The Transportation Prior Authorization Guidelines Manual has been updated to reflect a revised transportation office telephone number and changes to ADHC ambulette transportation. Please See:

• Transportation Prior Authorization Guidelines Manual

New Provider Communications:

• Transportation

Format has been enhanced and Remittance Advice samples have been updated in the following Billing Guidelines:

• Chiropractor
• Clinical Psychology
• Clinical Social Worker
• DME
• Hearing Aid
• Hospital Ordered Ambulatory
• Laboratory
• Midwife
• Nurse Practitioner
• Private Duty Nursing
• Physician
• Podiatry
• Rehabilitation Services
• Vision Care

The following Provider Maintenance form has been added:

• Office Based Surgery

The following Provider Maintenance forms were updated:

• Change of Category and / or Address Form
• Fee for Service Address Change
• Prescription Footwear Form
• Specialty Certification

Modifications have been made to the following:

• ProDUR-ECCA Provider Manual
• ProDUR-ECCA Standards Manual

The following MEVS guides were updated:

• MEVS Telephone Quick Reference Guide
• MEVS VeriFone Omni 3750/Vx570 Quick
  Reference Guide

All Medicaid Provider Enrollment forms have been updated to include information on the Provider Compliance Program requirements found in Title 18NYCRR, Part 521.  To determine whether the Provider Compliance Program affects you, please visit the website of the Office of the Medicaid Inspector General at http://www.omig.ny.gov/data/content/view/81/206/

The following Provider Enrollment Packets were updated:

• Certified Asthma Educator
• Certified Diabetes Educator
• Chiropractor
• Clinical Psychologist
• Clinical Social Worker
• Dentist
• DME
• Group
• Hearing Aid
• Laboratory
• Laboratory Director
• LPN/RN
• Midwife
• Nurse Practitioner
• Nurse Registry
• Optical Establishment / Salaried Optician / Optometrist
• Optician / Optometrist / (Self Employed)
• Pharmacy
• Physician
• Physician’s Assistant (Registered)
• Podiatrist
• Portable X-Ray
• Salaried Optician-Salaried Optometrist
• Service Bureau (Billing Agency)
• Supervising Pharmacist
• Therapist (PT/OT/Speech)
• Transportation

Additionally, all Rate Based / Institutional Form Instruction Pages were changed in accordance with the above regulations. Please see these forms located on the bottom of:

• http://www.emedny.org/info/ProviderEnrollment
  /index.html

The training session search has been improved, including a new clickable map. Please see:

• Training for Providers

New Physical and Occupational Therapy Services (PT/OT) Policy Guidelines:

• Rehabilitation Services Manual Policy Guidelines

Information for All Providers – Managed Care has been updated. Elderplan M/M MMIS # 03186129, a new Ma Advantage plan has been added to the SOB effective 6/1/2010. Please see:

• Information for All Providers – Managed Care

The following Provider Maintenance forms were updated:

• Default Electronic Transmitter Identification Number (ETIN) Selection Form
• Electronic Prior Approval Request Form
• Electronic Remittance Request Form
• Paper Remittance Sort Request Form
• Pended Claim Recycle Request Form
• Request to Disaffiliate/Delete an ETIN

Information for All Providers – General Policy has been updated: Page 6 – Date and time stamp helps identify the most current Common Benefit Identification Card (CBIC). Please see:

• Information for All Providers - General Policy

New Provider Communications:

• Vision Care

The Transportation Contact List contains a revised telephone number for Putnam County. Please see:

• Transportation Contact List

The following Provider Maintenance form was updated:

• Request to Disaffiliate/Delete an ETIN

In response to regulatory and operational changes, the Out of State Prior Approval Policy for Inpatient has changed. Please see:

• Out-of-State Hospital Prior Approval Guidelines

New Provider Communication:

• Inpatient

Modifications have been made to the following:

• Posting Provider List

The following Provider Maintenance forms were updated:

• EFT-PDF Paper Remittance Request Form
• Electronic Remittance Request Form

New Provider Communication:

• Dental

The following Provider Maintenance form was updated:

• Provider ID Request Form (Fee for Service Only)

The following Policy Guidelines Manual has been updated:

• Private Duty Nursing Policy Guidelines

The following 2010 Fee Schedules and Procedure Codes sections have been updated:

• Clinical Psychology 2010 Fee Schedule and Procedure Codes
• Dental 2010 Fee Schedule
• Dental 2010 Procedure Codes
• DME 2010 Fee Schedule
• DME 2010 Procedure Codes
• Midwife 2010 Fee Schedule
• Midwife 2010 Procedure Codes
• Nurse Practitioner 2010 Fee Schedule
• Nurse Practitioner 2010 Procedure Codes
• Nurse Practitioner Enhanced Program 2010 Fee Schedule
• Ordered Ambulatory 2010 Fee Schedule
• Ordered Ambulatory 2010 Procedure Codes
• Pharmacy 2010 Fee Schedule
• Pharmacy 2010 Procedure Codes
• Physician Drugs 2010 Fee Schedule
• Physician Enhanced Program 2010 Fee Schedule
• Physician Medicine 2010 Fee Schedule
• Physician Radiology 2010 Fee Schedule
• Physician Surgery 2010 Fee Schedule
• Physician Medicine and Drugs 2010 Procedure Codes
• Physician Radiology 2010 Procedure Codes
• Physician Surgery 2010 Procedure Codes
• Podiatry 2010 Fee Schedule
• Podiatry 2010 Procedure Codes
• Private Duty Nursing 2010 Procedure Codes
• Vision Care 2010 Fee Schedule
• Vision Care 2010 Procedure Codes

The Transportation Contact List contains updated contact information for Herkimer County. Please see:

• Transportation Contact List

New Provider Communication:

• Dental

Information for All Providers – Managed Care Information has been added. Please see:

• Information for All Providers – Managed Care Information