In March, the State of New York received a major disaster declaration (DR-4480) to provide emergency protective measures (Category B) under the Public Assistance (PA) program through the disaster declaration. Last week, FEMA approved New York’s statewide plan for non-congregate sheltering. This approval allows governmental … Read More
Alert to NY Providers: Review of Billing and Claims Denied
The following is from the Advanced Cash Payment Directive slide of NYS Office of Mental Health’s Mental Health Advanced Cash Payment Requirements PowerPoint. New York State directed several MCOs to resolve outstanding claiming issues with providers by February 24, 2019. By February 24, 2019, MCOs and … Read More
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IMPORTANT: NYS Readiness Funds for Child-Focused HCBS
New York State announced the designated providers for Children and Family Treatment and Support Services / Home and Community Based Services (HCBS). Services originally designated as State Plan Amendments (SPA) are now termed specifically as Children and Family Treatment and Support Services. These newly aligned Medicaid … Read More
Update For New York HCBS Providers
Children Provider Applicant for HCBS and SPA Applications for Children HCBS and SPA were due July 31. Designation letters to providers are expected in October. Contracting, credentialing, and claims testing may take up to nine months. The list of designated providers will be used … Read More
Helping You Adjust To The Managed Care Environment
Although behavioral health Parity has been required of insurers and managed care organizations for the better part of the past 10 years, there is substantial evidence that payers have not fully implemented policies and practices consistent with parity requirements. Since 2014, SAE has functioned as … Read More
Accessible Testing for HCV and HIV
“According to the CDC, HIV and HCV coinfection ‘more than triples the risk for liver disease, liver failure, and liver-related death from HCV’, which includes both the incidence of cirrhosis and liver cancers.”