January 30, 2024

The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the December 2023 Medicaid Update. Please find the improved, interactive issue as a PDF (Portable Document Format) file available to be downloaded at: https://www.health.ny.gov/health_care/medicaid/program/update/2023/docs/mu_no17_dec23.pdf. A print-ready version is also available on the Medicaid Update web page.

You may also go straight to an article or topic that pertains to you by selecting from the current issue’s table of contents below.

Pharmacy

·       NYRx Prior Authorization Programs Update (Cover)

·       Care Coordination and Clinical Management of Pharmacy Services for Medicaid Managed Care Enrollees

All Providers

• Reminder: Sign Up for eMedNY Training Webinars
• Provider Reports Available on eMedNY Website
• Medicare Begins Coverage of Licensed Mental Health Counselors and Licensed Marriage Family Therapists Beginning January 1, 2024

Policy and Billing

• Medical Nutritional Therapy Services Provided by Qualified Dietitians/Nutritionists
• New York State Medicaid Coverage of Testing for Lynch Syndrome
• Expanded Eligibility for Community Health Worker Services
• Reimbursement for Adverse Childhood Experiences Screening
• Medicaid Practitioner Administered Drugs Update
• Medicaid Managed Care and Prescription Coverage for Undocumented Non-Citizens 65 Years of Age and Over
• New York State Medicaid Expansion of Prognostic Tests for Breast Cancer Treatment
• Clarification to Updated Billing Guidance for Vagus Nerve Stimulators

Thank you.

The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the December 2023 Medicaid Update. Please find the improved, interactive issue as a PDF (Portable Document Format) file available to be downloaded at: https://www.health.ny.gov/health_care/medicaid/program/update/2023/docs/mu_no17_dec23.pdf. A print-ready version is also available on the Medicaid Update web page.

You may also go straight to an article or topic that pertains to you by selecting from the current issue’s table of contents below.

Pharmacy

·       NYRx Prior Authorization Programs Update (Cover)

·       Care Coordination and Clinical Management of Pharmacy Services for Medicaid Managed Care Enrollees

All Providers

• Reminder: Sign Up for eMedNY Training Webinars
• Provider Reports Available on eMedNY Website
• Medicare Begins Coverage of Licensed Mental Health Counselors and Licensed Marriage Family Therapists Beginning January 1, 2024

Policy and Billing

• Medical Nutritional Therapy Services Provided by Qualified Dietitians/Nutritionists
• New York State Medicaid Coverage of Testing for Lynch Syndrome
• Expanded Eligibility for Community Health Worker Services
• Reimbursement for Adverse Childhood Experiences Screening
• Medicaid Practitioner Administered Drugs Update
• Medicaid Managed Care and Prescription Coverage for Undocumented Non-Citizens 65 Years of Age and Over
• New York State Medicaid Expansion of Prognostic Tests for Breast Cancer Treatment
• Clarification to Updated Billing Guidance for Vagus Nerve Stimulators

Thank you.