Policies and Billing Guidance for Practitioner Administered Drugs
- Medicaid Fee-For-Service Policy Information and Billing Guidance
- Medicaid Managed Care Policy Information and Billing Guidance
Policy Updates
Updates to the practitioner administered drug payment policies are in the Medicaid Update, which is published monthly. The Medicaid Update Main Page has topics arranged alphabetically and contains search functionality.
Provider Communications
Periodically, communications are posted on the eMedNY website. This link to the Provider Manual Tab will lead to a web page with listed practitioner groups. Within many practitioner groups, the right-hand panel will have a "Featured Links" section that contains a link to that group's "communications."
Questions
- FFS policy questions may be directed to the Office of Health Insurance Programs (OHIP) Division of Program Development and Management at (518) 473-2160.
- FFS billing and claim questions should be directed to the eMedNY call center at (800) 343-9000.
- MMC reimbursement, billing, and/or documentation questions should be directed to the enrollee's MMC plan.