Medicaid Update – April 2025

The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the April 2025 Medicaid Update. Please find the interactive issue as a PDF (Portable Document Format) file available to be downloaded at: https://health.ny.gov/health_care/medicaid/program/update/2025/docs/mu_no04_apr25.pdf. A print-ready version is also available on the Medicaid Update web page.

You may also go straight to an article or topic that pertains to you by selecting from the current issue’s table of contents below.

Policy and Billing

• Topical Fluoride Varnish Application: Expansion of Provider Types (Cover)
• Reminder: Coverage of Licensed Clinical Social Workers, Licensed Master Social Workers, Licensed Mental Health Counselors, Licensed Marriage and Family Therapists Services Provided in Article 28 Outpatient Hospital Clinics and Free-Standing Diagnostic and Treatment Centers

Pharmacy

• NYRx Pharmacy Drug Coverage: Claims Processing Enhancements and Reminders
• Pharmacy Reminder: Coordination of Benefits Processing Instruction for New York State Medicaid

NYSHFA | NYSCAL CONTACTS:

Carl J. Pucci
Financial Consultant
518-462-4800 x36