DOH Medicaid Update Index - C
Care At Home
- Care at Home Case Management Rate Increase December 2007
- New Prior Approval Requirements For Private Duty Nursing Services For Care At Home Waiver Clients March 2007
- Care At Home Providers Entitled To 3% Retroactive Payment October 2003
Check Amount
- Provider Reminder: 1099 Forms December 2003
- Recipient Name Search/Check Amount Inquiry October 2003
- Recipient Name Search/Check Amount Inquiry Telephone Number May 2003
- Recipient Name Search/Check Amount Inquiry Line Has Changed February 2003
- Our 900 Service Line Telephone Number Has Been Changed August 2002
Chemical Dependence
Child Care Agencies
- CSC Call Center Contact Information September 2007
- Pharmacy: Do You Serve Nursing Home & Child Care Agencies? December 2001
- A Change in Reimbursement: Certified Social Worker Services In Voluntary Child Care Agencies September 2001
- Attention Pharmacy Providers Serving Nursing Home & Child Care Agencies May 2001
Child Health Plus (CHP)
Citizenship Documentation Requirements
Claims
- Medicaid Reimbursement For Office Based Surgery July 2009
- Adjusting previously paid claims with multiple claim lines June 2009
- Ambulance Providers - Claim Modifiers Required Effective July 1, 2009 May 2009
- Providers Who Submit Batch Transactions May 2009
- NPI Update: To Ensure Prompt Processing of Claims Providers Must Use NPI May 2009
- Home Health and Personal Care Providers - New Edit Change April 2009
- APG Implementation Delayed for Diagnostic and Treatment Centers April 2009
- Pharmacy Providers March 2009
- Original Serial Number Must Be Reported on the Pharmacy Claim for Refill of Rx March 2009
- OMIG Lists Disqualified Individuals and Entities on Website March 2009
- Outpatient Coding for Medicaid March 2009
- Psychiatric Services Billing Reminder November 2008
- Sign Up For Electronic Funds Transfer Today! September 2008
- Computer Sciences Corporation Offers Seminars - Sign Up Today! June 2008
- Policy on "Interrupted Treatment" for Dental Procedures June 2008
- Medicaid Enrollees Cannot be Billed June 2008
- Medicaid Claims Will Require Present on Admission (POA) Indicator June 2008
- Claim Requirements for Physical and Occupational Therapies April 2008
- Request for Medicaid Provider Documentation April 2008
- Electronic Transmitter Identification Number Required April 2008
- Correct Submission of Replacement Claims April 2008
- Sterilization Consent Form Requirements February 2008
- Claims Pending Review for Edits 00127 and 01283 February 2008
- Adjusting Previously Paid Claims with Multiple Claim Lines February 2008
- Use the Correct Provider Indentification Number of Medicaid Claims January 2008
- Requirements and Responsibilities in the Medicaid Program January 2008
- Benefits of Electronic Billing January 2008
- New Recipient Restriction Program Codes Effective January 1, 2008 January 2008
- Correct Billing for Medicare Part B Coinsurance on Non-HIPAA Compliant and Paper Claims December 2007
- Claiming for Primary Care December 2007
- Electronic Remittances Will Now Include Paper Claims December 2007
- National Drug Code Required on Medicaid Claims November 2007
- Electronic Remittances May Not Always Equal the Total Weekly Paid Amount November 2007
- What You Should Know About Internal Revenue Service 1099 Forms November 2007
- CSC Call Center Contact Information September 2007
- Wondering About the Status of Your Submitted Claims? September 2007
- Electronic Transactions Vendor List September 2007
- National Provider Identifier Registration Requirement September 2007
- CSC Call Center Contact Information August 2007
- Seminar Schedule and Registration August 2007
- Individual Provider Training Is Avaliable August 2007
- Treatment of an Emergency Medical Condition August 2007
- New Billing Procedure For Services Without Established Fees August 2007
- Claim Requirements When an Ambulette Vehicle is Used August 2007
- Important Information about Available Electronic Tools August 2007
- National Drug Code Required on Medicaid Claims June 2007
- Submission of Medicaid Claims Over Two Years Old June 2007
- Claims Pended for Review by the Office of the State Comptroller June 2007
- What You Should Know About 1099's May 2007
- Medicare Coinsurance Claim Adjustments May 2007
- Prescription Requirements for "Carve Out" Drugs May 2007
- Converting to the UB-04 Paper Claim Form May 2007
- Paper Claim Forms No Longer Contain Pre-printed Information May 2007
- Changes to Paper Claim Forms April 2007
- Replacement of the UB-92 Claim Form with the UB-04 Claim Form April 2007
- Correction in Overpayment of Clinic Claims March 2007
- Changes to Paper Claim Forms March 2007
- Converting To The UB-04 Paper Claim Form March 2007
- Medicaid Recipients with Medicare Managed Care Coverage January 2007
- ePaces Enrollment January 2007
- UB92 Form to be Replaced by UB04 Form January 2007
- Upcoming Changes To Paper Claim Forms December 2006
- Replacement of the Uniform Billing Paper Claim Form November 2006
- Timely Submission Of Claims To Medicaid November 2006
- Rejection of Paper Claim Forms November 2006
- Claims Require Ordering Provider's Medicaid Identification Number October 2006
- eMedNY Processing Cycle Cut-Off Time October 2006
- Annual Recertification for Providers Submitting Electronic Claims September 2006
- Physician Reimbursement For Allergen Preparation August 2006
- Billing and Payment for Intensity Modulated Radiation Treatment July 2006
- Adjustments of Multiple Line Claims May 2006
- Claim Submission Methods April 2006
- Medicaid Recipients Cannot Be Billed April 2006
- New Insurance Balancing Edit to be Activated April 2006
- Electronic Remittance Advices April 2006
- ePACES The Alternative To Paper! January 2006
- New eMedNY Help Desk Hours of Operation December 2005
- Nonemergency Transportation Claims November 2005
- Electronic Remittances to Provide Retroactive Rate Adjustment Detail November 2005
- Registered Physician's Assistant Services October 2005
- Orthodontia Prior Approval Numbers on eMedny Claim October 2005
- Electronic Remittance Advices eMedNY Transactions 820 and 835 October 2005
- Wondering About The Status of Your Submitted Claims? September 2005
- Diagnosis On Medicaid Laboratory Claim August 2005
- Using the LT and RT Modifiers August 2005
- Procedure Code Review Information August 2005
- Physician Case Management Providers and HMO's August 2005
- Phase II Transition Plan Ends June 20 May 2005
- Decimal Billing Requirements April 2005
- eMedNY Transition Plan Now Available March 2005
- Electronic Billing Changes for Ambulatory Services March 2005 Special Edition
- Remittance Advices eMedNY Transactions 820 and 835 March 2005 Special Edition
- Paper Claim Forms March 2005 Special Edition
- ePACES Enhancements for Phase II March 2005 Special Edition
- Non-Emergency Transportation Electronic Claim Submission March 2005 Special Edition
- eMedNY Phase II Beginning March 24, 2005 March 2005 Special Edition
- Do You Submit Paper Claim Forms? February 2005
- Remittance Advices eMedNY Transactions 820 and 835 February 2005
- New Drug Code For Risperdal Consta Effective January 1, 2005 January 2005
- Correct Billing for Medicare Part B Coinsurance For Non-HIPAA Compliant and Paper Claims January 2005
- NCPDP 5.1 Billing Requirements for Medicare Crossover Claims December 2004
- Paper Claim Forms December 2004
- Non-Emergency Transportation Electronic Claim Submission December 2004
- Remittance Advices eMedNY Transactions 820 And 835 December 2004
- Denial Report Created! December 2004
- Physician Assistants Rendering Provider Only November 2004
- Deadline For End Of HIPAA Exception Processing December 29, 2004 November 2004
- Magnetic Media Tape, Diskette and Cartridge Submissions November 2004
- Medicaid Is The Payor Of Last Resort October 2004
- Non-Emergency Transportation Electronic Claims and Procedure Codes October 2004
- Remittance Advices HIPAA Transactions 835 and 820 October 2004
- Phase II Will Continue to Support the "Tilde" October 2004
- Phase II Will Not Support Blocked Data October 2004
- Key Changes Under eMedNY Phase II September 2004
- eMedny Update August 2004
- HIPAA Deadline Date: October 6, 2004 August 2004
- Utilization Threshold Policy Reminders July 2004
- Group Practice Reminders To Physicians, Dentists And Other Practitioners June 2004
- Vital Medicaid HIPAA Update June 2004
- Timely Submission Of Claims To Medicaid May 2004
- Prescribers & Pharmacy Providers Medicaid Prescription Requirements Reminder March 2004
- Providers Of Group Practices: Requirements & Responsibilities In The Medicaid Program March 2004
- Timely Submission Of Claims To Medicaid February 2004
- Ask the Pharmacist...Return of Unused Medication December 2003
- Important HIPAA Reminders For All Providers December 2003
- Providers: Are You HIPAA Compliant? December 2003
- HIPAA Trading Partner Agreement Reminder December 2003
- HIPAA Compliant Transactions Now Accepted December 2003
- You May Now Enroll In ePACES December 2003
- Decimal Billing Required For 5.1 Billing Format November 2003
- Ask the Pharmacist November 2003
- Use Of Electronic Records By Medicaid Providers November 2003
- Submit Claims via ePACES June 2003
- Reminder of Claim Requirements For Family Planning Benefit Program May 2003
- Timely Submission Of Medicaid Claims Follow Up Article April 2003
- Timely Submission Of Claims To Medicaid February 2003
- CSC Bulletin Conflicting Claim Denial Messages December 2002
- Guidelines Governing Payment of Nursing Home Claims August 2002
- New Edits Will Impact Clinic Claims June 2002
- Have You Received a Claim Correction Form? June 2002
- Claims Pending For Edits 01154 and 01155 February 2001
- Pharmacy Claim Submission Of Correct National Drug Codes November 2000
- CSC Billing Bulletin September 2000
- Clarification To May 2000 Medicaid Update Article August 2000
- Attention: Nursing Registries May 2000
- Rejected Modem Claims May 2000
- Attention: Providers Of Services To QMBs January 2000
- Attention All Providers - CSC Claim Acknowledgement Procedures August 1999
- CSC Billing Bulletin - Valid Attachments June 1999
- Computer Sciences Corporation May 1999
- Submission of Claims over 2 Years Old May 1999
- Computer Sciences Corporation January 1999
Clearinghouse
- HIPAA Notes For Medicaid July 2004
- Urgent Medicaid HIPAA Update July 2004
- HIPAA News August 2002
- HIPAA June 2001
Clinic
- Medicaid to Implement Automated Medicare Crossover in December 2009 September 2009
- Supervising/teaching physician documentation in the clinic setting June 2009
- Changes to Outpatient Clinic Code Editing April 2009
- New APG Rate Codes for School Based Health Clinics March 2009
- Increases in Practitioner Fees and Payment Enhancements December 2008
- Dispensing validation system (DVS) update October 2008
- Reimbursement soon available to outpatient hospital clinics and free standing diagnostic and treatment centers October 2008
- Medicaid Now Reimbursing for Viral Tropism Laboratory Test June 2008
- Important National Provider Identifier Information for Hospitals, Clinics, and other Facilities June 2008
- Change in Pharmacy Benefits for Family Planning Benefit Program Enrollees May 2008
- New Rate Codes for Federally Qualified Health Centers April 2008
- Enhanced Coverage for Family Planning Benefit Program Enrollees February 2008
- Medicaid Coverage of Human Papillomavirus Vaccine December 2007
- Costs of Laboratory Tests Provided to End Stage Renal Disease Patients Are in Clinic Rate November 2007
- CSC Call Center Contact Information September 2007
- Sterilization and Hysterectomy Consent Forms Available Online August 2007
- Pending Approval to Reimburse for Follow-up Treatment July 2007
- New Guidance Recommendations for Developmental Screening for Infants & Young Children July 2007
- National Drug Code Required on Medicaid Claims June 2007
- Correction in Overpayment of Clinic Claims March 2007
- Payments to Hospital-Based Clinic Providers when Enrollees are Hospitalized March 2007
- Issuance of IRS Form 1099 February 2007
- Medicaid Coverage of Human Papillomavirus (HPV) Vaccine February 2007
- Service Authorization Exception Code 7 Special Handling January 2007
- Medicaid Reimbursement for Immunizations in Article 28 Hospital-Based & Freestanding Clinic Settings January 2007
- Issuance of IRS Form 1099 January 2007
- Medicaid Reimbursement for Immunizations in Article 28 Settings December 2006
- Certain Long Term Therapy Services To Be Incorporated Into Intermediate Care Facilities For The Developmentally Disabled Medicaid Payment Rates September 2006
- Proper Billing Requirements for Clinics September 2006
- Children's Clinic Rate Enhancements June 2006
- Medicaid Recipients Cannot Be Billed April 2006
- Department Onsite Visits For Credential Verification Reviews December 2005
- NYS Occupational Health Clinic Network August 2005
- Billing Requirements for Clinics Certified by The DOH and The OMH August 2005
- Anti-Kickback Advisory for Laboratory and Clinic Providers August 2005
- Proper Billing Requirements For Clinics July 2005
- Electronic Billing Changes for Ambulatory Services January 2005
- Medicaid Coverage For Wireless Capsule Endoscopy November 2004
- Reimbursement for Physician-Administered Drugs November 2004
- Medicaid Payment For Psychiatric Social Work June 2004
- Medicaid Payment To Physicians For Rapid HIV Testing June 2004
- Clinics Proper Billing Requirements April 2004
- Requirements & Expectations Of Dental Clinics March 2004
- Part-Time Clinics Can Learn From Past Actions March 2004
- Payment For Psychiatric Social Work Services In Federally Qualified Health Centers December 2003
- Article 28 Clinics Billable Clinic Visits November 2003
- Key Clinical Activities For Quality Asthma Care August 2003
- Change In Reimbursement For Part-Time Clinics May 2003
- Important Billing Instructions For Article 16 Clinic Providers May 2003
- New Edits For Part Time Clinics March 2003
- Clinic Billing Guidelines February 2003
- New Edits Will Impact Clinic Claims June 2002
- Physician & Clinic Billing for Magnetic Resonance Imaging May 2002
- Attention: All Outpatient & Freestanding Clinics March 2001
- Attention: Hospital & Clinic Employed Physicians Enrollment in the Medicaid Program February 2001
- Claims Pending For Edits 01154 and 01155 February 2001
- Attention Outpatient And Freestanding Clinics January 2001
- Reminder To All Outpatient & Free-Standing Clinics September 2000
- Attention All Outpatient & Freestanding Clinics August 2000
- Hemodialysis Clinic Billing For Epogen March 2000
- Timing Is Everything October 1999
- Attention Physicians & Clinics: Submission of Threshold Override Applications (TOA's) August 1999
- Medicaid Claims Processing & The Year 2000 January 1999
- Section On Preventive & Clinical Care Improvement January 1999
Clinical Drug Review Program (CDRP)
- Palivizumab (Synagis®) Added to Clinical Drug Review Program September 2009
- New Drugs Added to Clinical Drug Review Program July 2008
- Expanded Clinical Review April 2008 Special Edition
- NYS Medicaid Program Prior Authorization Instructions For Prescribers October 2006
- The Medicaid Pharmacy Clinical Drug Review Program Begins 10/18/06 October 2006
- Helpful Tips for Pharmacists When Validating Prior Authorization Numbers September 2006
- Helpful Prior Authorization Tips for Prescribers September 2006
- The Clinical Drug Review Program September 2006
Codes
- Get Ready for NY Medicaid's E-Prescribing Incentive Program July 2009
- Acceptable Ambulance Modifiers May 2009
- Changes to Outpatient Clinic Code Editing April 2009
- Coverage for Fetal Nuchal Translucency Measurement Ultrasound Screening Test Approved March 2009
- Outpatient Coding for Medicaid March 2009
- Medicaid drug rebate program October 2008
- Enhanced payment for expanded "after hours" access October 2008
- Reimbursement soon available to outpatient hospital clinics and free standing diagnostic and treatment centers October 2008
- New Rate Codes for Federally Qualified Health Centers April 2008
- Enhanced Coverage for Family Planning Benefit Program Enrollees February 2008
- Payment Changes for Bone Growth Stimulators January 2008
- Coverage of Herpes Zoster Vaccine January 2008
- New Recipient Restriction Program Codes Effective January 1, 2008 January 2008
- 2008 Healthcare Common Procedure Coding System December 2007
- Reimbursement of New Procedure Codes August 2007
- Basal Thermometer Coding Change July 2007
- Durable Medical Equipment Fee Schedule Changes June 2007
- Physicians Billing for Critical Care June 2007
- Correction in Overpayment of Clinic Claims March 2007
- Enhancements to Attestation of Resource Coverage Code Editing March 2007
- 2007 Healthcare Common Procedure Coding System Is Released December 2006
- Prepayment Review Has Ended For Some Procedures August 2006
- Children's Clinic Rate Enhancements June 2006
- Provider Manual Updates May 2006
- Procedure Code Review Information April 2006
- Erectile Dysfunction Procedures Now Require Prior Approval January 2006
- 2006 Healthcare Common Procedure Coding System Is Released December 2005
- Billing For Supernumerary Teeth October 2005
- New State Education Department Profession Codes September 2005
- Preferred Physicians and Children's Program September 2005
- Diagnosis On Medicaid Laboratory Claim August 2005
- Reimbursement and Coding Changes for Enteral Formula August 2005
- Procedure Code Review Information August 2005
- Enteral Products Classification List May 2005
- NYS Education Department Profession Codes April 2005
- New Coverage Codes for Resource Attestation Start Date of 29 Days of Short-Term Rehabilitation February 2005
- Medicaid Coverage For Wireless Capsule Endoscopy November 2004
- Physician, Nurse Practitioner, Ordered Ambulatory Billing October 2004
- Non-Emergency Transportation Electronic Claims and Procedure Codes October 2004
- Dental Services Procedures September 2004
- New Coverage Codes Reminder - Resource Attestation To Be Implemented August 2004
- National Drug Code Billing Announcement August 2004
- New Coverage Codes - Resource Attestation To Be Implemented July 2004
- Products Of Ambulatory Surgery Grouper July 2004
- Preferred Physicians & Children's Program Billing Guidelines March 2004
- HIPAA News: Transactions And Code Sets Compliance Date Is Coming September 2003
- Private Duty Nursing Providers September 2003
- Usage Of Exception Code 83 For Chemical Dependence Services September 2003
- HIPAA News - New Codes For PPAC Providers July 2003
- Hospitals Eliminate Neonate Inpatient Discharge Code June 2003
- Coding Changes For Pharmacy & DME Providers March 2003
- Reimbursement Of "By Report" Dental Codes December 2002
- Laboratory Billing for Molecular Diagnosis Procedures September 2002
- Hospital Patient Discharge Status Codes September 2002
- Home & Community Based Waiver: New Restriction/Exception Code July 2002
- Physician Modifier Codes Used For Billing July 2002
- EMEVS PC Applications: Error Code File Has Been Updated June 2002
- Positron Emission Tomography Expanded Coverage December 2001
- Durable Medical Equipment Providers, Coding & Fee Changes July 2001
- Attention Pharmacy Providers Serving Nursing Home & Child Care Agencies May 2001
- Home Drug Infusion & Administration Supplies Now Require DVS Authorization April 2001
- Billing For Enteral Formulae Codes B4154 & B4155 November 2000
- Office & Physician Speciality Fee Increases Effective October 1, 2000 October 2000
- Attention: Optometrists October 2000
- Utilization Threshold Service Authorization Exception Codes & TOAs July 2000
- Changes In Pricing & Coding For Enteral Supplies July 2000
- Repair Of Orthotic Device July 2000
- Changes In Wheelchair Coding Effective July 1, 2002 July 2000
- Attention: Pharmacy & DME Providers Of Enteral Formulae April 2000
- Attention: Optometrists - Expanded Scope Of Services April 2000
- Attention: Pharmacy & DME Providers Of Enteral Formulae February 2000
- Attention: DME Providers January 2000
- Enteral Therapy October 1999
- Attention: Optometrists July 1999
- Attention: DME (Durable Medical Equipment) Providers May 1999
- All Providers - Managed Care Information May 1999
- Attention: DME Providers April 1999
Coinsurance
- Coinsurance Enhancement for Psychiatrist Services December 2007
- Prepayment Review Has Ended For Procedure Code 92568 November 2006
- 2005 Medicare Coinsurance Enhancement for Physicians and DME Providers November 2005
- Correct Billing for Medicare Part B Coinsurance For Non-HIPAA Compliant and Paper Claims January 2005
- Payment Of Medicare Coinsurance May 2004
- Payment Of Medicare Coinsurance November 2003
- Eye Care Services For Patients With Diabetes September 2003
- Legislative Change Reduces Medicaid Payment For Medicare Coinsurance August 2003
- Billing For Commercial Insurance Deductible & Coinsurance August 2000
- Billing For Commercial Insurance Deductible & Coinsurance May 2000
- Attention Hospital Providers January 2000
Compound Prescription
- Prescription Serial Numbers and Compound Billing for Individual Ingredients April 2008
- Revised Pharmacy Billing Procedures for Compounded Prescriptions February 2004
- Pharmacists: Compound Billing Information April 2003
- Pharmacy Compound Prescription Billing Instructions February 2002
- Compounded Prescription Billing Instruction Change November 2000
- Compounded Prescription Billing Change October 2000
Comprehensive Case Management
- Comprehensive Medicaid Case Management Providers January 2007
- Comprehensive Case Management: Payment Guidelines March 2002
- Comprehensive Case Management Providers January 2002
Compulsive Gambling
Co-pay
- Family Health Plus Pharmacy Benefit August 2008
- Pharmacy Co-payment Changes July 2008
- Medicare and the Dual Eligible June 2006 Special Edition
- Family Health Plus Co-Payment Information April 2006
- Notice NYS Medicaid Recipient Co-Payments April 2006
- Posting of Co-Payment Information April 2006
- New Family Health Plus Co-Pay and Vision Care Benefit Change September 2005
- Recipient Co-Payment Changes August 2005
- Medicaid Recipient Co-Payment Changes July 2005
- Pharmacy Co-Payments Inadvertently Collected May 2005
- Managed Care Enrollee Pharmacy Co-Payment Changes March 2005
- Managed Care Enrollee Pharmacy Co-Payment Changes February 2005
- Pharmacy Co-Payment Exemption For Residents In Adult Care Facilities July 2003
- Home and Community Based Waiver: New Restriction/Exception Code July 2002
- Medicaid Co-Payment Policy January 2002
- Medicaid Co-Payment Policy July 2001
- Provider Reminder: Entry Of Copayment Information December 2000
- Co-Payments May 2000
- Notice To Pharmacies Regarding The Posting Of Co-Payment Information January 2000
- Notice To NYS Medicaid Recipients January 2000
- Co-Payments October 1999
- Attention: Pharmacy Providers September 1999
- Medicaid Recipients Cannot Be Billed July 1999
Coronary Angiography
The Medicaid Update: Your Window Into The Medicaid Program
The State Department of Health welcomes your comments or suggestions regarding the Medicaid Update.
Please send suggestions to the editor, Kelli Kudlack:
NYS Department of HealthOffice of Health Insurance Programs
Corning Tower, Room 2029
Albany, NY 12210
(e-mail MedicaidUpdate@health.state.ny.us )
The Medicaid Update, along with past issues of the Medicaid Update, can be accessed online at the New York State Department of Health web site: http://www.nyhealth.gov/health_care/medicaid/program/main.htm