Behavioral health services have often been an afterthought in the overall care and prevention of illnesses. Due to the combination of stigma, policy trends, provider shortages, and a lack of parity in reimbursement and healthcare coverage, behavioral health services oftentimes lag in innovation opportunities … Read More
NYS DOH Updates On PPS Progress And Provider Contract Guidelines For IPAs
Posted on by SAE
NYS DOH Announces Provider Contract Guidelines For Article 44 MCOs, IPAs And ACOs New York State Department of Health (DOH) released Provider Contract Guidelines for Article 44 MCOs, IPAs, and ACOs with the intent of establishing standards for contract submission and review, clarifying required contract provisions, … Read More
HHS Issues Guidance For Clarity On HIPAA As It Relates To Opioid Overdose
Posted on by SAE
In response to the declaration of a nationwide public health emergency regarding the opioid crisis, the U.S. Department of Health & Human Services (HHS) Office for Civil Rights released new guidance for healthcare providers. The guidance addresses how and when healthcare providers can share … Read More
New York State Departments Host Webinar Addressing Children’s Medicaid Transformation
Posted on by SAE
Early this month, the New York State Departments (Department of Health, Office of Mental Health, Office of Alcoholism & Substance Abuse Services, Office of Children and Family Services, and Office for People with Developmental Disabilities) hosted their monthly Children’s Medicaid Transformation webinar. Slides from that … Read More
The Importance Of An IPA
Posted on by SAE
Independent Practice Associations (IPA) are organized associations or collaboratives designed to negotiate service reimbursements for specific services with insurance companies on behalf of the contracted providers compensated with a negotiated capitation or modified fee-for-service model. The benefits of an IPA reduce risk to any one … Read More
Update For New York HCBS Providers
Posted on by SAE
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
Provider Applications For HCBS/SPA Waiver Services Should Be Submitted At The End Of July
Posted on by SAE
As you may know by now, the New York State (NYS) Office of Alcoholism and Substance Abuse Services (OASAS), Department of Health, Office of Mental Health (OMH), Office of Children and Family Services (OCFS), and Office for People With Developmental Disabilities (OPWDD) recently announced … Read More