MRT 8401: Care Management Population and Benefit Expansion, Access to Services, and Consumer Rights
Transition of Coverage from Medicaid Fee-for-Service to Medicaid Managed Care
See MRT 1458 for More Information on Managed Care Transitions
+Harm Reduction Services
- Harm Reduction Billing Guidance - Updated 2.25.22
- Harm Reduction Counseling Providers: Syringe Exchange Providers (SEPs) - Updated 03.04.19
- Harm Reduction Services Guidance Paper - 7.1.18
- Harm Reduction - Questions and Answers - 7.1.18
- Handbook Language - 7.1.18
- Member Notice - 7.1.18
+School-Based Health Center (SBHC) Services - Benefit Transition Date no sooner than May 1, 2025
- Notice of Implementation Date Change: Transition of SBHC Services Benefit and Population into Medicaid Managed Care - March 31, 2025
- Transition of School-Based Health Center Benefit and Population into Medicaid Managed Care Version 2.0 - Updated March 12, 2025
- Guide to Edits: Transition of School-Based Health Center Benefit and Population into Medicaid Managed Care Version 2.0 (PDF) - Updated March 12, 2025
- Policy for the Protection of Confidential Health Information for Minors Enrolled in NYS Medicaid Managed Care Plans
- SBHC Transition Milestones (PDF)
- NYS Mainstream Medicaid Managed Care and SBHC Billing Guidance - Updated January 8, 2025
- FQHC Rate Schedule
- FQHC's Opting In To APG
- FAQs - Updated January 10, 2025
+Archived SBHC Documents
- Transition of SBHC Benefit & Population into Medicaid Managed Care - Updated January 8, 2025
- SBHC Letter - 1.7.19
- Gap Report Template
- Gap Report Instructions
- Gap Report FAQ
+July 1, 2017 Benefit Transition - Blood Clotting Factor
- Clotting Factor Guidelines
- Criteria Standards for Authorization & Utilization Management of Clotting Factor Products and Services for Medicaid Managed Care
- FAQs - Transition of Clotting Factor Products and Services into Medicaid Managed Care
- Reimbursement Process for Transition of Clotting Factor Products Into Medicaid Managed Care
- Active Clotting Factor Products as of 3-6-17 by:
- Clotting Factor Providers
- Hemophilia Treatment Centers (HTC)
- Clotting Disorder Individual Service Plan (PDF)
- Clotting Factor Person Centered Services Planning (PCSP) Flowcharts:
- Update: Blood Factor Carve-In
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