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Members enrolled in a MMC plan that does not include family planning services in their benefit package (e.g., New York State Catholic Health Plan, dba Fidelis Care New York) can access these services, including purchase, insertion or removal of an IUD from a qualified Medicaid FFS provider who bills Medicaid FFS at established rates and fees.Medicaid FFS reimbursement for LARC is limited to the provider's acquisition cost by invoice.These clinics must bill the patient's Managed Care plan at rates negotiated with the plan.Under the free access policy, when a MMC enrollee receives an IUD or implant from a qualified non-network clinic, the non-network provider bills Medicaid FFS at established rates and fees.Providers who practice using EHRs are in the forefront of improving quality, reducing costs and addressing health disparities.Since December 2011 over 3 million in incentive funds have been distributed within 24,271 payments to New York State Medicaid providers.If you were unable to attend this presentation and would like more information, please contact program support by phone at 877-646-5410 Option 2 or by email at [email protected] Contact [email protected] for program clarifications and details.The New York State Department of Health recognizes that volunteer drivers are a valuable component of the Medicaid Transportation Program, especially in transporting enrollees to necessary medical services in rural areas.
Effective August 1, 2016, the new Common Benefit Identification Card (CBIC) is available to Medicaid consumers who do not already have a card or need to request a replacement card.LARC methods include the intrauterine device (IUD) and the contraceptive implant.According to the American College of Obstetricians and Gynecologists, both methods are highly effective in preventing pregnancy and are reversible.Thereafter, the EP may receive ,500 for each of the remaining five years for demonstrating meaningful use.
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Claims for the LARC do not require submission of an invoice, although the invoice must be maintained by the provider for a period of six years for audit purposes.