Latest News

Expiration of NYS DFS Insurance Circular Letter No. 17 Provisions

Audience: Hospitals, Inpatient Mental Health Facilities, Skilled Nursing Facilities and Home Health Care Providers

New York State Department of Financial Services (NYS DFS) has not extended the requirements of its December 23, 2020 Insurance Circular Letter No. 17 (2020), which expired February 21, 2021. We recognize that some services may have been scheduled before February 21,...

Coverage Exclusion of Non-FDA Approved Medications for Commercial, Exchange, Essential Plan, and Child Health Plus Members

Audience: Providers of impacted patients

We have identified several medications on our formularies that are non-FDA approved products. As a result, beginning April 1, 2021, we will remove these medications from the respective formularies and exclude coverage for the following medications: Hydrocortisone...

Transition of Voluntary Foster Care Agencies and Foster Care Children into Medicaid Managed Care

Audience: Primary Care Physicians, Nurse Practitioners, Psychologists, Psychiatrists, Occupational Therapists, Licensed Clinical Social Workers, Licensed Mental Health Counselors, Licensed Marriage and Family Therapists, Hospitals, Inpatient/Outpatient Mental Health and Substance Use Facilities and Federally Qualified Health Centers

We would like to provide you with information related to New York state’s efforts to transform and expand the health care system to improve service access and provide earlier intervention for children in Foster Care (FC) with complex medical and behavioral health...

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Examiner Newsletter

Inside this quarter's Examiner Newsletter:

  • Antibiotic Use -- Think Twice
  • Meet New Members of Our Provider Team
  • CPT II Codes Help Bridge Patient Care Gaps
Apex Publishing Award 2019

Dental Newsletter

Inside this month's 'The Floss' newsletter: