HHS Drives Reform to Restore Patient-Centered Care, Announces Request for Nominations of Members to Serve on Federal Healthcare Advisory Committee Click to Enlarge The U.S. Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) are establishing the Healthcare Advisory Committee—a
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 receive the most cost-effective option—sometimes
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 submitted electronically via a Board-approved submission partner. Failure
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 submitted electronically via a Board-approved submission partner. Failure
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 methods. For more information, please
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. For more information and to
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 submitted
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 for diabetic test strips and
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 fax requests for medical records
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 (DBA: Commence). Expanding the number
