PULSE 8/22/2025: NYRx Expands Brand Less Than Generic Program: Key Updates for Prescribers and Pharmacists
NYRx Expands Brand Less Than Generic Program: Key Updates for Prescribers and Pharmacists Click to Enlarge New York’s Medicaid program, NYRx, is implementing important changes to its Brand Less Than Generic (BLTG) Program effective August 21, 2025. This program ensures patients
PULSE 7/25/2025: CMS-1500 Mandate August 1 Deadline: What NY Physicians Need to Know
CMS-1500 Mandate August 1 Deadline: What NY Physicians Need to Know Click to Enlarge New York physicians treating workers’ compensation patients must prepare for a critical regulatory shift. Effective August 1, 2025, the NYS Workers’ Compensation Board will require all CMS-1500 forms to be
PULSE 7/18/2025: CMS-1500 Mandate August 1 Deadline: What NY Physicians Need to Know
CMS-1500 Mandate August 1 Deadline: What NY Physicians Need to Know Click to Enlarge New York physicians treating workers’ compensation patients must prepare for a critical regulatory shift. Effective August 1, 2025, the NYS Workers’ Compensation Board will require all CMS-1500 forms to be
PULSE 7/18/2025: NYRx Now Accepts ePA Requests via CoverMyMeds® Starting July 15
NYRx Now Accepts ePA Requests via CoverMyMeds® Starting July 15 Click to Enlarge As of July 15, 2025, NYRx, the Medicaid Pharmacy Program now accepts electronic prior authorization (ePA) requests via CoverMyMeds® in addition to the current phone and fax submission
PULSE 7/11/2025: NYRx Electronic Prior Authorization via CoverMyMeds: Available Starting July 15, 2025
NYRx Electronic Prior Authorization via CoverMyMeds: Available Starting July 15, 2025 Click to Enlarge Effective July 15, 2025, NYRx, the Medicaid Pharmacy Program, will accept electronic prior authorization (ePA) requests via CoverMyMeds® in addition to the current phone and fax submission methods.
PULSE 7/11/2025: CMS-1500 Mandate August 1 Deadline: What NY Physicians Need to Know
CMS-1500 Mandate August 1 Deadline: What NY Physicians Need to Know Click to Enlarge New York physicians treating workers’ compensation patients must prepare for a critical regulatory shift. Effective August 1, 2025, the NYS Workers’ Compensation Board will require all
PULSE 6/27/2025: NYRx Updates Diabetic Testing Supply Guidelines: What Physicians Need to Know
NYRx Updates Diabetic Testing Supply Guidelines: What Physicians Need to Know Click to Enlarge New updates from NYRx outline specific parameters for pharmacies and prescribers managing diabetic testing supplies for Medicaid patients. Physicians must follow new quantity and day supply limits
PULSE 6/27/2025: CMS Alert Highlights Medicare Fraud Scheme Involving Phishing Fax Requests
CMS Alert Highlights Medicare Fraud Scheme Involving Phishing Fax Requests Click to Enlarge The Centers for Medicare & Medicaid Services (CMS) published an alert on fraud schemes that are increasingly targeting Medicare providers that involve bad actors impersonating CMS and sending phishing
PULSE 6/13/2025: Certification of Additional Federal Independent Dispute Resolution (IDR) Entities
Certification of Additional Federal Independent Dispute Resolution (IDR) Entities Click to Enlarge The Departments of Health and Human Services, Labor, and the Treasury (the Departments) are announcing the certification of two additional independent dispute resolution (IDR) entities, Capitol Bridge, LLC and Livanta LLC
PULSE 6/13/2025: Dispute Closure Error Technical Assistance
Dispute Closure Error Technical Assistance Click to Enlarge The Departments of Health and Human Services, Labor, and the Treasury published the Dispute Closure Error Technical Assistance (TA) to the Overview of Rules & Fact sheets page under the Guidance &
