Medicaid Update Special Edition

December 18, 2020

See below.

It is important for NYS Council members to understand what is happening with the changing Medicaid Pharmacy benefit, effective 4/1.  DoH has been offering and information designed to update stakeholders across the healthcare continuum.  Please familiarize yourself with the topic and we will share more detailed information in the days and weeks to come.  See attached Special Medicaid Update, and also see information below.


Dear MRT Listserv Subscriber:

On Monday, October 19, 2020, the New York State Department of Health (NYS DOH) hosted a public webinar regarding the Medicaid Redesign Team (MRT) II State Fiscal Year (SFY) 2020-21 budget initiative to transition the Medicaid Pharmacy benefit from Managed Care to the Fee-For-Service (FFS) program. The presentation is now available on the NYS DOH webpage at:

Further information and resources regarding the transition of the Medicaid pharmacy benefit from Managed Care to FFS is available on the following NYS DOH webpage dedicated to the pharmacy carve-out:

———- Forwarded message ———
From: <>
Date: Fri, Dec 18, 2020 at 11:54 AM
Subject: Medicaid Update Special Edition – Part One: Medicaid Pharmacy Carve-Out
To: <>

Dear Medicaid Update Recipient,

Attached please find a Medicaid Update Special Edition – Part One, issued today, Friday, December 18, 2020, by the New York State Department of Health, featuring “Medicaid Pharmacy Carve-Out.”

This Medicaid Update Special Edition is available on the Medicaid Update web page. Please find the new and improved, interactive issue as a PDF (Portable Document Format) file available to be downloaded at:

REMINDER: Please notify us immediately if your e-mail address changes so that we may continue to keep you updated on current Medicaid policy guidelines and bulletins. It is the responsibility of each provider to alert Medicaid of any address or e-mail changes as soon as they occur. Please send your new information to We thank you for your continued feedback.