Providers of ambulette services are required to submit vehicle information on an annual basis in accordance with Title 18 NYCRR (New York Code, Rules and Regulations) 502.6(b):

Each provider of ambulette services must, during the month of January of each year, disclose to the department in writing information concerning those vehicles currently owned or leased by the provider. The information to be disclosed must include at a minimum the name and address of the provider, each vehicle's license number and Department of Transportation identification number and a statement regarding whether the vehicle is owned or leased. A provider of ambulette services that fails to disclose this information will have its participation in the medical assistance program terminated.

Failure to comply will result in the termination of enrollment as a Medicaid provider.

The form below must be returned by February 15, 2006 to:

Certified/Return Receipt mail is suggested. A copy of the form and proof of mailing should be retained for your records. In the event of non-receipt of the form by the Department, this proof will be used to validate compliance.

NYS DOT OPERATING CERTIFICATE # ____________________

Effective October 1, 2005, the New York City Medicaid managed care benefit package has added a new service:

Transitional Home Health Services Pending Placement of Personal Care (Home Attendant) Services

Transitional home health services are home health services provided by a certified home health agency to a Medicaid managed care enrollee for up to a thirty (30) day period while the New York City Human Resources Administration (HRA) completes the assessment and placement process for a personal care services aide (home attendant). Please note the following:

• Transitional home health services are in addition to the full home health benefit already in the Medicaid managed care benefit package.
• Transitional home health services require the authorization and approval of the Medicaid managed care plan. Managed care plans may limit the provision of these services to plan network providers.
• The Medicaid managed care plan is responsible for providing transitional home health services to enrollees for up to a thirty (30) day period as follows:
  • For enrollees discharged from a hospital or residential health care facility (RHCF) and for whom personal care agency services have been requested by the hospital/RHCF discharge planner, the thirty (30) day period will start with the day following the enrollee's discharge from the hospital or RHCF.
  • Transitional home health services are not available if the enrollee meets all three of the following criteria:
    1. The enrollee was hospitalized less than thirty (30) days.
    2. The enrollee was in receipt of personal care agency services prior to his/her admission to the hospital or RHCF.
    3. The enrollee requires the same level and hours of personal care agency services upon discharge.
       
       Persons meeting these conditions are not eligible to receive the additional thirty (30) days of transitional home care because they already have an acceptable plan for personal care services in place and are eligible to resume the personal care services immediately upon discharge without the need for a new assessment or placement process.
  • For enrollees who have been receiving home health care services in the community and for whom personal care agency services have been ordered by the enrollee's physician, the thirty (30) day period shall commence with the day following the last day that the managed care plan approved home health care services to be medically necessary.
• The plan must provide reasonable assistance when requested regarding the completion of forms required by the Human Resources Administration to initiate the review of a request for personal care agency services.

This form, commonly referred to as the M11Q, requires physician orders, must be signed by the licensed physician, and must be received by HRA within thirty (30) calendar days of the physician's examination.

Certified Home Health Agencies must submit a nursing assessment (N27R) along with the M11Q for these consumers.

For questions about transitional home health care, please call (518) 473-7467.

Return to Table of Contents

Smoking cessation therapy consists of prescription and non-prescription agents.

• Two courses of smoking cessation therapy per recipient, per year are allowed. A course of therapy is defined as no more than a 90-day supply (an original order and two refills, even if less than a 30 day supply is dispensed in any fill).
• If a course of smoking cessation therapy is interrupted, it will be considered one complete course of therapy. Any subsequent prescriptions would then be considered the second course of therapy.
• Multiple smoking cessation therapies, using different routes of administration, are allowed (e.g., Zyban and nicotine patches may be used concomitantly if warranted). Professional judgment should be exercised when dispensing multiple smoking cessation products.
• Duplicative use of any one agent is not allowed (i.e., same drug and same dosage form and same strength).
• For all smoking cessation products, the recipient must have an order. A prescription is the terminology for an order of a prescription product. A fiscal order refers to an order, which looks just like a prescription-written on a prescription blank, for an over-the-counter product.
• Prescription nicotine patches will no longer be reimbursed. NYS Medicaid will only reimburse for over-the-counter nicotine patches.

For information on New York State Medicaid's Smoking Cessation Policy, please call (518) 486-3209.

POLICY

• Stop smoking products to help you quit smoking can be obtained with a prescription. Medicaid will cover inhalers, nasal sprays, Zyban (bupropion), over-the-counter nicotine patches and gum.
• Your health care provider must write a prescription or a fiscal order for you to receive either a prescription or over-the-counter stop smoking product.
• You are allowed a course of stop smoking therapy twice a year. A course of therapy is defined as no more than a 90-day supply (an original order and two refills, even if less than a 30 day supply is dispensed in any fill).
• Some smoking cessation therapies may be used together. For example, Zyban, taken by mouth, and nicotine patches, which are applied to the skin, may be used at the same time. Ask your physician and pharmacist what is appropriate for you.

Effective for dates of service on or after November 1, 2005, New York Medicaid provides reimbursement for Essure� hysteroscopic sterilization.

Who May Be Reimbursed for this Procedure:

Physicians with Specialty 089 (Obstetrics and Gynecology) and 210 (General Surgeon) may receive reimbursement for this procedure. It is anticipated that this procedure will be performed in a physician's office. However, depending on the patient, it could be performed in a freestanding or hospital-based ambulatory surgery center.

Physician Billing Information (when the procedure is performed in the physician's office):

Physicians should bill 58565 for the surgical procedure. Medicaid reimbursement is set at $320. For the Essure kit, use code 99070 (cost of materials).

A post-test proof of occlusion (58340, Catheterization and introduction of saline or contrast material for hysterosonography or hysterosalpingography) should be performed 90 days following the procedure.

NOTE: Diagnostic hysteroscopy (58555) and cervical dilation (57800) are inclusive components and should not be billed separately when performed in conjunction with hysteroscopic sterilization (58565).

Ambulatory Surgery:

When the procedure is performed in an operating room on an anesthetized patient, a freestanding or hospital-based ambulatory surgery center may bill for the procedure. It will group into PAS (Products of Ambulatory Surgery) 31, GYN Diagnostic/Therapeutic. The cost of materials (Essure� kit) is included in the PAS rate paid to the facility. The physician would bill 58565 for the surgical procedure.

Informed Consent for Sterilization:

The patient must:

• be at least 21 years old;
• be informed of the risks and benefits of sterilization; and
• sign the mandated sterilization consent form (LDSS-3134) not less than 30 days or more than 180 days prior to performance of the procedure.

Forms can be requested from:

or printed from:

http://www.health.state.ny.us/health_care/medicaid/program/update/2004/nov2004.htm#ster

Questions concerning Essure� hysteroscopic sterilization billing should be addressed to the Bureau of Policy Development & Agency Relations at (518) 473-2160.

Effective on or after February 1, 2006, Medicaid enrolled nurse practitioners and midwives receive Medicaid reimbursement for performing certain laboratory tests for their own patients, provided they hold the required Clinical Laboratory Improvement Amendments (CLIA) certification.

The following list of laboratory services will be covered by Medicaid when performed by a nurse practitioner or a midwife:

Medicare reimburses for these services at 100 percent. No Medicare co-insurance payments may be billed for the above listed procedure codes.

To claim reimbursement, nurse practitioners and licensed midwives must:

• Be an enrolled Medicaid provider.
• Be engaged in private practice or a member of a legally organized group practice or be employed by a legally organized group practice.
  • Testing-performed in a hospital-based or free-standing clinic or other Article 28 setting (e.g. ER), or in a hospital inpatient setting is not payable to a nurse practitioner/licensed midwife.
• Be registered with Clinical Laboratory Improvement Amendments (CLIA), the federal laboratory oversight program and hold the certification appropriate for CLIA categorization for the laboratory test(s) being performed.

To register with Medicaid as a practitioner office laboratory, nurse practitioners and licensed midwives must:

• Complete the Provider Maintenance Form entitled CLIA information that can be accessed by holding down the Control key and clicking on the hyperlink that follows;
  https://www.emedny.org/info/ProviderEnrollment/index.html
• Provide the Department with a copy of the CLIA certificate that you wish to bill under for the testing site.
  A completed Provider Maintenance Form must be submitted to the address listed below:
  
  Computer Sciences Corporation
  PO Box 4610
  Rensselaer, New York 12144

< If the practice at which you will perform reimbursable testing does not already hold a CLIA certificate, nurse practitioners and licensed midwives must:

• Contact the Physician Office Laboratory Evaluation Program at (518) 485-5352 for an application form.
• The application is also posted on the Centers for Medicare and Medicaid Services (CMS) website: http://www.cms.hhs.gov/clia. Select the option "How to Apply for a CLIA Certificate: Form CMS-116."
• A completed application must be submitted to the address of the local State agency for the state in which you will conduct testing. Nurse practitioners or licensed midwifes conducting testing in New York State should send their completed CMS-116 form to:
  
  NYSDOH
  Wadsworth Center
  Physician Office Laboratory Evaluation Program
  PO Box 509
  Albany, NY 12201-0509

The payment system has linked lab test procedure codes to the type of CLIA certification as follows:

CLIA Certificate of Compliance/Accreditation: Use the 14 CPT-4 codes listed above for billing purposes.

CLIA Certificate - Physician Performed Microscopy Procedures (PPMP): Payment is available for the following laboratory procedure codes ONLY:

81000, 81002, 81015, 81025, 85013, 85018, 85651, and 87880.

CLIA Certificate of Waiver: Payment is available for the following procedure codes ONLY:

81002, 81025, 85013, 85018, 85651, and 87880

If post-payment review reveals that the payment was inappropriate because you performed and billed for a test method OUTSIDE your scope of practice, collaborative agreement and/or CLIA certificate, the payment may be disallowed.

For additional information regarding coverage for practitioner office laboratory test billing, please contact the Bureau of Policy Development and Agency Relations staff at (518) 473-2160.

To implement Chapter 645 of the Laws of 2005, which seeks to ensure that the Medicaid program will not provide coverage for erectile dysfunction (ED) drugs, procedures or supplies to convicted sex offenders, prior approval is required for the following CPT/HCPCS procedure codes, effective for dates of service on and after January 1, 2006.

The provider type listed below must submit the prior approval request.

A diagnosis of ED is identified by the following ICD-9 diagnoses codes:

For inpatient providers, the following ICD-9 procedure codes identify ED:

Providers must report the applicable CPT/HCPCS, ICD diagnosis and/or ICD procedure code(s) when requesting or billing erectile dysfunction services for Medicaid recipients.

Please note:

• If the recipient is enrolled in a Medicaid Managed Care Plan, the provider must contact the recipient's plan for approval.
• Completion and submission instructions for prior approval and claim forms are available at: http://www.emedny.org/ProviderManuals/index.html or by calling Computer Sciences Corporation at 1-800-343-9000. Payment amounts for the above procedures have not changed and are available in your provider specific fee schedule at this website.
• Prior approval requests for recipients ineligible for ED services per Chapter 645 of the Laws of 2005 will be denied. The text of the law is available at http://public.leginfo.state.ny.us/menugetf.cgi, (search by chapter number).
• All prior approval requests must include documentation of medical necessity, diagnostic information, the recipient's treatment plan, and must originate from, or include supportive documentation by, a neurologist or urologist. Questions on specific prior approval requests may be referred to the Medical Prior Approval Unit at 1-800-342-3005.
• Prior approval is not required when billing for Medicare coinsurance.
• When a procedure is to be performed in a facility, the facility must verify with the practitioner that prior approval has been obtained by the practitioner. When billing for their portion of payment, facilities must place the prior approval number obtained by the practitioner on the claim.

Questions? Please call the Bureau of Medical Review and Payment at (518) 474-8161.

Service Intensity Weights

A new Service Intensity Weights (SIW) table will be used when processing Diagnosis Related Groups (DRGs) payments to New York State hospitals.

The new table, effective for discharges on or after January 1, 2006, contains additions, deletions, and revisions when compared to the table used for discharges from January 1, 2004 - December 31, 2005.

The new table can be accessed at:

http://www.health.state.ny.us/facilities/hospital/drg/drgs.htm

High Cost Outlier Payments

The Department has developed a policy for considering high-cost outlier payments when a patient's Medicare entitlement begins during the inpatient stay.

Last month a letter was mailed to representatives in hospital fiscal offices and to each hospital's IPRO (Independent Peer Review Organization) liaison. Details of the new policy and the procedures for case reviews were included with that letter.

For copies of the policy and procedures, please contact the Rate-Based Provider Unit at (518) 474-8161.

Every six months, you may request a summary of the rate codes and dollar amounts used to make Medicaid payments to your facility.

When requesting this information, the request must:

• Be typed, on the institution's letterhead.
• Include the provider identification number(s) for which a rate summary is needed.
• Be signed by the institution's authorized representative,
  • the authorized signature must be original (not copied or stamped),
  • the name and title of the signer must be typed on the request.
• Indicate the institution's department and the name of the person to whose attention the summary should be mailed to.

Requests should be mailed to:

Do you submit paper claims to eMedNY?

Consider the convenience of using ePACES, the electronic Provider Assisted Claim Entry System!

ePACES is a web-based software application that allows you to:

• submit claims,
• verify eligibility,
• inquire about claims,
• request service authorization, and
• make dispensing validation system transactions.

ePACES edits your claim information as you enter it, allowing you to correct some invalid data before you submit the claim to eMedNY for processing!

After submitting your claim to eMedNY, it is processed (usually) within 24-48 hours, and you can view your results right on ePACES!

This means that you can know the status of your claims submitted via ePACES, before your otherwise mailed paper claim would have reached eMedNY!

Electronic claims on the average have a 10% better approval rate than paper claims.

The Department provides ePACES free of charge through eMedNY!

Providers submitting Professional claims can take advantage of ePACES real-time option. When you select the real-time option, your claim will be processed as soon as it is received by eMedNY, and the status of your claim (including payment amount) will be available for viewing in ePACES within seconds!

• The actual payment will be subject to the regular Medicaid disbursement cycle.
• When using the real-time option, a maximum of four lines can be included on a claim.

ePACES is also a convenient way to enter your requests for prior approval . A reference number will be returned to your ePACES screen, which can be later used to check the approval status on ePACES.

To find out more about how to sign up for ePACES, please visit our website at http://www.emedny.org/HIPAA/QuickRefDocs/index.html#epaces. Click on ePACES Enrollment in the center of the screen.

Other Electronic Claim Submissions Alternatives

If you are printing paper claim forms, you can still take advantage of electronic claim submission. Contact your software vendor and ask him/her for an option to create an electronic HIPAA compliant file in lieu of printing paper forms. If your vendor needs information about creating a HIPAA compliant file, ask him/her visit www.emedny.org and download the appropriate Companion Guides.

If your vendor still has questions after reviewing the Companion Guides, have his/her representative call the eMedNY Call Center at (800) 343-9000, and identify themselves as a vendor working on HIPAA compliance. We will put a technical support individual in touch with the vendor to answer any questions they may have.

Once you have created a HIPAA compliant file of claims, you can send your claims over the Internet to eMedNY using the eXchange option.

Signing up for ePACES will also give you access to eMedNY eXchange.

If you do not have access to the Internet or prefer to use a dial-up option, you can send your claim batches to eMedNY using a dial-up file transfer program (FTP). For information on how to sign up and use eMedNY dial-up FTP, please call (800) 343-9000.

If you have questions regarding this article, please contact the eMedNY Call Center at (800) 343-9000.

Do you receive electronic remittances? The 835/820 Supplementary Files delivered with your remittances are being enhanced to include extensive information on denied claims. With the enhancements, detailed information will be provided for up to 27 eMedNY edits for each denied claim.

The enhancements will be effective with payment cycle 1487, February 20, 2006. Reporting for pended claims will not change. Providers who receive their remittances electronically may need to update their systems to handle the new Supplementary Files format.

Please review the new eMedNY Companion Guides very carefully. The Guides are available on our website at:

http://www.emedny.org/HIPAA/Phase_II_Transactions/transactions.html

If you have any questions, please contact the eMedNY Call Center at (800) 343-9000.

Edit & Error Knowledge Base Expanded

The Edit & Error Knowledge Base has been updated and expanded to include eMedNY edits. This is a great tool for providers to use to interpret the eMedNY edits that have impacted their submitted claims. Providers can use this tool to see a detailed explanation for each edit, and to review the possible causes of why a claim has hit a specific edit. Access the Edit & Error Knowledge Base at:

http://www.emedny.org/HIPAA/Edit_Error/KnowledgeBase.html

Questions? Please contact the eMedNY Call Center at (800) 343-9000.

As a result of the new Medicare Part D drug coverage program, nursing homes were advised in November 2005 of a change in the way Medicaid is to be billed for nursing home per diem rates for dates of service on and after January 1, 2006.

The Department of Health has established several new rate codes to reflect the new Medicare Part D benefit (see table below).

Nursing homes must select the proper rate code to bill based upon the recipient's Medicare Part D and Part B benefits.

The following procedures will be available to Durable Medical Equipment (DME) providers for dates of service on and after January 23, 2006, for emergency situations in lieu of requesting normal prior approval. Following the procedures described below, you will be able to bypass the prior approval requirement when an emergency situation occurs.

Definition:

An emergency medical condition (for Medicaid) is defined as:

Only a qualified ordering practitioner may determine, using his or her professional judgement, whether a situation constitutes an emergency. The ordering practitioner's documentation of the specific need for emergency must be maintained in the patient records of the ordering practitiioner and DME provider, along with the fiscal order. In such emergency situations, prior approval is not required

Process to Bypass Prior Approval:

DME providers must indicate the service is of an emergency nature by using the Emergency Indicator on the paper claim form [Box 16a on the paper Claim Form 15001] or electronic claim<p></p> [Loop 2400(Detail), DE 0884 of the 837P].

There are several different situations which may occur:

• The service requiring prior approval has a HCPCS procedure code and price identified in the DME Fee Schedule;
• The service requiring prior approval has a HCPCS procedure code but there is no price identified in the DME Fee Schedule;
• There is no HCPCS procedure code that identifies the service;
• The service is a repair of an item with a HCPCS code and price; or
• The service is a repair of an item without a HCPCS code or price.

1. For DME services that have a HCPCS procedure code and a price on file:
   • Indicate emergency by completing the Emergency Indicator field on either the paper or the electronic claim form.
   • The claim will bypass the PA requirement and pay the amount on file.
2. For DME services that have a HCPCS procedure code but no price identified on the DME Fee Schedule (the Price column reads PA) the claim must be submitted on paper and must include the vendor invoices to support the claim as attachments:
   • Indicate emergency by completing the Emergency Indicator field on the paper claim form.
   • The claim will bypass the PA requirement and pend for Edit 00126 [AMOUNT CHARGED OVER SCREEN PRICE; REQUIRES MANUAL PRICING (DOH)] for manual pricing. The vendor invoice information will be used to price the claim.
3. For equipment with no HCPCS procedure code to identify the service - see 'Exceptions' below.
4. For emergency repairs on equipment with a HCPCS procedure code and price on file:
   • Indicate emergency by completing the Emergency Indicator field on either the paper or the electronic claim form.
   • Use the appropriate HCPCS procedure code with the modifier "-RP"
   • The claim will bypass the PA requirement.
5. For repairs on equipment being repaired which have no HCPCS code or no price listed in the DME Fee Schedule:
   • Indicate emergency by completing the Emergency Indicator field on either the paper or the electronic claim form.
   • Use procedure code A9900 on the claim but without modifier "-RP" .
     The fee for A9900 has been increased to $250, effective for dates of service on and after January 23, 2006. Claims with an Emergency Indicator will pay up to $250 without prior authorization.
   • If the charge for emergency A9900 repairs is greater than $250, the claim < must be submitted on paper with an attached itemized invoice. The claim will bypass the PA requirement and pend for Edit 00126 [AMOUNT CHARGED OVER SCREEN PRICE; REQUIRES MANUAL PRICING (DOH)] for manual pricing based. Providers will be paid actual acquisition cost by manufacturer's invoice plus 50%. Acquisition cost is net any discounts and does not include mailing, shipping, handling, insurance costs or any sales tax.

If a prior approval is subsequently requested for non-emergency repairs on equipment previously repaired on an emergency basis by the same provider, the provider must supply the emergency repair fiscal order and practitioner documentation of need with the current prior approval request.

DVS

Urgent supply and respiratory items are available through the Dispensing Validation System (DVS) and do not require prior approval.

Rental:

Rental of acceptable alternatives is available to address the urgent needs of clients awaiting receipt of specific items of DME otherwise requiring prior approval.

Exceptions:

This process cannot be utilized for initial purchase of items using the miscellaneous services code, E1399 or K0108, or where an otherwise approved code does not exist. The Department must be assured that any item being claimed using these codes are federally reimbursable.

Auditing:

As with all Medicaid services, the use of the emergency process, in lieu of prior approval, will be periodically reviewed and audited.

Any questions on the above can be addressed to CSC at (800) 343-9000.

Effective January 23, 2006, materials in support of submitted prior approvals may be faxed to Computer Sciences Corporation (CSC). These materials must be on 8.5" X 11" plain background paper (which is scannable), and must be submitted with one of the following:

• Return Information Routing Sheet (including the routing sheet for invoices)
• Prior Approval Change Request Form
• Electronic Transaction Attachment Scanning Sheet

These forms contain the key information (prior approval number and Reviewer ID as appropriate) to match the faxed materials to the original prior approval. These forms will be revised to include the CSC fax number and a place for your fax number.

Only the revised form will be accepted via fax for processing.

CSC will fax back to the sender a cover sheet of explanation when an unreadable fax is received. There will be no change in where you obtain the forms (e.g., Return Information Routing Sheet comes with a Missing Information Letter, or "Invoice" Letter, and both the Prior Approval Change Request form and Electronic Transaction Attachment Scanning Sheet are available on the eMedNY website).

The original Prior Approval Request will still be required to be submitted to CSC via paper, electronic 278, or ePACES submission. This will be the source of the prior approval number that needs to be recorded on the appropriate form or sheet above.

Questions? Please call CSC at (800) 343-9000

Computer Sciences Corporation (CSC) issues 1099 forms to providers at the beginning of each year for the previous year's Medicaid payments.

The 1099 amount is not based on the date of the checks; rather it is based on the date the checks were released to providers.

Due to the two-week check lag between the date of the check and the date the check is issued, the 1099 amount will not correspond to the sum of all checks issued for your provider identification number during the calendar year. The 1099 amount is based on check release date.

The 1099s that will be issued for the year 2005 will include the following:

• Check dated 12/20/04 (Cycle 426) released on 01/05/2005 through,
• Check dated 12/12/05 (Cycle 1477) released 12/28/05

Additionally, in order for group practice providers to direct Medicaid payments to a group identification number and corresponding 1099, providers are reminded that they must submit the group identification number in the appropriate field on the claim (paper or electronic). Claims that do not have the group identification number entered will cause payment to go to the individual provider and his/her 1099.

Missing Issues?
The Medicaid Update, now indexed by subject area, can be accessed online at the New York State Department of Health website: http://www.health_care/medicaid/program/update/main.htm
Hard copies can be obtained upon request by emailing: MedicaidUpdate@health.state.ny.us or by calling (518) 474-9219.

Do You Suspect Fraud/
If you suspect that a recipient or a provider has engaged in fraudulent activities, please call the fraud hotline at: 1-877-87FRAUD. Your call will remain confidential.

As a Pharmacist, Where Can I Access the List of Medicaid Reimbursable Drugs?
The list of Medicaid reimbursable drugs is available at: http://www.eMedNY.org/info/formfile.html

Questions About an Article?
For your convenience each article contains a contact number for further information, questions or comments.

Do You Want Information On Patient Educational Tools and Medicaid's Disease Management Initiatives?
Contact Department staff at (518) 474-9219.

Questions About HIPAA?
Please contact CSC Provider Services at (800) 343-9000.

Address Change?
Questions should be directed to CSC at (800) 343-900, option 5.

Patient Eligibility
Call the Touchtone Telephone Verification System (800) 997-1111, (800) 225-3040 or (800) 343-9000.

Fee-for-service Provider Enrollment </<br /> A change of address form is available at:
http://www.emedny.org/info/ProviderEnrollment/Provider%20Maintenance%20Forms/6101-Address%20Change%20Form.pdf.

Rate-based/Institutional Provider Enrollment
A change of address form is available at:
http://www.emedny.org/info/ProviderEnrollment/Provider%20Maintenance%20Forms/6106-Rate%20Based%20Change%20of%20Address%20Form.pdf

Billing Question? Call Computer Sciences Corporation:
Provider Services (800) 343-9000.

Comments and Suggestions Regarding This Publication?
Please contact the editor, Timothy Perry-Coon at MedicaidUpdate@health.state.ny.us or via telephone at (518) 474-9219 with your concerns.

The State Department of Health welcomes your comments or suggestions regarding the Medicaid Update.

Please send suggestions to the editor, Timothy Perry-Coon:

NYS Department of Health
Office of Medicaid Management
Bureau of Program Guidance
99 Washington Ave., Suite 720
Albany, NY 12210
(e-mail MedicaidUpdate@health.state.ny.us)

The Medicaid Update, along with past issues of the Medicaid Update, can be accessed online at the New York State Department of Health web site:http://www.health_care/medicaid/program/update/main.htm