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The information contained in this document will assist providers enrolled in emedny New York State NYS Medicaid Program with understanding and complying with Medicaid requirements emedny billing and submitting claims electronic or paper. Providers should use the information in this document along with the Medicaid Provider Manual posted at www, emedny. The Technical Supplementary CG is available at www, emedny. The following is an explanation of the information contained in the matrix and instructions for use.

Current product hierarchy. Users will be able to transfer information pertaining to individuals, staff and schedules to eMedNY Exchange as Visit forms. The required information and the location where the information needs to entered in the system to successfully send the Visit forms to eMedNY are listed in the following table. It should be entered in the address fields of the 'Provider Address' section on the Billing Provider page accessible from the Billing section of the Admin tab. Provider Rate Code This refers to the 4 digit rate value of claims under a particular service. Individual Medicaid ID has to be 8 character s long.

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Dashboard Information Test Environment. Practitioners can submit certain maintenance transactions in the Provider Enrollment Maintenance Portal instead of mailing a paper form. Click for more information. Any changes reflected in the manuals are effective for dates of service beginning April 1, Pharmacy coverage questions can be directed to NYRx health. Billing related questions can be directed to GDIT at The revised documents are effective January 31, and may be referenced online on the Dental Manual Page. The slides and replay to this webinar are now available. Hover your mouse over the notice box to stop playback. For automatic play, exit your mouse cursor from the box. Archived Notices. Waiting for your ETIN to approach expiration will jeopardize your payments. All Rights Reserved. This website is provided as a service for providers and the general public, as part of the offerings of the electronic Medicaid system of New York State. You'll be able to find helpful manuals and reference material, and get answers to questions about New York Medicaid.

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Upon notification of an upcoming license expiration, practitioners can sign in to the eMedNY portal to view their license information. If needed, the license end date can be updated, and a copy of the professional license renewal can be uploaded. Practitioners who have been notified that their license will expire or have been terminated from the Medicaid FFS program due to an expired license can update their license or reactivate their enrollment via the eMedNY portal. Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan.

Want to view the training webinar on your own time? Please view the recording of it here. Businesses, groups, and institutions will be able to use the Provider Enrollment Maintenance Portal at a later date. Practitioners are encouraged to use the Provider Enrollment Maintenance Portal to submit enrollment maintenance transactions and view the status of submissions. Available transactions include: submitting address changes, performing Drug Enforcement Administration DEA updates, affiliating individuals to groups, adding specialties, and updating Electronic Funds Transfer EFT information. First, read or print the instructions in Step 1 through Step 6. Click here to print all steps. Having an issue? Feel free to give us a call at All Rights Reserved.

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Do you need to make a change to your current enrollment record? Do you want to correct an existing NPI for your current Enrollment? Did you receive a letter advising you to Revalidate your enrollment? Have you experienced an Ownership Change?

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Date of Birth This will be the date of birth of the individual. Individual Medicaid ID has to be 8 character s long. Navigation Open. Any changes reflected in the manuals are effective for dates of service beginning April 1, The following is an explanation of the information contained in the matrix and instructions for use. Upon notification of an upcoming license expiration, practitioners can sign in to the eMedNY portal to view their license information. Note: The adjusted claim may not contain more claim lines than the original claim. Enter A3 or B3 followed by the amount the other insurance carrier paid. It should be entered in the First Name field of the 'User Information' section on the Update User Information page accessible from the General section of the Admin tab. Hover your mouse over the notice box to stop playback. This refers to the Institutional Segment in which this data is found for electronic submissions. This refers to the last name of the staff that was scheduled to provide the service. Providers should use the information in this document along with the Medicaid Provider Manual posted at www. Format will vary depending on rate code monthly, 1 st half month, 2 nd half month, daily. Waiting for your ETIN to approach expiration will jeopardize your payments.

Dashboard Information Test Environment. Practitioners can submit certain maintenance transactions in the Provider Enrollment Maintenance Portal instead of mailing a paper form.

Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. Dashboard Information Test Environment. For automatic play, exit your mouse cursor from the box. First and second positions are the Type of Bill and Bill Classification. All Rights Reserved. Dental Corner. Also please note that if an adjustment is submitted without one or more of the lines paid from the previous claim, those omitted lines will be voided. This refers to an 8 digit identification number for the Billing Provider. For original claims the entry should be 0 zero. If submitting an Adjustment Replacement or a Void to a previously paid claim, this field must be used to enter the Transaction Control Number TCN assigned to the claim to be adjusted or voided. In the next box to the right, enter the 3rd digit of the Profession Code and an 8. Format will vary depending on rate code monthly, 1 st half month, 2 nd half month, daily.