Policies and Billing Guidance for Practitioner Administered Drugs


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.

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