Medicaid Update – January 2022

The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the January 2022 Medicaid Update. Please find the new and improved, interactive issue as a PDF (Portable Document Format) file available to be downloaded at: https://health.ny.gov/health_care/medicaid/program/update/2022/docs/mu_no1_jan22.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.

All Providers

• New Provider Enrollment Portal Coming Soon to eMedNY (Cover)
• NY State of Health Open Enrollment Period Extended as Federal Public Health Emergency Continues

Policy and Billing

• Update to Fee-for-Service Reimbursement for Federally Qualified Health Center Claims After Third-Party Payers and Managed Care Visit and Revenue Reporting Requirements
• Medicaid Fee-for-Service Guidance for Duchenne Muscular Dystrophy Drugs
• Update to New York State Medicaid Coverage of Real-Time Continuous Glucose Monitors

Pharmacy

• Reminder: Pharmacy Dispensing Non-Patient Specific Orders
• Reminder: Newborn Eligibility and Billing Including Pharmacy Claim Processing
• Clarification: Prescriptions Issued Under Collaborative Drug Therapy Management Protocols
• New York State Medicaid Fee-for-Service Program Pharmacists as Immunizers

NYSHFA/NYSCAL CONTACTS:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36