Epaces billing manual

Description Changes in PDL status for individual drugs are indicated by a "1" or a "2" next to the drug. For clinical concerns or preferred drug program questions, contact (877) 309-9493. For billing questions, contact (800) 343-9000. For Medicaid pharmacy policy and operations questions, call (518) 486-3209. The Support Files available in ePACES allow the Administrator to create, edit or review database files for an ePACES account associated with an ETIN*. Click on one of Support File subheading hyperlinks on the bottom of the left-hand menu bar: Provider, Other Payer and Submitter to access these files. The Provider and Other Payer files may be successor billing process, and a brief overview of program updates for SSHSP Medicaid policies. Effective July 1, 2016, SSHSP providers are permitted to submit their Medicaid claims directly through ePACES. Some SSHSP providers have completed the process to gain direct access to ePACES and are beginning to submit their own claims. School For additional ePACES claim submission and billing guidance, please visit the Doula Provider Billing Manual. Paper Claim Submission. Doulas who wish to submit their claims on paper forms must use the NYS eMedNY-150003 claim form. To order 150003 forms, contact the eMedNY call center at 1-800-343-9000. Purpose of this Manual This manual outlines the claiming requirements necessary to ensure proper claim submission for services affected by the Children's Health and Behavioral Health System Transformation (CFTSS and HCBS). This manual is intended for use by Medicaid Managed Care Plans (MMCP), including Special Needs Plans (SNP), behavioral health School Supportive Health Services Program ePACES Claim Quick Reference Guide Revised 10/24/16 Page 4 INSTITUTIONAL CLAIM INFORMATION TAB Facility Type: Enter the facility type - 89. Assignments of Benefits: Enter Y for Yes Release of Information: Choose the correct option from the drop down list.Y for Yes, Provider has a signed Parental Consent giving permission to bill Medicaid for the Medicare Claims Processing Manual . Chapter 20 - Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Table of Contents (Rev. 11263, 02-10-22) (Rev. 11414, 05-12-22) Transmittals for Chapter 20. 01 - Foreword . 10 - Where to Bill DMEPOS and PEN Items and Services . 10.1 - Definitions . 10.1.1 - Durable Medical Equipment (DME) eMedNY offers several training webinars to providers and their billing staff. Webinars are conducted online, so that providers may join the meeting via a computer and telephone. Valuable provider webinars offered include: • ePACES for Dental, Durable Medical Equipment (DME), Free-Standing and Hospital-Based Clinics,