY Eligibility Receipt
    Moved 'CNTY CD=' into the MSG Label
  • MEVS / DVS Provider Manual
Changed 02/17/12 Information for All Providers

The following manual has been updated. Changes were made to Healthfirst PHSP, Inc. and Managed Health, Inc. phone numbers. Please see:

New 02/16/12 Self Help

Effective February 23, 2012, Occupational, Physical and Speech Therapists will be required to obtain a DVS to provide services to Medicaid clients. A reference sheet is available on the ePACES Self Help page to assist these providers with requesting a DVS through ePACES. Please see the Obtaining a DVS for Occupational, Physical and Speech Therapy in ePACES:

Changed 02/16/12 Provider Manuals

The Transportation Contact List has been updated. Please see:

New 02/16/12 Provider Manuals

The following 2012 Fee Schedule has been added. Please see:

Changed 02/16/12 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 01/27/12 Self Help

Effective January 26, 2012, a new function will be added to ePACES that will allow you to revise or cancel existing prior approvals and/or DVS requests. A reference sheet detailing the new function is available on the ePACES Self Help page. Please see the ePACES PA/DVS Revise/Cancel Function:

Changed 01/24/12 Provider Manuals

Effective January 2012, the NYS Department of Health (DOH) is implementing an interim prior authorization process for admission and continued services at out of state (OOS) skilled nursing facilities (SNF) for Medicaid beneficiaries requiring High/Special Level care. For more information, click here:

New 01/24/12 Provider Manuals

New Provider Communications. Please see:

New 01/23/12 Provider Manuals

New Provider Communications. Please see:

Changed 01/23/12 Provider Manuals

The following 2012 Fee Schedules have been updated:

New 01/17/12 Provider Manuals

New Provider Communications. Please see:

Changed 01/17/12 Provider Manuals

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

Changed 01/17/12 Provider Manuals

Prior Approval Business Location Chart updated for:

Changed 01/12/12 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 01/09/12 EHR Incentive Program Information Attention Hospitals and Practitioners:
Changed 01/06/12 Provider Manuals

The Personal Care manual has been revised and renamed to include the Consumer Directed Personal Assistance Program. Please see:

 

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