If you are a NY provider that has patients on specialty drugs through a medical benefit? Then this blog post is for you!
What is changing?
- Effective DOS 4/1/26 the specialty drugs that are available through medical benefit will require a prior auth
- If your patients are already on these drugs without the auth, in order to receive a continuation the provider will need to request the prior auth


Find this blog post informative? Follow me for more!
- Rhode Island Medicaid: update telehealth PT services
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- Aetna Better Health of NJ: Out of network provider reimbursement update
- Healthfirst PT/OT prior auth and coverage changes
- NYS Medicaid Prior authorization timeframe update- 1/1/27

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