Provider Manuals > Information for All Providers > Information for All Providers Archive

Information for All Providers Archive

Below are the previous versions of the documents for all providers.

Version	Manual Document	Change Notes
Introduction		back to top
2008 - 2 Archived November 21, 2012	Introduction (PDF 96KB)
2008 - 1 Archived June 3, 2011	Introduction (PDF 96KB)
2006 - 1 Archived July 2, 2008	Introduction (PDF 80KB)	Revisions to the Introduction Section.
2004 - 1 Archived Sep. 1, 2006	Introduction (PDF 40KB)	Revisions to the Introduction Section include replacement of 'MMIS' with 'eMedNY' and a correct address for the Medicaid Update link.

Version	Manual Document	Change Notes
General Policy		back to top
2022 - 1 Archived December 30, 2022	General Policy (PDF 1.86MB)
2011 - 2 Archived October 26, 2022	General Policy (PDF 1002KB)
2011 - 1 Archived October 25, 2011	General Policy (PDF 311KB)
2010 - 2 Archived June 3, 2011	General Policy (PDF 334KB)
2010 - 1 Archived May 20, 2010	General Policy (PDF 553KB)
2008 - 2 Archived March 4, 2010	General Policy (PDF 379KB)
2008 - 1 Archived August 28, 2008	General Policy (PDF 368KB)	Updated with changes necessitated by NPI.
2006 - 1 Archived February 29, 2008	General Policy (PDF 247KB)	Pertinent Medicaid Update Articles from the 2007 year have been added.
2004 - 1 Archived May 26, 2006	General Policy (PDF 247KB)	Pages 12-13: Recipient co-pay information has been updated to reflect the August 1, 2005 implementation of new amounts. Pages 36-38: Information on services to children has been updated to reflect policy contained in the Early Periodic Screening Diagnostic and Treatment for Child Health Plus A (Medicaid) Provider Manual.

Version	Manual Document	Change Notes
General Billing Guidelines		back to top
2013 - 1 (6/28/13) Archived August 16, 2022	General Billing Guidelines Professional (PDF 2.3MB)
2013 - 2 (6/28/13) Archived October 15, 2015	General Billing Guidelines Institutional (PDF 336KB)
2011 - 2 (12/23/11) Archived July 1, 2013	General Billing Guidelines Institutional (PDF 634KB)
2011 - 1 (06/01/11) Archived July 1, 2013	General Billing Guidelines Professional (PDF 2.9MB)
2011 - 1 (06/01/11) Archived October 22, 2012	General Remittance Guidelines (PDF 2.78MB)
2011 - 1 (06/01/11) Archived January 11, 2012	General Billing Guidelines Institutional (PDF 629KB)

Version	Manual Document	Change Notes
General Billing		back to top
2018 - 2 Archived August 17, 2021	General Billing (PDF 656KB)
2013 - 1 Archived August 10, 2018	Guide to Timely Billing (PPTX 1.6MB)
2018 - 1 Archived February 7, 2018	General Billing (PDF 320KB)	Update Address for Two Year Claim Review
2016 - 1 Archived January 29, 2018	General Billing (PDF 61KB)
2014 - 1 Archived October 23, 2014	General Billing (PDF 70KB)
2013 - 1 Archived October 6, 2014	General Billing (PDF 67KB)
2011 - 3 Archived arch 18, 2013	General Billing (PDF 105KB)
2011 - 2 Archived July 19, 2011	General Billing (PDF 51KB)
2011 - 1 Archived June 3, 2011	General Billing (PDF 91KB)
2008 - 4 Archived January 6, 2011	General Billing (PDF 96KB)
2008 - 3 Archived December 29, 2008	General Billing (PDF 96KB)
2008 - 2 Archived August 28, 2008	General Billing (PDF 96KB)	Updated with changes necessitated by NPI.
2008 - 1 Archived July 2, 2008	General Billing (PDF 96KB)	This section has been updated semantically to change references from MMIS Provider ID to Provider ID.
2007 - 1 Archived Feb. 29, 2008	General Billing (PDF 96KB)	Pertinent Medicaid Update Articles from the 2007 year have been added.
2005 - 2 Archived Nov. 30, 2007	General Billing (PDF 163KB)	The Information for All Providers - General Billing Manual has been updated to include Medicaid Update articles from 2007.
2004 - 1 Archived Dec. 22, 2005	General Billing (PDF 53KB)	The General Billing Section has been updated to reflect changes made due to the full implementation of eMedNY. Particularly, the references to magnetic media submission have been deleted, since eMedNY does not accept magnetic media transmissions.

Version	Manual Document	Change Notes
Inquiry		back to top
2011 - 1 Archived March 26, 2012	Inquiry (PDF 149KB)
2008 - 4 Archived October 25, 2011	Inquiry (PDF 117KB)
2008 - 3 September Archived October 27, 2008	Inquiry (PDF 243KB)
2008 - 3 July Archived August 28, 2008	Inquiry (PDF 106KB)	Updated with changes necessitated by NPI.
2008 - 2 Archived July 2, 2008	Inquiry (PDF 103KB)
2008 - 1 Archived March 28, 2008	Inquiry (PDF 104KB)	Changes were made to include the PO boxes from the April 2008 Medicaid Update.
2005 - 2 Archived January 25, 2008	Inquiry (PDF 108KB)
2005 - 1 Archived Dec. 22, 2005	Inquiry (PDF 165KB)	The Inquiry section has updated information on seeking prior approval for orthodontia services. This information was already published in the recent Medicaid Update articles.
2004 - 1 Archived May 5, 2005	Inquiry (PDF 165KB)	Due to the change to eMedNY, this section was updated to reflect changes in telephone numbers and mailing addresses.

Version	Manual Document	Change Notes
Managed Care Information		back to top
2022 - 1 Archived February 1, 2024	Managed Care (PDF 856KB)
2021 - 2 Archived May 25, 2022	Managed Care (PDF 787KB)
2021 - 1 Archived August 2, 2021	Managed Care (PDF 813KB)
2020 - 1 Archived March 9, 2021	Managed Care (PDF 804KB)
2019 - 2 Archived July 16, 2020	Managed Care (PDF 683KB)
2019 - 1 Archived March 21, 2019	Managed Care (PDF 539KB)
2018 - 2 Archived March 1, 2019	Managed Care (PDF 730KB)
2018 - 1 Archived June 1, 2018	Managed Care (PDF 165KB)
2017 - 1 Archived April 9, 2018	Managed Care (PDF 136KB)
2016 - 2 Archived June 8, 2017	Managed Care (PDF 152KB)
2016 - 1 Archived March 3, 2016	Managed Care (PDF 125KB)
2013 - 5 Archived January 19, 2016	Managed Care (PDF 457KB)
2013 - 4 Archived September 19, 2013	Managed Care (PDF 77KB)	The Village Senior Services Corporation Managed Care plan has been added
2013 - 3 Archived August 27, 2013	Managed Care (PDF 263KB)
2013 - 2 Archived June 18, 2013	Managed Care (PDF 77KB)
2013 - 1 Archived February 22, 2013	Managed Care (PDF 74KB)
2012 - 6 Archived January 2, 2013	Managed Care (PDF 77KB)
2012 - 5 Archived December 17, 2012	Managed Care (PDF 78KB)
2012 - 4 Archived November 13, 2012	Managed Care (PDF 77KB)
2012 - 3 Archived October 15, 2012	Managed Care (PDF 77KB)
2012 - 2 Archived August 31, 2012	Managed Care (PDF 79KB)
2012 - 1 Archived March 26, 2012	Managed Care (PDF 80KB)
2011 - 5 Archived February 17, 2012	Managed Care (PDF 80KB)
2011 - 4 Archived November 23, 2011	Managed Care (PDF 76KB)
2011 - 3 Archived August 18, 2011	Managed Care (PDF 80KB)
2011 - 2 Archived May 9, 2011	Managed Care (PDF 75KB)
2011 - 1 Archived March 8, 2011	Managed Care (PDF 80KB)
2010 - 3 Archived January 12, 2011	Managed Care (PDF 113KB)
2010 - 2 Archived June 10, 2010	Managed Care (PDF 116KB)
2010 - 1 Archived April 12, 2010	Managed Care (PDF 116KB)

Version	Manual Document	Change Notes
Third Party Information		back to top
2009 - 5 Archived March 25, 2010	Third Party (PDF 232KB)
2009 - 4 Archived December 10, 2009	Third Party (PDF 1.19MB)
2009 - 3 Archived September 3, 2009	Third Party (PDF 374KB)
2009 - 3 Archived July 2, 2009	Third Party (PDF 215KB)
2009 - 3 Archived June 16, 2009	Third Party (PDF 224KB)
2009 - 3 Archived May 11, 2009	Third Party (PDF 295KB)
2009 - 3 Archived May 4, 2009	Third Party (PDF 170KB)
2009 - 2 Archived April 9, 2009	Third Party (PDF 165KB)
2009 - 2 Archived March 12, 2009	Third Party (PDF 168KB)
2009 - 1 Archived March 2, 2009	Third Party (PDF 70KB)
2008 - 9 Archived February 9, 2009	Third Party (PDF 63KB)
2008 - 8 Archived October 27, 2008	Third Party (PDF 160KB)
2008 - 7 Archived October 2, 2008	Third Party (PDF 164KB)
2008 - 6 Archived August 28, 2008	Third Party (PDF 64KB)	Updated with changes necessitated by NPI.
2008 - 5 Archived July 2, 2008	Third Party (PDF 58KB)
2008 - 4 Archived June 13, 2008	Third Party (PDF 58KB)
2008 - 3 Archived March 21, 2008	Third Party (PDF 56KB)
2008 - 2 Archived February 29, 2008	Third Party (PDF 60KB)	Pertinent Medicaid Update Articles from the 2007 year have been added.
2008 - 1 Archived January 25, 2008	Third Party (PDF 60KB)	Updated contact information for a PCP on page 10.
2007 - 6 Archived January 11, 2008	Third Party (PDF 60KB)
2007 - 5 Archived November 14, 2007	Third Party (PDF 200KB)
2007 - 3 Archived August 22, 2007	Third Party (PDF 150KB)	Changed all occurrences of EMEVS to MEVS.
2007 - 1 Archived May 2, 2007	Third Party (PDF 61KB)	The revised manual contains code changes and additions. Specifically: WT - from "Wellcare of NY" to "Wellcare" WF - from "Wausau Benefits" to "Fiserv" PW - Premera Blue Cross of Washington S1 - BC/BS of South Carolina
2006 - 4 (10/20/06) Archived January 17, 2007	Third Party (PDF 61KB)	The description of code IB has been changed to "Genworth Financial" and Duplicate insurance codes have been eliminated by TPR staff: U3 Upstate Administrative Services has been changed to MH Upstate Administrative Services J6 Unicare and JC John Hancock have been changed to MC Unicare M9 United Health Care and MA Metra Health have been changed to F7 United Health Care
2006 - 3 Archived November 8, 2006	Third Party (PDF 134KB)	Several duplicate insurance codes have been eliminated by TPR staff: EZ Empire Plan BC has been changed to 12 BC/BS Empire DM Blue Choice - Medicare Risk has been changed to B7 Blue Choice Preferred EL BS Northeastern NY Senior Blue has been changed to BH BS Northeastern NY CI Colonial Penn Ins. Co. has been changed to CB Colonial Penn Franklin Ins Co. GI General Insurance Exchange Agency has been changed to: GI Assure Care P7 Humana Dental Plan, P8 Humana Healthcare Plan and P9 Humana Insurance have been changed to P6 Humana F4 Independent Health Assoc Inc ( Buffalo), KL Independent Health Encompass 65 Medicare Risk ( Buffalo) have been changed to IF Independent Health Assoc Inc. P4 Preferred Care Medicare Risk has been changed to PR Preferred Care M2 Magna Care has been changed to HG Magna Care New codes added: CF BC/BS California E7 BC/BS HMSA
2006 - 2 Archived July 12, 2006	Third Party (PDF 75KB)	The June 30, 2006 version reflects changes to Insurance Coverage Codes.
2006 - 1 Archived April 14, 2006	Third Party (PDF 75KB)	Third party insurance closed table has been updated. New codes have been added.
2005 - 2 Archived February 15, 2006	Third Party (PDF 76KB)
2004 - 1 Archived December 22, 2005	Third Party (PDF 38KB)	The Third Party section has updated codes for third party insurance coverage, along with new telephone contact numbers for prepaid capitation plans.

Information for All Providers Archive

Introduction

General Policy

General Billing Guidelines

General Billing

Inquiry

Managed Care Information

Third Party Information