29-I Health Facility Billing Announcement
- Announcement also available in Portable Document Format (PDF)
Update to Article 29-I VFCA Health Facility Billing Manual: Non-Billable Services
November 20, 2025
To: Article 29-I VFCA Health Facilities (29-Is) and Medicaid Managed Care Plans (MMCPs) including Mainstream Managed Care and HIV Special Needs Plans
The Article 29-I VFCA Health Facility Billing Manual has been updated to reflect the removal of the Non-billable Services Chart in Appendix C. This chart has been replaced with guidance stating that practitioners who are rendering an Office Visit in an Article 29-I Health Facility are now permitted to claim for any/all medically necessary services rendered within their scope of practice as permitted by the Article 29-I Health Facility license.
When providing an Office Visit, 29-Is must report all procedure codes necessary to capture the totality of the service delivered. Services rendered during an Office Visit that are not represented by a billable procedure code in the manual should be reported on the Office Visit claim using the most appropriate American Medical Association (AMA) Current Procedural Terminology (CPT) code. Any procedure codes not listed in the manual that are included in an Office Visit claim are considered non-billable codes.All non-billable codes must be accompanied by the appropriate billable Office Visit codes. It is the responsibility of the Article 29-I Health Facility to understand the limitations of their Article 29-I Health Facility license and the rendering practitioner’s scope of practice.
Additional details on billing for this service can be found in the 29-I Health Facility Billing Manual (Version 2025-3) - (Web) - (PDF) .
Questions on this update can be sent to BH.Transition@health.ny.gov.
