Medicaid Update – May 2023

The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the May 2023 Medicaid Update. Please find the improved, interactive issue as a PDF (Portable Document Format) file available to be downloaded at: https://www.health.ny.gov/health_care/medicaid/program/update/2023/docs/mu_no10_may23.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

1. New York State Medicaid Program Ends Provisional Temporary Provider Enrollment (Cover)
2. New York State Reminds Members/Enrollees in Medicaid, Child Health Plus and the Essential Plan to Renew Their Health Insurance; Eligibility Redetermination Notices are Being Distributed to New Yorkers Enrolled in Public Insurance Programs; NY State of Health Marketplace Assisting Consumers to Renew and Maintain Open Enrollment to Help Ensure a Continuation of Coverage

Policy and Billing

1. Update to Clinic Billing for Denture Codes
2. Update to New York State Medicaid Fee-for-Service Pharmacy Billing Instructions for Coordination of Benefits Submission
3. Base Rate Fees for Emergency Ambulance Trips
4. Updated Billing Guidance for Vagus Nerve Stimulators

Pharmacy

1. Pharmacy Program Integrity Spotlight
2. Update to Pharmacy Dispensing Non-Patient Specific Orders
3. Clarification Regarding Pharmacy and Practitioner Dispensing of Drugs Requiring Administration by a Practitioner

NYSHFA | NYSCAL CONTACTS:

Carl J. Pucci
518-462-4800 x36