Action Required: NYS Mandates Electronic CMS-1500 Billing by August 1 Click to Enlarge Effective August 1, 2025, the NYS Workers’ Compensation Board (Board) will require health care providers to submit the CMS-1500 universal billing form electronically, through a Board-approved electronic submission partner. But don’t wait!
NGS Medicare Part B 2025 Spring Virtual Conference Click to Enlarge The National Government Services (NGS) Medicare Part B 2025 Spring Virtual Conference, scheduled for June 3–5, 2025, offers a comprehensive series of sessions aimed at enhancing Medicare compliance for Part B providers. This three-day virtual
Help Transform the Medicare Beneficiary Health Care Experience with Modern Technologies Click to Enlarge Help create modern digital technologies to empower seniors to manage their health journey. We want YOUR ideas. Please join us for a Q&A session on the recent CMS Request for Information (RFI) on
MSSNY Advocacy Halts New Fidelis Appeals Consent Rule Click to Enlarge It was recently brought to the attention of the Payment and Practice Division that Fidelis was planning to implement a new consent requirement for appeals starting June 1. In response, MSSNY raised the issue
NYRx to Launch Electronic Prior Authorization via CoverMyMeds This Summer Click to Enlarge Beginning this summer, NYRx, the Medicaid Pharmacy Program, will accept electronic prior authorization (ePA) requests via CoverMyMeds® in addition to phone and fax requests. CoverMyMeds is a tool designed to simplify the
NYRx Program Updates Aim to Strengthen Support for Foster Care Youth Click to Enlarge The latest NYRx Education & Outreach Foster Care Agency Newsletter outlines key updates for healthcare providers working with vulnerable populations, including foster care youth. Among the most notable developments are new
NYRx Electronic Prior Authorization via CoverMyMeds Summer 2025 Click to Enlarge Beginning this summer, NYRx, the Medicaid Pharmacy Program, will accept electronic prior authorization (ePA) requests via CoverMyMeds® in addition to phone and fax requests. Additional information is available in the attached link. More information
New York State Patient-Centered Medical Home Program Click to Enlarge Primary care providers who missed the March 31, 2025, deadline can still submit an attestation for the New York State Patient-Centered Medical Home Provider (NYS PCMH), Medicaid Managed Care (MMC) and Child Health Plus (CHPlus)
NYRx Education & Outreach: February Updates and Key Developments Click to Enlarge The NYRx Education & Outreach (E&O) team has released its latest Month in Review newsletter, highlighting key updates in pharmacy services, Medicaid regulations, and public health initiatives. This edition covers significant changes, including
MSSNY Advocacy Helps Secure Medicare Reimbursement for Allergen Extract Dilutions Click to Enlarge Successful collaboration ensures better patient access and fair physician reimbursementThe American College of Allergy, Asthma, and Immunology (ACAAI) has announced a significant reimbursement victory for allergists and healthcare professionals. Below is their official press
