New York Medicaid Changes



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New York Medicaid Changes

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New York State Medicaid Update September 2017 Volume 33 …

www.health.ny.gov

Sep 1, 2017 The New York State Department of Health is working diligently to make
programmatic changes in eMedNY in advance of the October 2017 testing
deadline and likewise anticipates working with its Medicaid managed care
organizations, providers, and other stakeholders to ensure a smooth transition.

Medicaid Update – New York State Department of Health

www.health.ny.gov

Oct 13, 2017 October 2017 New York State Medicaid Update pg. 4. Attention Pharmacy
Providers: Coordination of Benefits (COB). Processing Change for Other Payer ID
and Other Payer ID Qualifier. Effective December 21, 2017, when submitting a
claim with Third Party Liability (TPL), Medicaid FFS will now require the …

A Plan to Transform the Empire State's Medicaid Program

www.health.ny.gov

Community education will be paramount in assisting members understand how
these programmatic changes will affect them. New York is poised to
fundamentally transform its Medicaid program into a national model for cost-
effective health care delivery. Thanks to the work of the Medicaid Redesign Team
the State of New.

New York State Medicaid Update Volume 33 Number 3

www.health.ny.gov

Mar 16, 2017 New York State. Department of Health. Jason A. Helgerson. Medicaid Director.
Office of Health Insurance Programs. The Medicaid Update is a monthly
publication of the New York State ….. Note: If the institutionalized spouse is
receiving Medicaid, any change in income of the institutionalized spouse,.

New York State Department of Health Medicaid Update December …

www.health.ny.gov

Jan 1, 2017 Effective December 22, 2016, the New York State Department of Health (
Department) will implement editing changes around the Submission Clarification
Code (SCC) used to override denied claims for drugs not covered for members
whose Medicaid benefit is “Emergency Services Only”. Claims submitted …

Medicaid Update November 2017 Volume 33 Number 11

www.health.ny.gov

Nov 19, 2017 pg. 3. Medicaid Pharmacy Prior Authorization Programs Update. On October 19,
2017, the New York State Medicaid Drug Utilization Review (DUR) Board
recommended changes to the Medicaid pharmacy prior authorization programs.
The Commissioner of Health has reviewed the recommendations of the …

New York State Department of Health Medicaid Update August 2017 …

www.health.ny.gov

Aug 1, 2017 and the cover of the June 2017 Medicaid Updates. This is a change from the
current editing, implemented on. December 5, 2013, which set the limit to a fifteen
(15) day supply on initial opioid prescriptions. Prior authorization (PA) will be
required for claims that do not meet the above criteria. To obtain a PA,.

New York State Department of Health Medicaid Update June 2016

www.health.ny.gov

Jun 16, 2016 June 2016 New York State Medicaid Update pg. 3. – continued from Cover -.
Pharmacy Changes. In accordance with this transition, MMC Plans serving New
York State enrollees outside of New York City will also begin covering injectable
atypical (second generation) long acting antipsychotics for their …

November 30, 2016 Mr. Jason Helgerson Director Office … – Medicaid

www.medicaid.gov

Nov 30, 2016 including responsibilities for such efforts, changes to how public and safety net
providers are organized, and a path to ensure such improvements are sustained
through reforms of New York's. Medicaid payment system. This extension
extends authorities for New York to continue to operate its demonstration …

Emerging Practices in Diabetes Prevention and Control, Medicaid

www.cdc.gov

New York-with state health departments that have collaborated with state
Medicaid agencies to make Diabetes Self-Management Education (DSME)
reimbursement … In the wake of the Affordable Care Act, Colorado Medicaid
began implementing changes within the organization to place a greater
emphasis on prevention.

Newly eligible Medicaid expansion – Pennsylvania Department of …

www.dhs.pa.gov

Jan 27, 2017 Medicaid enrollment, uninsured rates, the. Commonwealth's budget, and the
overall economy. The report also examines the new enrollees' demographic and
utilization ….. Operations Memorandum #14-11-01, Medicaid Eligibility Rule
Changes Under the Healthy Pennsylvania 1115 Waiver. (Healthy PA) …

GAO-14-627, Medicaid Financing: States' Increased Reliance on …

www.gao.gov

Jul 29, 2014 and New York in State Fiscal Years 2008 and 2012. 33. Table 3: The Percentage
and Amount of the Nonfederal Share of. Medicaid Payments from Health Care
Providers and Local. Governments in State Fiscal Year 2012, by State. 47. Table
4: Changes in the Percentage and Amount of the. Nonfederal …