![]() Reimbursement to selected hospitals to compensate for healthĬare services that have been provided to members of New York'sĪ group of organizations managing HIPAA standard change requests To provide financial rebates to states based on the dollarĪmount of their drugs reimbursed by the Medicaid program Of 1990 (OBRA-90) in which legend drug manufacturers, or labelers, Program authorized by the Omnibus Budget Reconciliation Act Used as a basis of payment for some hospital inpatient stays New York State agency responsible for the administration of Responsible for the administration of Medicaid at the Federal level through the Centers for Medicare & Medicaid Services (CMS).ĭocument submitted to the CMS regional office at the start of the eMedNY Implementation Phase to document the project plan, and updated periodically to keep CMS informed of progress.Įquipment such as wheelchairs, hospital beds, and other non-disposableĭOCS - Department of Correctional Services ![]() physicians)Īs a part of controlled substances managementĭepartments of Social Services (LDSS) in the determination Number assigned to prescribing providers (e.g. Manual or automated claims analysis tool used by the DepartmentĭEAA - Data Exchange Application & Agreement Mandatory medical services required by HCFAĪnd optional medical services approved by the Stateįor which the enrolled provider will be reimbursed for services COS is assigned by New York State at the time of enrollment. Provider services are categorized for processing and reporting purposes. The Federal agency that oversees the Medicare and Medicaid programs.Ī service or group of services which the provider is eligible to render under the Medicaid program. Services, submitted to the department using approved claimįorms or approved electronic submittal mediaĪ federally mandated set of certification criteria and dataĬollection monitoring system designed to ensure the properĬenters for Medicare and Medicaid Services Both Child Health Plus A and B are available through many providers throughout the state.ĬIDP- Chronic Illness Demonstration ProjectĪ provider's request for reimbursement of Medicaid-covered Depending on the family’s income, a child may be eligible to join either Child Health Plus A (formerly Children’s Medicaid) or Child Health Plus B. ![]() This is a health insurance plan for children. NYS DOH has provided the information as a tool to make the Provider’s job easier in preparing electronic transactions in a HIPAA compliant manner. NYS DOH has focused primarily on the rules and policies regulating the submission of Medicaid data that are provided within each Companion Guide document. The New York State Department of Health (NYS DOH) has provided Medicaid Companion Documents to assist Providers, Clearinghouses and all Covered Entities in preparing HIPAA compliant transactions. System component that handles the editing, pricing, and adjudicationĬFOI- Census of Fatal Occupational Injuriesįederal regulations that define Medicaid rules and regulationsĪ Companion Guides is a written specification used by Trading Partners to create eMedNY claims and requests and to interpret eMedNY responses to multiple transactions. Of selected information and resubmitted by the provider with Security Administration on behalf of eligible MedicalĪssistance recipients, enrolling them in the Medicare PartĪnd sent to the provider that submitted the claim for correction Regarding persons receiving Medicare benefits from the SocialĪ procedure whereby the State pays a monthly premium to the Information about verifying eligibility for Medicaid Clients can be found in the MEVS Provider Manual in the Provider Manuals section of this website.Īutomatically assigns a managed care recipient to a managedĬare provider if the recipient does not select a providerĪWP - Average Wholesale Price used for drug pricing The ARU is also referred to as a Voice Response Unit, Automatic Voice Response and Interactive Voice Response. Aid to Families with Dependent ChildrenĬategorical eligibility category prior to implementation onĪn interactive dial-in voice response unit accessed by digital phone and utilized by providers to verify Medicaid eligibility and conditions of coverage. ![]()
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